10 Causes of Pelvic Pain During Pregnancy: When to Consult a Doctor

Pelvic pain is a common complaint during pregnancy, and while it is often a normal part of the body’s adjustments to pregnancy, certain types of pelvic pain may require medical attention. Below, we explore the 10 common causes of pelvic pain during pregnancy, how they manifest, and when you should consult a doctor. Dr. Deepti Asthana, one of the best gynecologists in Gurgaon practicing at Fortis Hospital Gurugram, specializes in diagnosing and treating pregnancy-related concerns, including pelvic pain.

What is Pelvic Pain?

Pelvic pain refers to discomfort or pain felt in the lower abdominal area and pelvis. During pregnancy, this pain can vary in intensity and cause. While mild pelvic pain is common due to the body’s adaptations, sudden or severe pain should not be ignored.

1. Round Ligament Pain

• Description: Round ligament pain occurs when the ligaments supporting the uterus stretch to accommodate the growing fetus. This can cause sharp pain or discomfort on one side of the lower abdomen.
• Symptoms: Sudden, sharp pain in the lower abdomen, often on the right side. It can be triggered by quick movements, like standing up too quickly or coughing.
• When to Consult: This is typically harmless but consult a doctor if the pain is severe or persistent.

2. Symphysis Pubis Dysfunction (SPD)

• Description: SPD occurs when the ligaments around the pubic bone become too relaxed, leading to pain and instability in the pelvic area.
• Symptoms: Intense pain in the pelvic region, especially during walking, climbing stairs, or getting in and out of bed.
• When to Consult: If pain limits mobility or worsens, speak with a gynecologist to explore pain management options.

3. Ectopic Pregnancy

• Description: An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, usually in the fallopian tubes. This is a medical emergency.
• Symptoms: Severe pelvic pain, bleeding, dizziness, or shoulder pain.
• When to Consult: Seek immediate medical attention if you suspect an ectopic pregnancy. Dr. Deepti Asthana, available at Fortis Hospital Gurugram, can provide a quick diagnosis and intervention.

4. Miscarriage

• Description: Early miscarriage can cause cramping and pelvic pain.
• Symptoms: Cramping, pelvic pain, and bleeding in early pregnancy.
• When to Consult: If you experience cramping with bleeding, it’s essential to contact your doctor immediately.

5. Urinary Tract Infection (UTI)

• Description: UTIs are common during pregnancy and can cause lower abdominal pain if untreated.
• Symptoms: Burning sensation during urination, frequent urge to urinate, and lower abdominal pain.
• When to Consult: Consult a doctor if you experience any signs of a UTI, as untreated infections can affect pregnancy.

6. Braxton Hicks Contractions

• Description: These are mild, irregular contractions that can start in the second trimester and mimic labor pains.
• Symptoms: Mild cramping or tightening in the pelvic area.
• When to Consult: These contractions are usually harmless, but consult your doctor if they become painful or regular, as it could be a sign of preterm labor.

7. Constipation and Gas

• Description: Hormonal changes and prenatal vitamins can slow digestion, causing constipation and gas buildup, which can lead to abdominal pain.
• Symptoms: Cramping, bloating, and discomfort in the pelvic and abdominal areas.
• When to Consult: If constipation persists or is accompanied by severe pain, your doctor may suggest dietary adjustments or safe medications.

8. Placental Abruption

• Description: In this condition, the placenta separates from the uterine wall before birth, leading to pain and potential complications.
• Symptoms: Sudden, severe abdominal and pelvic pain, bleeding, and tenderness in the uterus.
• When to Consult: This is a medical emergency. Immediate medical care is crucial to protect both mother and baby.

9. Pelvic Inflammatory Disease (PID)

• Description: PID is an infection of the reproductive organs, often caused by sexually transmitted infections (STIs). Though rare in pregnancy, it can occur.
• Symptoms: Pelvic pain, fever, and unusual discharge.
• When to Consult: PID requires antibiotic treatment, so contact your doctor if you experience symptoms.

