I think I may be pregnant! How do I know for sure?

Early signs of pregnancy can vary from one woman to another.  If  you have missed your period and are experiencing some unfamiliar symptoms it may be time to take a pregnancy test.  We can perform an accurate urine or blood pregnancy test for you, but if you suspect that you may be pregnant what are some of the other signs and symptoms to look for?

The American Pregnancy Association (APA) conducted a survey and found that among pregnant women the first 2 signs of pregnancy included; 29% missed period and 25% nausea.  Let’s discuss these two symptoms further:

Missed Period

Usually the first sign that a woman might be pregnant is that her period is late.   The average menstrual cycle is 28 days long, but can range anywhere from 21 to 25 days in adults and 21 to 45 days in young teens. If you have missed your period by about one week or more, this could be an indicator that you might be pregnant.  However, not every woman keeps an accurate account of her cycle, and some women have irregular cycles, so this symptom alone may not mean you are pregnant.


In the first trimester of pregnancy many women experience nausea, which may or may not be accompanied by vomiting.  Although this is often referred to as morning sickness it can happen at any time of the day.  The severity of nausea during pregnancy can vary from extreme to not at all.  The reasons for morning sickness are not clear, but it is thought to be caused by hormonal changes.


What are some other signs that I might be pregnant?

There are other symptoms of pregnancy that you may not be as familiar with or they are less obvious.  The first week of pregnancy is actually counted from the first day of your last menstrual period, so for the first couple weeks of your pregnancy you may not have any symptoms at all.  As the pregnancy progresses some other symptoms that you may experience are:

Cramping and Spotting

By 7 to 14 days after conception a fertilized egg is implanted to the uterine lining.  The implantation of the fertilized egg can cause cramping and spotting early in your pregnancy which could be mistaken for a menstrual period.  Approximately 1/3 of women will have some bleeding when implantation takes place.  If you are pregnant and spotting there usually is less bleeding, it is lighter in color and for a shorter amount of time.  Likewise, cramps may seem similar to those experienced during a menstrual period but are different and can continue even after your missed period.

Breast Changes

Do your breasts feel swollen or tender?  4 to 6 weeks into pregnancy you may develop swollen or tender breasts due to hormonal changes.  The American Pregnancy Association sites that for 17% of pregnant women this was their first sign of pregnancy.  If you are pregnant you may experience tingling, aching and swelling or enlargement of your breasts.  This is normal and will usually subside after your body adjusts to pregnancy.


Although headaches can be common for pregnant women, they should not be relied upon alone as a symptom. Because of hormonal changes headaches, as well as light-headedness or dizziness, may also be a sign of pregnancy.

Sensitively to Smell and Changes in Appetite

Many women report that they are particularly sensitive to smells during the early stage of pregnancy.  The sensitivity to smell can be a cause for nausea.  If you are pregnant you may also experience changes in appetite.  A food you once loved may now sound horrible to you, or you may crave something you wouldn’t normally eat.  During pregnancy your body is changing rapidly, your hormones are adapting to these new changes, and this can cause these symptoms.

 Frequent Urination

Are you using the restroom more frequently?  Frequent urination can begin before you even miss a period.  During pregnancy your body increases the amount of blood it pumps.  This causes the kidney to process more fluid than usual, which can make you feel like you have to use the restroom more frequently.

Constipation, Bloating and Indigestion

Are you having tummy issues?  The change in your hormone levels can cause pregnancy constipation and bloating.  If this is an issue for you make sure to stay hydrated.  Even if you never had it before, high levels of the hormone progesterone is likely to be the culprit for heartburn or indigestion.

Mood Swings and Fatigue

High levels of estrogen and progesterone may cause mood swings and fatigue.  These hormones support your pregnancy and help produce breast milk, but can also make you feel reactive and moody.  Additionally, your body is working hard to support a new life by pumping additional blood as early as week one of your pregnancy.  No wonder these hormonal and bodily changes can make you sleepier and moodier than usual!

Raise Body Temperature and Increased Heart Rate

Your basal body temperature increases during pregnancy, which may make you feel even warmer during exercise or in the heat.  Your heart also may begin to pump faster around 8 to 10 weeks which can sometimes cause palpitations or arrhythmias due to hormones.  This is usually normal, but if you have an underlying heart problem consult your doctor.

I am experiencing some of these symptoms…now what?

