What is pelvic pain during pregnancy?

Pelvic pain in pregnancy is a common issue for many women. As many as 80% of women report pelvic pain at some point during their pregnancy. Early in your pregnancy, it can be a sign that your body is stretching to make room for your baby. Later in your pregnancy, it can be caused by the ligaments in your abdomen stretching.
It can also be a sign of symphysis pubis dysfunction (SPD) or pelvic girdle pain (PGP), a condition that occurs when the ligaments supporting the pelvic bones relax due to a pregnancy hormone called relaxin.
For most women this pain is mild, but for some it can be severe and even disabling. Talk to your doctor about your symptoms to determine their cause and the best course of treatment.
Signs and symptoms of pelvic pain during pregnancy
Some different types of pelvic pain that can be present in pregnancy include:
- Cramping pain similar to menstrual cramps
- Pressure in your pelvic area
- Pain in your pubic area
- Pain in your lower back
- Pain that goes down your thighs
- Clicking sensation in your pelvis
Causes of pelvic pain during pregnancy
Sometimes the cause of your pelvic pain during pregnancy can be minor. It could be due to cramping, gas and bloating, or constipation. Persistent and serious causes of pelvic pain can vary as your pregnancy progresses:
First trimester
Pelvic pain in the first trimester is normally caused by your body adjusting to and making room for the baby. It may also be related to digestive issues that tend to be worse during pregnancy, such as gastroesophageal reflux disease (GERD).
Pelvic pain in early pregnancy may also be caused by miscarriage. The most serious cause of pelvic pain in early pregnancy is an ectopic pregnancy, which is pregnancy that occurs outside the uterus. Ectopic pregnancies require immediate medical attention.
Second trimester
Round ligament pain is the most common cause of pelvic pain in pregnancy during the second trimester. The round ligaments support the uterus. They stretch during pregnancy to accommodate your growing baby. Round ligament pain is a sharp pain that's felt in the abdomen or in the hip area, on either side. Any sudden movement that makes these ligaments retract quickly can cause this pain. It only lasts for a few seconds and generally gets better in the third trimester.
Third trimester
Pelvic girdle pain (PGP), sometimes called symphysis pubis dysfunction (SPD) can occur at any stage in pregnancy but is more common late in pregnancy. The pain may occur in your pubic bone, at approximately the level of your hips, in either side of your lower back, or in the perineum, which is the area between your vagina and anus. It may spread to your thighs as well. You may also have a grinding or clicking feeling in your pubic area. PGP is not harmful to your baby, but it can be very uncomfortable for you.
When to see a doctor for pelvic pain during pregnancy
If you have any of the following symptoms accompanying your pelvic pain, you should call you doctor right away:
- Fever or chills
- Vaginal bleeding
- Fainting or lightheadedness
- Severe pain
- Trouble moving around
- Fluid leaking from the vagina
- The baby moving less
- Blood in bowel movements
- Nausea or vomiting
- Repeated diarrhea

QUESTION
The first sign of pregnancy is most often: See AnswerDiagnosing pelvic pain during pregnancy
Your doctor will take a medical history, ask about your symptoms, and do a physical exam. If necessary, your doctor may order an ultrasound or magnetic resonance imaging (MRI) scan to determine the exact cause of your pelvic pain. They may also order some blood or urine tests to check for other issues.
Treatments for pelvic pain during pregnancy
The treatment for your pelvic pain will depend on what is causing it. It may include a combination of home treatments, medication, or therapy.
Normal changes of pregnancy
For pelvic pain that is related to normal pregnancy changes, some helpful options include:
- Don't do any heavy lifting.
- Try sleeping with a pillow between your knees.
- Move more slowly but more often.
- Use a heating pad, but never for more than 10 minutes at a time.
- Rest more often.
- Do Kegel exercises.
- Use a maternity belt for extra support.
Round ligament pain
If your pelvic pain is caused by round ligament pain, try to:
- Get extra rest.
- Move and change positions slowly.
