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TrimesterLikelihood of Symptom OnsetFirst trimesterUncommon fluid retention is still lowSecond trimesterModerate fluid and relaxin begin risingThird trimesterMost common 50% of diagnoses occur here [4]Postpartum (first weeks)Can worsen briefly before improving One published study found that among patients with recorded symptom duration, symptoms lasted an average of 9.3 weeks before diagnosis , suggesting many women endure discomfort for over two months before getting a formal assessment