period like pain in early pregnancy


If you are pregnant and have menstrual-like pain that has worried you, read on. In this article, we will tell you whether menstrual-like pain is normal in early pregnancy or not?

If you are pregnant and in the early weeks of pregnancy and are currently experiencing pain similar to menstrual cramps, be aware that mild pain in early pregnancy (in the first weeks of pregnancy) will be normal.

Natural pain is brief pain; this pain that is palpable and persistent cannot be considered normal in the first place.

You should tell your doctor about any noticeable pain, especially noticeable pain in the lower abdomen

Doctors do not consider pain around the navel to be normal.

If you are pregnant and have pain that is palpable around your navel or under your abdomen, you should not count it as a normal period-like pain in the first few weeks of pregnancy.

These pains may be a warning of the threat of miscarriage, in which the uterus contracts to expel the implanted fetus.

If you have pain similar to menstrual pain and you are pregnant, read more.


Recognize the pain of pregnancy

What does the doctor do to differentiate between physiological pain and pain related to the threat of abortion?

Ectopic pregnancy

You may ask, what is the difference between abortion and IP?

What causes miscarriage?

When should we see a doctor?



Recognize the pain of pregnancy

  • Pelvic abdominal pain:

During the first few weeks of pregnancy, when the fetus implants in the wall of the uterus, changes are made in the uterus that prepare the uterus to tolerate nine months of pregnancy, along with hormonal changes that cause the uterine ligaments to relax and loosen,

It causes the strong, soft tissues that hold the ligaments to hold the uterus in place. These changes can cause physiological and natural pain in the pelvic floor. This pain sometimes spreads to the thighs, which is normal.


  • Abnormal pain or pain that warns of a threatened abortion:

If you are in the early stages of your pregnancy, you should also be aware of this type of pain.

Period-like pain that is always accompanied by spotting or vaginal bleeding and is a warning to start the process of miscarriage and lose your pregnancy.

Bleeding is bright red in this condition and can be brown.

If you have noticeable, worsening pain similar to a period under the abdomen or around the navel that is accompanied by spotting or vaginal bleeding, you should go to a health center without wasting time.

Take these pains seriously in the first trimester of pregnancy (up to the first twenty weeks) and do not count them as normal pains in early pregnancy without consulting your doctor.


What does the doctor do to differentiate between physiological pain and pain related to the threat of abortion?

The best way to be sure is to have an ultrasound. If there is a threat of miscarriage, absolute rest of the mother and avoidance of climbing stairs and hard work and even routine work are recommended, depending on the circumstances of the pregnant woman, And depending on the underlying cause of the threat of miscarriage, medication may also be prescribed to prevent pregnancy loss.


Ectopic pregnancy

Pain in the early weeks of pregnancy may be due to an ectopic pregnancy, these are part of the obstetrics and gynecology emergency.

Failure to diagnose and treat early ectopic pregnancies may result in loss of maternal life.

Ninety-eight percent of ectopic pregnancies occur in one of the fallopian tubes. In these pregnancies, the fetus remains in the fallopian tube and grows. As the fetus grows, the symptoms start and get worse day by day. The pain is sharp, unilateral and with slight vaginal bleeding. Nausea and vomiting, lightheadedness and dizziness, hypotension and loss of consciousness of the mother can be a sign of deterioration of the condition, this means rupture of the tube due to fetal growth and eventually very heavy bleeding and maternal coma and death.

In early pregnancy, there may be no clinical signs due to the small size of the fetus, or even inside the tube, ultrasound may not show evidence of the fetus.

In these cases, EP should be rejected or diagnosed by following the level of pregnancy hormone and very regular and accurate follow-up of the pregnant mother, and the necessary measures should be started as soon as possible. In EPs, the fetus can never survive, and late care will lead to the death of the mother


You may ask, what is the difference between abortion and EP?

Doctors say that in both cases, there is both abdominal pain similar to menstruation but more noticeable and severe, and vaginal bleeding occurs.


In abortion, bleeding is preferred, this means that vaginal bleeding is superior to pain and is more severe and noticeable. In EP, preference is with pain.


This is how doctors define abortion:

Sudden miscarriage before the end of the 28th week of pregnancy.

Loss of pregnancy after the end of the twenty-eighth week of pregnancy is called stillbirth, not abortion.


What causes miscarriage?

There are many reasons for abortion. Doctors still do not know the exact cause of abortion, there are many reasons for abortions.

The main cause of abortion is chromosomal abnormalities.

Another cause is improper implantation of the fetus in the uterine wall. It is said that one-third of pregnancies are lost due to genetic and chromosomal disorders even before the mother realizes it.

There are a number of causes for miscarriage:

  • Mother's age
  • Number of previous deliveries
  • Being a mother and father smoker
  • Multiple pregnancies
  • The mother has underlying diseases such as diabetes
  • Autoimmune diseases such as lupus that are associated with increased clotting.
  • Abnormalities of the uterus and cervix
  • Uterine fibroids
  • Gynecological infections

Most miscarriages occur in the first trimester of pregnancy, so it is important that you are familiar with the warning signs of a miscarriage early in the pregnancy mentioned above.


When should we see a doctor?

Tell your doctor immediately if you have any of the following symptoms:

  • The most common symptom of miscarriage is vaginal bleeding.
  • This bleeding can be as small as a spot or a massive hemorrhage.
  • Bleeding can contain blood clots or a piece of tissue inside.
  • Moderate to severe back pain that is similar to menstrual cramps but more severe.
  • weight loss
  • Sudden relief of pregnancy symptoms such as nausea, breast pain and fatigue
  • White and pink vaginal discharge
  • Regular contractions that are repeated at intervals of five to twenty minutes
  • Existence of vaginal bleeding without sensation of uterine contractions
  • Vaginal bleeding includes light or brown blood
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