10. Labor Pain

• Description: In the final weeks of pregnancy, pelvic pain may indicate the onset of labor.
• Symptoms: Regular, intense contractions, back pain, and pressure in the pelvic area.
• When to Consult: If you experience regular contractions and other labor signs, consult your doctor immediately.

Additional Causes of Pelvic Pain in Pregnancy

1. Back Pain During Pregnancy: As the pregnancy progresses, additional weight and changes in posture can lead to back pain that radiates to the pelvis.
2. Pregnancy Symptoms Affecting the Pelvis: Some general pregnancy symptoms like hormonal changes and weight gain can also contribute to pelvic discomfort.
3. Pelvic Pain Meaning in Pregnancy: This type of pain can mean various things, from normal pregnancy stretching to signs of complications.

When Should You Consult a Doctor?

While some pelvic pain during pregnancy is normal, certain signs should not be ignored. You should consult with a healthcare provider if:

• The pain is sudden, sharp, or intense: Severe pain that comes on suddenly or does not go away could signal a complication.
• You experience heavy bleeding: Bleeding along with pain is a red flag that requires immediate medical attention.
• There is fever or unusual discharge: This could indicate an infection that needs treatment.
• Persistent pain limits mobility: Pain that affects daily activities or causes distress should be assessed by a doctor.
• Back Pain and Pelvic Pain Combined: This could indicate conditions like SPD or preterm labor if accompanied by contractions.

Dr. Deepti Asthana, known as the best gynecologist in Gurugram, provides comprehensive care for women experiencing pelvic pain during pregnancy. Her expertise ensures that you receive the best possible care and guidance for any pregnancy symptoms that arise.

Managing Pelvic Pain During Pregnancy

There are ways to manage mild pelvic pain and discomfort during pregnancy:

• Exercise and Stretching: Gentle stretching and prenatal exercises, approved by your doctor, can help relieve pelvic pressure.
• Warm Compresses: Applying a warm (not hot) compress to the lower abdomen can ease some discomfort.
• Rest and Proper Posture: Avoid standing or sitting in one position for too long, and practice good posture to reduce strain on your pelvis.
• Support Belts: Maternity support belts can help ease some of the pressure on the pelvic area.

These methods are useful for managing pain, but consult your doctor if the discomfort persists or worsens.

Why Choose Dr. Deepti Asthana?

Dr. Deepti Asthana, a highly regarded and trusted gynecologist in Gurgaon at Fortis Hospital Gurugram, specializes in maternal and fetal care. With her experience and compassionate approach, Dr. Deepti offers patients the latest treatments and personalized care plans to manage pelvic pain during pregnancy and other pregnancy-related symptoms.

With expertise in treating complex conditions and a commitment to high-quality patient care, Dr. Asthana is among the best gynecologists in Gurgaon for high-risk pregnancies and other pregnancy complications. She provides thorough guidance and treatments for managing pelvic pain, ensuring a safe and comfortable pregnancy experience for her patients.

Frequently Asked Questions

1. Is pelvic pain normal during pregnancy?
   • Mild pelvic pain is common as your body changes, but severe or persistent pain should be checked by a doctor.
2. Can pelvic pain during pregnancy indicate labor?
   • Yes, pelvic pain accompanied by regular contractions can be a sign of labor, especially in the final weeks of pregnancy.
3. How can I relieve pelvic pain during pregnancy?
   • Mild exercises, warm compresses, and resting can help relieve pelvic pain. A maternity belt may also help support the pelvis.
4. What should I do if I have bleeding with pelvic pain during pregnancy?
   • Bleeding with pelvic pain may indicate a complication, so consult your doctor immediately.
5. When should I consult a doctor for pelvic pain?
   • See a doctor if the pain is severe, sudden, accompanied by bleeding, or limits your ability to perform daily activities.

For women in Gurgaon experiencing pelvic pain during pregnancy and looking for specialized care, Dr. Deepti Asthana is here to help. Book a consultation at Fortis Hospital Gurugram to receive comprehensive care for a healthy and comfortable pregnancy.