We know that experiencing unfamiliar symptoms, wondering if you are pregnant, and if you are pregnant what to do next can be anxiety producing, even in the best of situations—but YOU ARE NOT ALONE.  We are here to give you the support and care you need as you navigate what comes next.

Schedule a confidential and caring appointment by calling 800-771-5089 or online at  Obria    If you have a question you would like answered right away you can chat with or text a nurse by downloading our free app at Obria Direct. Find Obria Direct on the Apple Store or on Google Play. Book your appointment online now. It’s easy!  We will do everything we can to provide you with excellent care!


Citation sites:


https://www.medicinenet.com/menstruation/article.htm  https://rb.gy/mkncfg


https://www.verywellfamily.com/implantation-906754 https://rb.gy/pzhwx1


Obria is Committed to Celebrating Differences and Eliminating Racial Inequality

At Obria we stand beside the Black community–making a public stance against the injustice and constant abuse of power and authority and to drive change and support the path to healing. We honor that our nation is built upon a melting pot of individuals, cultures, and color which makes our country unique and special.  But we also recognize that there are implicit biases in all areas of society.  For this reason, we are dedicated to addressing racism, and promoting equality in our clinics, in your community, and in the healthcare industry.  Our promise is to be your ally and to serve alongside you with dignity!

With a mission to never turn anyone away, Obria serves a wide diversity of patients and believes that each and every patient deserves to be treated, as well as heard.  We exist to serve the under-served and the voiceless in our communities—if you cannot afford to pay you will not be refused!  Our purpose is to provide you, and every individual we see, with judgment free, high-quality, comprehensive reproductive healthcare, and education.  A healthcare program that will not only help you and your community thrive but to also feel empowered.

Forty years ago Obria grew out of a small centralized mission to help women in need, and has now grown to include nearly 50 affiliates across our nation with expanded services for all.  It has always been our policy to be inclusive, but to also achieve concrete and positive outcomes for our society.  We believe now is the time to pause, reflect, and improve our best practices, and we are calling on all medical professionals and organizations to join us and take a stance on love, unity, and equality for all mankind.

We know that Obria’s continuing plan of action may not be enough to fill a void that has existed among many for generations.  But be assured that we are committed to working alongside you, with your community, and with other health organizations to not only keep patient care and confidentiality first, but also to make our nation a better place to live by taking measures that will help alleviate biases and racism from our society.


Would you like to know more about Obria and Optimal Health Coaching?  Now is the time to learn more about healthy relationships and mental health programming.  Visit our Obria website. call 800-771-5089, or Download “Obria Direct” to locate a nearby clinic, chat with a medical professional, and even schedule an appointment through the convenience of your phone.  It’s 100% confidential, no cost, and HIPAA-compliant.


Find Obria Direct on the Apple Store or on Google Play. Book your appointment online now. It’s easy!  We will do everything we can to provide you with excellent care!



I’m Pregnant! How do I determine my due date?

Knowing your due date is important for tracking your pregnancy’s progression and your baby’s growth.  Your medical provider can help determine your due date based on your last period date, conception date, or IVF transfer date.  If you would like to estimate your pregnancy’s due date before seeing your practitioner you can use a Pregnancy Calculator and enter one of your known dates listed above.

Another way to estimate your delivery date is to subtract three months from the first day of your last period and add seven days.  For example, if your last period started on May 5th, you’d count back three months to February 5th  and then add seven days, which means your due date would be February 12th.

What do these dates mean?

First Day of Your Last Menstrual Period (LMP) Date

Your LMP or first day of your last menstrual period is often the primary measure used to calculate a due date.  Usually you will deliver 280 days (40 weeks or about 10 months — also known as 10 lunar months) from the first day of your last period. However, if your periods are not regular or are not 28 days apart, your due date may be different from the “280-day rule.”

Conception Date

Even though your LMP can be used as marking the beginning of your pregnancy, you are not actually pregnant until you conceived (the date you got pregnant).  If you know the day or possible dates of conception this can be used to estimate your delivery date, and it is important to share this information with your medical professional.  Childbirth normally happens approximately 38 weeks after conception (approximately 2 weeks after your last LMP).

In Vitro Fertilization (IVF) Transfer Date

According to the Centers for Disease Control and Prevention (CDC) there are more than 250,000 assisted reproductive technology cycles performed in the United States each year.  If you have underground IVF and know your transfer date you can calculate your due date more precisely using this date.


Are you unsure of the first day of your last menstrual period or when you actually conceived?  Not to worry, an ultrasound can help your healthcare provider determine your due date accurately.  Plus an ultrasound early in your pregnancy can give your medical provider additional important information regarding your pregnancy and assure you that your pregnancy is viable.  A low-cost, high quality pregnancy test with an ultrasound can be scheduled with us now at https://www.obria.org/

The World Health Organization (WHO) defines a normal pregnancy to term will deliver between 37 to 47 weeks.  The differences in a due date can be from serval factors including age, length of previous pregnancies, and weight of the mother at birth.  Keep in mind that only 4% of women deliver at 280 days and only 70% deliver within 10 days of their estimated due date, even when the date is estimated by ultrasound.

Your monthly cycle and Pregnancy…

Your monthly cycle is very intricate and is designed to prepare for, and potentially support, a healthy pregnancy each month.  In each menstrual cycle you have many different hormones working together to possibly accomplish a pregnancy, with the key players being follicle-stimulating hormone (FSH), estrogen, the luteinizing hormone (LH), and progesterone.  Through Fertility Awareness you can learn about the function of your reproductive system and know more about your cycle; including your last menstrual period, length of your cycle, or any irregularities in your cycle.  This awareness can help you to achieve (or prevent) pregnancy by helping you identify when you ovulate and your fertile window.



Would you like to know more about your reproductive system, your monthly cycle and fertility awareness?  We have qualified Fertility Education Medical Management (FEMM) professionals who can help you!

If you would like to schedule a pregnancy test with an ultrasound, are looking for prenatal care, or are interested in our FEMM Fertility Awareness program you can make a confidential appointment by calling 714-516-9045 or online at https://www.obria.org/   Or if you have a question that you would like answered right away you can chat or text a nurse by downloading our free, confidential app at Obria Direct.  Find Obria Direct on the Apple Store or on Google Play. 


Book your appointment now for caring and comprehensive care!


Citation Sites:






What do You do when You want to Socially Distance from the Only People You can Socially Distance with?

What do You do when You want to Socially Distance from the Only People You can Socially Distance with?

Too much togetherness can get on anyone’s nerves!  And some of us need more space than others.  Daily changes and unpredictability can add to the tension.  The next time you feel you need to set boundaries for alone time try this:


  • Make it clear that you would like alone time. That “Do Not Disturb’ sign has never been so relevant.  Don’t be afraid to let others know when and where you would like to be alone.


  • Let others know how important this alone time is for you. “I’ll be more fun once I have some time to myself.”  Give a time frame if you have one.


  • Communicate your need to be alone with others in a positive way. “I love being with you, but feel I need some space to be myself right now.”  Reassure them that it is about your needs, not about them.


  • Build alone time into your daily routine and identify it. “I’m going to run, walk, journal, create, listen to music, etc…and be by myself for now.” Explain different people have different ways of dealing with a crisis, and this is what you need to be healthy.


  • Take heart! Your feelings are normal…and it is good to acknowledge them.  This is temporary and what you learn about yourself, and how you relate to others in the process, will be valuable in your future.


If you would like to know more about yourself, how to have healthy-happy relationships, and better relate to others we have tools and resources to help.  Schedule a confidential and caring appointment by calling 800-771-5089 or online at https://www.obria.org/


If you have a question you would like answered right away you can chat or text a nurse right now by downloading our free app at OBRIA DIRECT, which you can find by clicking here:

‎Obria Direct on the App Store (apple.com)


Obria Direct – Apps on Google Play


Be smart, be safe, be kind.  You matter to us!

Chlamydia – Causes, Symptoms, and Cure in Santa Ana, CA

Chlamydia – Causes, Symptoms, and Cure in Santa Ana, CA

According to the Center for Disease Control (CDC)  Chlamydia is the most commonly reported Sexually Transmitted Disease (STD) in the United States. 

There were more than 1.7 million cases of Chlamydia reported last year—the most ever reported for a sexually transmitted disease.  In fact, 1 in 2 sexually active individuals will contact an STD by the age of 25.  If you are sexually active, it is important for you to know the facts and be safe.

Untreated, Chlamydia can cause serious and permanent damage to a woman’s reproductive organs leading to infertility, risks of ectopic pregnancy, pelvic inflammatory disease, liver inflammation or reactive arthritis.  Men can develop infections in the urethra and testicles.  Pregnant women who are not treated for Chlamydia can pass the infection on to their newborn baby.  Yes, the risks are high but can lessen with the more you know! At Obria Medical Clinics in Santa Ana, you may qualify for free or low-cost STD testing!