- If you know you need to cough or sneeze, bend and flex your hips.
- Ask your doctor about stretching exercises for persistent pain.
Pelvic girdle pain
Pelvic girdle pain can range from mild to severe. You can try the following options for relief:
- Avoid strenuous activity or heavy lifting.
- Try a heating pad or ice pack on painful areas, but don't use a heating pad for more than 10 minutes at a time.
- Wear a pelvic support belt.
- Do kegel exercises.
- Sleep with a pillow between your legs.
- Talk to your doctor about pain relievers if the pain is severe.
- Talk to your doctor about physical therapy if home measures aren't helping.
Health News
- Weed-Friendly Posts on Social Media Get Teens Using Cannabis
- Deer Carry COVID Variants No Longer Seen in People
- Working Gets Tough When Grieving a Lost Spouse
- Obamacare Helped Women in Some Southern States Get Better Breast Cancer Care
- AHA News: Pregnancy Complications Could Increase Woman's Stroke Risk at Earlier Age
More Health News »
What can cause pelvic pain in a woman?
Pelvic pain is common in women and can have a variety of causes. The pain may originate from your genitals or be caused by problems in your surrounding organs. Sometimes pelvic pain can also be related to psychological issues.
The pain can be acute and happen suddenly or it can be chronic and last for months. Sometimes pelvic pain can go away before the specific cause is diagnosed. If you experience severe pain that lasts, you may need to consult your gynecologist.
Variations in pain level range from sharp to dull aches. It’s also possible that your abdomen is sensitive to the touch. In some cases, pelvic pain in a woman may be accompanied by abnormal vaginal bleeding or vaginal discharge.
Signs and symptoms of pelvic pain
You may experience different symptoms of pelvic pain. Your pelvic pain will vary in severity and location. Some symptoms to look for include:
- Blood in stool
- Chills
- Constipation
- Fever
- Nausea
- Pain during sex
- Vomiting
Pain in your pelvic region can be worsened by activities like using the bathroom or having intercourse. Some women have had pain worsen during menstruation.
Types of pelvic pain
Pelvic pain can be experienced in many ways. There are five types of pain that you should be aware of to help your doctor make a proper diagnosis. They include:
Localized pain
If you have localized pain, it may be caused by inflammation in your organs.
Cramping pain
This kind of pain can be caused by spasms in your intestine, ureter, or appendix.
Sudden onset of pain
You may experience sudden pain due to a deficiency of blood supply to your organs. This may be caused by an obstruction in the circulation of your blood and is usually temporary.
Slow developing pain
This may happen because of inflammation in your appendix. It could also happen because of intestinal obstruction.
Aggravated pain
You may experience this pain when you move or put pressure on your lower abdomen or groin region. This can be caused by irritation in your abdominal cavity lining.
Causes of pelvic pain in women
Pelvic pain in a woman can have many causes. It may be hard to pinpoint where your pain is coming from on your own. To determine where your pelvic pain could be coming from, you need to know the causes. Here are some possibilities:
Inflammation
Inflammation is a common issue your body has to fight off. If you have a pelvic inflammatory disease, you may need to go on antibiotics to fight off potential infections.
Irritable bowel syndrome (IBS)
IBS causes your gastro-intestines to be uneasy which can lead to pelvic pain. This condition can also cause stomach cramps and bloating.
This is a painful condition that makes you feel like you are having menstrual cramps, but will persist past your period. Diagnosis of this condition often starts with a physical examination that includes your pelvis.

SLIDESHOW
16 Early Signs & Symptoms of Pregnancy: Could You Be Pregnant? See SlideshowWhen to see the doctor for pelvic pain
Severe, sudden pelvic pain should be a cause for concern. See your doctor as it may be a sign of ovarian torsion or appendicitis. If you are pregnant, it could be a sign of an ectopic pregnancy. You will need to seek emergency medical treatment.
Consider going to a doctor if you experience chronic pelvic pain for six months or more. Whether it’s persistent or it comes and goes, medical treatment may ease the pain once your doctor determines the cause.
