Early signs of pregnancy can include missed or lighter periods, breast tenderness, nausea, fatigue, and mood changes. A home pregnancy test detects the pregnancy hormone hCG and can provide a result as early as the first missed period. If the test is positive, it is important to see a doctor to determine next steps and care. A woman facing an unexpected pregnancy has several options to consider, including continuing the pregnancy and parenting, adoption, or abortion. Support from loved ones can help in making such an important decision.