How is Chlamydia Contracted?

The only way to be sure you will not get Chlamydia is to not have vaginal, anal, or oral sex.  If you are sexually active, you can be infected with Chlamydia through a partner who has the disease.  This is true even if your partner does not ejaculate.  The correct use of latex condoms can help prevent the spread but is not a guarantee.  Chlamydia can also be contracted more than once, even if you have previously been treated.  However, your chances of being infected with Chlamydia can be greatly reduced by having a long-term monogamous relationship with one partner who has tested negative for STD’s.  The CDC recommends that if you have multiple partners you should be tested for Chlamydia once every year to check for infection and help prevent the spread.


What are the Symptoms of Chlamydia?

Chlamydia is often referred to as a silent disease.  About 90% of women and 70% of men will have no symptoms, but health problems can still develop later.   For those who have symptoms they may not appear until several weeks after having sex with an infected partner.  If you are a woman you should know that even if you do not have symptoms the disease can still damage your reproductive system.

Symptoms women may notice:

  • An abnormal vaginal discharge
  • A burning sensation when urinating

Symptoms men may notice:

  • A discharge from their penis
  • A burning sensation when urinating
  • Pain and swelling in one or both testicles

Both men and women can also get Chlamydia in the rectum by having anal sex with someone who is infected, or if the disease has spread from another infected site (such as the vagina).

Symptoms you could possibly notice:

  • Rectal pain
  • Discharge
  • Bleeding


But What if I am Pregnant?

If you are pregnant and suspect that you may have been in contact with a partner who could have been infected then you will want to be tested at your first prenatal exam.  Chlamydia can be passed on to your newborn during delivery and possibly cause an eye infection or pneumonia.  Treatment during pregnancy is the best way to prevent future problems.


How is Chlamydia Tested, Treated and Cured?

At Obria in Santa Ana, CA we do laboratory testing to diagnose Chlamydia through a urine sample, or possibly by a using a cotton swab in the vagina.  If you are positive for Chlamydia it is treatable through an antibiotic prescription that we can provide.   The antibiotic should cure your infection if it is taken properly.  Afterwards the infection and any symptoms you may have should subside.  Repeat infection can be common, so you will want to be retested again in 3 months.  You will also want to wait to have sex again until your partner has been tested and treated as well.  While the long-term effects of Chlamydia can be devastating, with the correct testing and (if needed)  follow up treatment, you can be on your way to being cured!

Don’t delay—make your free confidential and caring appointment today to be assured that you are healthy and disease free.  Visit our website at Obria.org or call (800) 771-5089.

If you have a question you would like answered right away you can chat or text a nurse right now through our free telemedicine app.

Find Obria Direct on the Apple Store or on Google Play

Book your appointment online now. It’s easy!  We will do everything we can to provide you with excellent care!

Obria Medical Clinics – Santa Ana

2001 E. First St. Suite 209

Santa Ana, CA 92705






The DOs and DON’Ts of Re-Entering the Real World!

 The DOs and DON’Ts of Re-Entering the Real World!

in Orange, CA


Because it’s been a L-O-N-G time since being allowed to be around people. Here are a few hints to help.

DO Wear Big Girl/Boy Pants.  Those comfy, grungy sweats were good for lounging, and maybe even for Zooming, but sorry they’re not meant for public consumption.  And you may want to start weaning away now…to make sure the jeans you love still fit once released!

DON’T Forget to Put the Girls Away.  Some of us females may have preferred to let our top halves run free while social-distancing, but this is your reminder…don’t be socially-awkward.  It’s time to pull out those bras.  Or since “actively” enjoying the beach is now allowed, feel free to enjoy your bathing suit top instead.

DO Limit Physical Contact.  If your Love Language is “Physical Touch’ “then this is a tough one but remember not everyone feels that same during these still somewhat uncertain times.  For the sake of all involved, best to keep your hands (and hugs) to yourself for now…and be happy to have “Quality Time”.

DON’T Give the End Away.  You may have watched every episode of Tiger King (several times over), not to mention Ozark, but don’t assume your friends have seen them all…that is if you want to remain friends.  Check before roaring!

DO Wear a Mask.  True, they are terribly annoying, but unless you want to annoy everyone else this is the one way you can protect yourself as well as others…and be safe.  Look at it this way, wearing a mask is the insurance that will hopefully save you, as well as others, from future social isolation.

DON’T Forget to Smile.  Life is getting better, so even with your mask on don’t forget to don those pearly whites and smile away.  It will show in your eyes and make everyone around you happier.  It has been said that “smiling is like free therapy” …and we could all certainly use some more smiling about now.

DO Limit COVID Conversations.  Like every good reporter, know your audience.  While some like to debate and dissect every little detail of what they hear, for others, it just causes fear and panic.  If a friend isn’t engaging there is a reason why…so be a friend and keep it cool.

DON’T Forget to Practice Eye Contact.  Have those people you’ve been isolated with for 3 months been getting on your last nerve?  You’re not alone and normal but avoiding eye contact can be a symptom!  You may want to practice looking them directly in the eye now…to prepare your peepers for a new-normal world that awaits!

Last but not least…DO enjoy seeing more of your friends, and DON’T forget the special moments.  You are now a part of HISTORY!

If you would like to know more about how to have happy, healthy relationships?  Schedule a confidential appointment Click Here >> https://www.obria.org/

Or if you have a question you would like answered with a few clicks you can chat or text a nurse right now by downloading our free app at OBRIA DIRECT, Find us at Obria Direct Download – Apple | Obria Direct Download – Android

Obria Medical Clinics of Southern California

1215 E. Chapman Ave.
Orange, CA 92866

Call or Download Obria Direct:  (714) 516-9045

Schedule An Appointment With Your Phone

Download “Obria Direct” to locate a nearby clinic, chat with a medical professional, and even schedule an appointment through the convenience of your phone. Plus, it’s 100% confidential, free, and HIPAA-compliant.


Book your appointment online now. It’s easy!






Orange is a city located in Orange County, California. It is approximately 3 miles north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920.

Telemedicine 92866, Social Distancing 92866, COVID-19 92866,  Zoom 92866


COVID-19 and Pregnancy Santa Ana, CA


The recent pandemic has frightened us all, but should you be even more worried if you are pregnant?

We currently do not know whether pregnant women have a greater chance of becoming ill from the coronavirus than the general public, but based on available information pregnant women seem to have the same risk as adults who are not pregnant.  While this information is hopeful, it is questionable whether pregnant women are more likely to have a more serious illness from the virus.  The Centers for Disease Control and Prevention (CDC)  https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnancy-breastfeeding.html states that pregnant women experience changes in their bodies that may increase their risk of some infections—and that with all viruses, upper respiratory infections, and the flu, pregnant women have had a higher risk of developing severe illness.  Therefore, if you are pregnant it is very important to follow all COVID-19 guidelines and follow up with your physician if you feel sick.

What can you do to protect yourself from COVID-19 if you are pregnant?

Follow all federal, state and local government prevention guidelines including:

  • Cleaning and disinfecting frequently used surfaces often.
  • Avoiding people who are sick or have been exposed to the Coronavirus.
  • Washing your hands frequently for 20 seconds using soap and water or an alcohol-based hand sanitizer.

Can the Coronavirus be passed on to an unborn baby?

According to the CDC, https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnancy-breastfeeding.html transmission of the Coronavirus during pregnancy is from mother to child is unlikely.  The virus is not thought to be passed on from an infected mother to her baby in nasal swabs, amniotic fluid, cord blood or breast milk.  https://www.heartbeatservices.org/covid19/item/1692-how-covid-19-affects-pregnant-and-breastfeeding-women  However, after birth a newborn is able to catch the virus.  A small number of babies have tested positive for the virus shortly after birth, but whether the virus was contacted before or after birth is not specifically known.

Be aware that hospitals and Labor and Delivery departments are taking every precaution to protect pregnant mothers and their babies from catching or spreading COVID-19.  Likewise, Obria is committed to keeping our patients updated as we learn more.

Do you have questions about your pregnancy?

You can talk or text with a nurse now you do not have to walk through this alone! We are here to help. Download our telemedicine app at OBRIA DIRECT Apple Download or Android Download. To schedule an appointment, proceed with a telehealth virtual visit or text with a live nurse.  For more information call us at  (714) 516-9045.

Obria Medical Clinics – SoCal

2001 E. First St, Suite 209

Santa Ana, CA 92705

(714) 516-9045