Pubis hurts during pregnancy. Why does it hurt a lot for weeks

During a woman's pregnancy face serious changes in the body. In the early stages, hormonal changes occur, toxicosis appears. As the embryo grows, other symptoms appear, and closer to childbirth, the patient may complain that the pubis hurts when performing any action or while resting. Most often, such pain is the norm. But there are conditions in which patients require increased attention.

At what stage of pregnancy do painful sensations in the pubic region occur?

The symptom appears at 38-42 weeks, that is, shortly before childbirth. The appearance of pain is most often associated with the fact that the ligaments, as well as the pubic bones, which are connected by the symphysis, gradually soften. This happens under the influence of a special hormone - relaxin. This is how the woman's body prepares for childbirth. Otherwise, labor would be greatly complicated, and the woman after the birth of a child could have even more serious injuries.

But the pubic bone is literally littered with nerve endings, so the pain is not always caused by preparation for childbirth (especially when pain appears in the early stages of bearing a child).

When can this be considered the norm, and when not?

To determine the norm, you need to understand how the process of childbirth goes. Usually the pain does not occur in the groin, but in the pubic bone. It consists of the upper branches of the 2 pubic bones, which are connected by a ligament. Also, the pubic bones form a kind of ring that literally covers the birth canal.

This ensures the maintenance of the small pelvis (and, accordingly, its organs) in the correct position. If the pubic bones do not perform their function, then the pelvic organs descend, that is, prolapse is diagnosed.

During pregnancy, the pelvic bones begin to expand, due to which the birth canal increases by 5-6 mm. Therefore, you need to understand that this natural process in itself may well cause discomfort and even pain. But in most situations, this is considered the norm.

The pubis hurts during pregnancy and against the background of the fact that the embryo grows, it becomes mobile. It becomes more difficult to carry it in the stomach, women complain of pain in the legs and back. The increased load is on the hip joints. This leads to pain in the bones, which means it can also radiate to the pubis.

Pain can intensify against the background of concomitant factors:

• The fruit is not positioned correctly or too low. Because of this, the child presses with his head or legs (depending on his position) on the bones of the pubic junction.
• The woman put on a lot of weight and does not follow the regime. This aggravates the condition and can cause pain.
• The doctor diagnosed an increased volume of amniotic fluid or, if the woman's pelvic bones are too low.

Although divergence of the pubic bones is considered normal, there are degrees of expansion.

Expansion of the pubic bones, mm	Description
4-5	This is a normal indicator.
6-8	Indicates the 1st phase of symphysitis. The condition is not dangerous for the woman or child, but it is important to ensure that the pubic bones do not continue to expand rapidly.
10-20	2nd stage. The condition is quite serious and requires treatment.
20 and more	3rd stage of symphysitis. Dangerous condition.

Symphysitis (symphysiopathy) is a deviation of the musculoskeletal system resulting in pain. Along with the excessive expansion of the pubic bones, not only pain can be observed. The biggest danger is the possibility of developing an inflammatory process. That is why you should not engage in self-diagnosis. To make an accurate diagnosis and determine the degree of expansion of the pubic bones, ultrasound and other procedures are performed.

There are other reasons as well:

• False contractions. Usually women face this after the 38th week. In such a situation, the patient feels contractions. That is, the uterus tenses a lot for a while, and then relaxes, but labor does not begin. In this case, a woman may feel pain in the pubic area. This condition is not considered dangerous, since false contractions are necessary for the body to be able to "train" before real childbirth. At the same time, the woman does not complain of severe pain, and the intervals between such contractions are not reduced. This is the first sign that there will be no labor yet. When the baby actually begins to pass through the birth canal, the intensity of the contractions increases, and they occur more often.
• Abdominal prolapse. A few weeks before giving birth, the baby begins to change its position and turns its head towards the lower part of the uterus. Due to the fact that he pulls her down, she shifts to the pelvic region. The upper part of the uterus no longer presses on the internal organs in the peritoneal or chest area, but pubic pain appears. The people call this condition "the belly sank", that is, there will soon be childbirth. At the same time, it becomes much easier for a woman to breathe, and it becomes more difficult for a woman to walk or sit. At the same time, heartburn disappears. This is due to the fact that the child stopped pressing on the stomach. If childbirth is not the first, then abdominal prolapse can occur literally a few days before childbirth.

Such conditions are normal, but it is better to be examined by a doctor, especially if the woman had false contractions, which were accompanied by very severe pain syndrome or even bleeding. This may indicate serious problems.

Potential danger

Pubis hurts during pregnancy for various reasons, and some of them may be signs of serious abnormalities.

For example, more often during the carrying of a child, women suffer from musculoskeletal pathologies:

• Dysfunction of the pubic articulation. The most common deviation, which can appear when the child is too large, vitamin D deficiency, and excess amniotic fluid. Also, pathology develops against the background of hereditary diseases, joint diseases, imbalance of potassium, magnesium or phosphorus.
• Destruction of bones. This usually happens when there is a severe mineral deficiency.
• Purulent-necrotic processes in the area of ​​the pubic joints.

Such conditions can be provoked by high loads on the pelvic bones, changes in the muscular apparatus in late pregnancy.