Diagnosing pelvic pain in a woman
Your doctor can diagnose the root cause of your pelvic pain if it becomes overwhelming.
They will ask about your medical history and perform a physical exam. Your doctor may also order blood work and urine tests. To determine the exact location of your pelvic pain, the doctor may recommend a pelvic ultrasound, laparoscopy, or magnetic resonance imaging (MRI). A cystoscopy might be requested to get footage inside.
Treatments for pelvic pain
Most mild cases of pelvic pain do not require medical attention as they may come and go. You may take medications like pain relievers or muscle relaxants.
If your pain is caused by issues in your reproductive system like endometriosis or menstruation, your doctor may prescribe hormone treatment. Hormone treatment includes birth control pills, progestin-releasing intrauterine devices, or other methods.
Chronic pelvic pain that appears to have no root cause may be treated by “talk therapy.” You will be able to discuss the root of your feelings and find where you are holding pain related to mental health issues.
Subscribe to MedicineNet's Pregnancy & Newborns Newsletter
By clicking "Submit," I agree to the MedicineNet Terms and Conditions and Privacy Policy. I also agree to receive emails from MedicineNet and I understand that I may opt out of MedicineNet subscriptions at any time.
Health Solutions From Our Sponsors
American Pregnancy Association: "Round Ligament Pain During Pregnancy."
American Pregnancy Association: "Sharp Pain During Pregnancy."
Eunice Kennedy Shriver National Institute of Child Health and Human Development: "How is pelvic pain diagnosed?"
Eunice Kennedy Shriver National Institute of Child Health and Human Development: "How is pelvic pain treated?"
Eunice Kennedy Shriver National Institute of Child Health and Human Development: "What are the symptoms of pelvic pain?"
Fairview Health Services: "Pelvic Pain in Pregnancy: Unclear (2–3 Trimester)."
Insights into Imaging: "Imaging for acute pelvic pain in pregnancy."
Johns Hopkins Medicine: "Endometriosis."
Johns Hopkins Medicine: "Pelvic Pain."
Merck Manual: "Pelvic Pain During Early Pregnancy."
National Health Service UK: "Pelvic pain in pregnancy."
NHS: "Pelvic pain."
Pelvic Obstetric & Gynaecological Physiotherapy: "Pregnancy-related Pelvic Girdle Pain."
Top Concern About Pelvic Pain During Pregnancy Related Articles
Are Belly Bands Safe During Pregnancy?
How are belly bands used during pregnancy? Learn whether you need belly bands and if they are safe to use during pregnancy.Pregnancy Discomforts: Common Causes
During pregnancy, most women will experience discomforts during the 1st, 2nd, and 3rd trimesters. Common causes of discomforts during pregnancy include nausea and vomiting (morning sickness), fatigue, breast swelling and pain, hemorrhoids, stretch marks, mood swings, dizziness, migraines, tooth pain and bleeding gums, and pica.
Common causes of pregnancy discomforts include constipation, heartburn, indigestion, reflux, varicose veins, abdominal pain, problems sleeping, congested or bloody nose, and flu like body aches.Is It Normal to Have Pain on Your Left Side During Pregnancy?
Left side pain is a common symptom that affects many women during pregnancy. Learn what causes it, how doctors diagnose it, and what you can do to treat it.What Is a Pelvic Exam?
A pelvic exam is a routine exam for women. Physicians use a pelvic exam to look for conditions in particular organs of a woman's body including the genital organs, uterus, cervix, fallopian tubes, ovaries, bladder, and rectum. Pelvic exams can evaluate several conditions. Some of these conditions include sexually-transmitted infections, such as gonorrhea, syphilis, Trichomonas, human papillomavirus, and Chlamydia, bacterial vaginosis, yeast infections, urinary tract infections, abnormal uterine bleeding, fibroid tumors, ovarian cysts, infertility, polycystic ovary syndrome, rectal bleeding, and endometriosis.Pelvic Inflammatory Disease (PID)
Pelvic inflammatory disease (PID) is the most common and serious complication of sexually transmitted diseases (STDs), aside from AIDS, among women. The signs and symptoms of pelvic inflammatory disease include: fever, vaginal discharge with a foul odor, abdominal pain, including pain during intercourse, and irregular vaginal bleeding. Pelvic inflammatory disease can scar the Fallopian tubes, ovaries, and related structures and lead to ectopic pregnancies, infertility, chronic pelvic pain, and other serious consequences. Pelvic inflammatory disease treatment includes several types of antibiotics.Pelvic Inflammatory Disease (PID) Quiz
What are risk factors for pelvic inflammatory disease (PID) and how is it spread? Take this quiz to test your knowledge of this condition.Pelvic Pain (in Women and Men)
Pelvic pain is described as pain, usually in the lower pelvic area. Causes of acute and chronic pelvic pain in women include endometriosis, ectopic pregnancy, miscarriage, menstrual cramps, ovarian cysts, tumors, or fibroids, ovulation, and pelvic inflammatory disease (PID) or congestion syndrome, vulva pain, and rarely cancer. Pelvic pain during pregnancy may be caused by miscarriage, ectopic pregnancy (tubal pregnancy), preterm or premature labor, and placental abruption. Causes of pelvic pain in men include prostate problems, testicular pain, and groin pain. Causes of pelvic pain in men and women include kidney stones, appendicitis, UTIs, IBD, and STDs.
Signs and symptoms associated with pelvic pain depend on the cause, but man include pain during or after sexual intercourse, abdominal pain, distension, and tenderness, diarrhea, constipation, vaginal discharge or bleeding, blood, pus, in the urine, cloudy urine, blood in the stool, stool color changes, and low back pain. The cause of pelvic pain is diagnosed by a physical exam, blood tests, and imaging procedures. Treatment for pelvic pain depends on the cause.
Pelvic Pain Slideshow
There are many causes of pelvic pain and pain in the lower abdomen in women. Pelvic pain near the female lower abdomen has symptoms that can be uncomfortable, but luckily, there are treatments for pelvic pain if you can identify the cause.Pregnancy (Week by Week, Trimesters)
Signs and symptoms of pregnancy vary by stage (trimester). The earliest pregnancy symptom is typically a missed period, but others include breast swelling and tenderness, nausea and sometimes vomiting, fatigue, and bloating. Second trimester symptoms include backache, weight gain, itching, and possible stretch marks. Third trimester symptoms are additional weight gain, heartburn, hemorrhoids, swelling of the ankles, fingers, and face, breast tenderness, and trouble sleeping. Eating a healthy diet, getting a moderate amount of exercise, also are recommended for a healthy pregnancy. Information about the week by week growth of your baby in the womb are provided.Pregnancy Changes and Body Discomforts
Pregnancy can bring challenges like
- weight gain,
- stretch marks,
- varicose veins,
- heartburn,
- constipation,
- hemorrhoids,
- problems sleeping, and
- wondering if it is safe to have sex while pregnant.
Learn how to manage and move through these challenges during pregnancy.
Pregnancy Myths and Facts Quiz
Being pregnant is a delicate time for both mother and baby. Take this pregnancy myths and facts quiz to separate the myths and facts about being pregnant, and learn the truth behind healthy pregnancies!Are Sharp Pains in Your Stomach Normal During Pregnancy?
Many women experience sharp pains in their stomach during pregnancy. Learn the signs of normal stomach pains in pregnancy, what causes them, what you can do to treat them, and when you should see a doctor for sharp stomach pains during pregnancy.Stages of Pregnancy: Week by Week
See pictures on the various stages of pregnancy. See and learn what changes a woman's body goes through and view fetal images of how her baby grows during the 1st, 2nd and 3rd trimesters.What Causes Swollen Feet and Swollen Ankles?
Swollen ankles and swollen feet is a symptom of an underlying disease or condition such as edema, medications, pregnancy, injuries, diseases, infections, lymphedema, or blood clots.