Due to the increased mobility of the pelvic bones and against the background of weakening of the cartilaginous ligaments, injury can occur during childbirth. Its consequences are different. For example, there is a risk of dysfunction of the musculoskeletal system or disorders of the reproductive system.

Symptoms and causes of the development of the disease

If a woman has developed symphysitis, then she complains of the following manifestations:

• swelling in the area of ​​the pubic bones;
• pubic pain, aggravated by pressure;
• during palpation, a small click is heard when the doctor presses on the pubic bone;
• the pain becomes acute when the position of the body changes;
• the pain is aching in nature and radiates to the pelvic region, coccyx and thighs;
• the woman's gait changes, she begins to walk in small, intermittent steps.
• stiffness of movements (it becomes impossible to spread the legs, to understand them, even on the steps of the stairs).

In addition to the standard symptoms, women may also complain of disorders that they have nothing to do with pregnancy and possible abnormalities in its background. But if the patient suffers from a calcium deficiency, then in addition to pubic pain, she also notes signs of destruction of tooth enamel. The nails become more brittle, there is a constant feeling of fatigue.

Numbness or tingling sensations in the extremities are also additional symptoms. It becomes more difficult for a woman to hold in her hand those objects that she previously easily lifted. In rare cases, patients complain of involuntary muscle movements, the development of tics. Convulsive movements may appear at night.

The pubis can hurt during pregnancy with varying strength, so the syndrome may be less pronounced or, conversely, intolerable. In most situations, a woman cannot do the usual things.

1 trimester

As a rule, symphysitis does not manifest itself in the first months of pregnancy. If, in the period up to 3 months of bearing a child, a woman begins to complain of rather strong and painful sensations in the pubis, it is necessary to visit a gynecologist, as well as pass additional analyzes. Typically, the doctor will take a urine sample and swab to check if the woman has a genitourinary infection. Also, cystitis and some other diseases can lead to such symptoms in early pregnancy.

2 trimester

During this period, only minor signs of the development of symphysitis can be noticed. By the 13th week, serious hormonal changes occur, and the pelvic bones begin to expand. This process is different for everyone, and the speed of its development may also differ. In this case, episodic pain may appear during prolonged walking or in the case of severe physical exertion.

The natural process of divergence of the pelvic bones begins after 20 weeks. In this case, pulling pain also develops, which may not always be a sign of symphysitis. In most cases, these painful sensations are the norm, but if you experience severe discomfort, it is better to consult an obstetrician-gynecologist.

3 trimester

Most often, symphysitis is diagnosed precisely in the 3rd trimester. During this period, it is already possible to clearly establish the degree of development of the disease, as well as to determine the further pregnancy. If a woman has developed symphysitis of the 1st stage, then in this case it is recommended to give preference to natural childbirth. At the 2nd stage of such a disease, the doctor may also recommend an ordinary childbirth, however, in the process delivery may require pain medication or a procedure stimulation.

If symphysitis has reached stage 3, then a cesarean section is performed. If you give preference to natural childbirth, then this can lead to rupture of the symphysis, which will entail prolonged hospitalization.

How can you relieve pain?

Pubis hurts during pregnancy most often against the background of symphysitis. But since we are talking about the period of bearing a child, most drugs are contraindicated for a woman. Strong drugs can harm the baby, provoke premature birth, or lead to the development of abnormalities. Therefore, it is important first to conduct a full examination and make sure that it is really about symphysitis, and not about the normal course of pregnancy.

If it turns out that the problems have appeared against the background of a deficiency of trace elements, then the doctor can prescribe special multivitamins for expectant mothers. The most effective are Elevit Pronatal, as well as Fenuls Zinc. Additionally, calcium-based preparations have a positive effect.

Vitamin complexes

Elevit Pronatal is a special vitamin complex for pregnant women. Also, the drug is prescribed for breastfeeding. The complex includes 12 vitamins, 4 minerals and trace elements. The ratio of the components is selected in an optimal way, so it can not cause problems when carrying a child. It is necessary to take the drug once a day, 1 tablet.

The drug has standard contraindications. For example, you cannot take a multivitamin if you are hypersensitive to one of the components. Therefore, if an allergic reaction occurs, then you need to stop taking vitamins and consult a doctor. Also, such formulations are not recommended for those who suffer from urolithiasis, peanut allergies, lactose intolerance. It is required to take Elevit Pronatal with caution in case of disorders in the functioning of the kidneys or liver.

Fenuls Zinc is a multivitamin and mineral complex. The drug is also contraindicated in case of hypersensitivity to the components. It is necessary to exclude Fenuls Zinc with stenosis of the esophagus or, if a woman is diagnosed with changes in the digestive tract. The remedy is contraindicated with an increased iron content or when the utilization of this component is impaired (for example, with lead anemia or thalassemia).

With caution, the drug is prescribed to patients with peptic ulcer disease or in the case of inflammatory processes occurring in the intestines. The dosage is prescribed by your doctor. Usually, women are advised to take 1 capsule daily during pregnancy. But the dosage can be increased depending on the specific diagnosis.

Other drugs

The pubis hurts during pregnancy more often against the background of too active proliferation of the pubic bones. If an unpleasant sensation provoked precisely by symphysitis, then it is necessary to stop the disease and alleviate the woman's condition. For this, the doctor recommends preparations containing calcium, magnesium, and vitamin B.

From painkillers, you can take No-Shpu. Pregnant women can take no more than 3-4 tablets per day. In this case, they must be divided into 3 steps. It is better not to abuse No-Shpa, since there are still no precise clinical studies of how the drug acts on the body during breastfeeding.

Menovazin has the most gentle effect. It is a local anesthetic that also has an antipruritic effect. After applying the solution to the skin, it irritates the nerve endings, so there is a feeling of coldness and light showing. It is a pain reliever that hardly enters the bloodstream, but it contains novocaine. Therefore, it is often impossible to use such a tool. Menovazin should be used only in case of very severe pain.

Antibacterial agents are prescribed only by a doctor in the absence of other options. Such strong medications may be required if the patient is suffering from a genitourinary infection or other serious medical condition. But antibiotics seriously disrupt the intestinal microflora and have a strong effect on the fetus.

How to reduce pain

To relieve unpleasant pain sensations, it is recommended to wear a special pelvic bandage, and put an orthopedic mattress on the bed. A woman should exclude excessive physical exertion and periodically perform light exercises in order to keep her back and other parts of the body in good shape, which are subject to increased loads.

Much attention must be paid to proper nutrition, which must be rational. During pregnancy, it is necessary to give up the use of junk food, alcohol, coffee and other things. The diet should contain both plant and animal products. It is also recommended to spend more time outdoors, oxygen improves digestion, as well as general condition.

However, it is quite difficult to deal with symphysitis, therefore, if the unpleasant symptomatology does not disappear and its stronger development is observed, a woman can be admitted to a hospital. In some situations, doctors prescribe tight bandages.

If pain in the perineum appeared due to possible closed injuries of the pubis, then a woman should almost completely abandon any motor activity, spend time in bed, and periodically apply ice to the injury site, but for a very short period of time, so as not to provoke the development of cystitis and others diseases.

If the pain is caused by fractures of the pubic bones, then the woman is transported to the hospital and injected with an anesthetic. If only one bone is fractured in a horizontal position, you will have to spend at least a month. In the case of a bilateral fracture, the woman is forced to lie in the frog position for the first 30 days. Additionally, various physiotherapy procedures can be performed.

To reduce pain, in no case should you use traditional medicine recipes. First of all, any heating compresses can be dangerous, even if the woman is not pregnant. If the pain appears against the background of infection or inflammation, then when heated, the process will only accelerate. In addition, herbs can have a powerful effect on a woman during this period. Therefore, various decoctions are not suitable.

Tinctures should be excluded, since they contain alcohol, which is contraindicated in pregnancy. Since it is not advisable for pregnant women to take various medications to get rid of pain, then you need to do everything possible so that in the process of carrying a child does not develop any deviations. Therefore, it is important to monitor your lifestyle.

Prophylaxis

Any discomfort should not be ignored. For example, if in the pubic area begins to prick or pull, then you need to quickly contact a gynecologist, so how the duration and success of treatment depends on the stage at which the disease was diagnosed.

The following recommendations should be adhered to:

• Always adhere to the prescribed dosages for medications that are prescribed by your doctor.
• Monitor your weight and avoid a sharp increase. If body weight increases very quickly, then this creates a serious additional load on the bones of the skeleton.
• Use a prenatal bandage when walking on the street for a relatively long time. This will reduce stress on the back as well as the pelvic region. However, such support products should not be worn for too long, as the dressing may interfere with blood circulation. In addition, before using a prenatal bandage, it is imperative to consult a doctor, as there may be contraindications.
• Do not be in the same position for a long time. Even if the woman continues to work and has a sedentary lifestyle, it is necessary to take more breaks, get up more often and walk around the room. The movement should be smooth and soft. Do not get up abruptly.
• Do not go on long walks over long distances. You also need to give up climbing high stairs. You can not carry heavy things, do strength physical exercises.
• In a sitting position, you need to distribute the weight on both legs at once. You should not throw one leg over the other, as this can lead to displacement. You also need to make sure that the posture is not the same when the knees are higher than the pelvis.
• To reduce stress while resting or sleeping, a rolled blanket, pillow, or roller can be placed under the buttocks or legs.
• You need to wear comfortable shoes. Heels and high platforms must be discarded. The height of the heel should not be more than 5 cm.
• Loose clothing should be worn as tight clothing will also slow down and obstruct circulation.

It will also be helpful to do some physical therapy (if your doctor permits). For example, massage has a good relaxing effect. It will also allow you to get rid of a stressful condition, which can also provoke various deviations.

If the pubis hurts, then this causes the greatest concern during pregnancy. But that doesn't mean there is cause for concern. Most often, discomfort appears against the background of normal expansion of the pubic bones. But if the process becomes complicated or proceeds too actively, then measures must be taken to alleviate the condition of the expectant mother.

Video about the causes of pubic bone pain

Why does the pubic bone hurt during pregnancy: