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Does the stomach pull in the early stages of pregnancy. Pathologies that cause pulling sensations in the lower abdomen. Pulls abdomen at the end of pregnancy, norm or pathology

  1. Female physiology
  2. What is the norm?
  3. When to sound the alarm?
  4. Other possible causes of pain
  5. Corpus luteum cyst
  6. What should be done?
  7. Physiological reasons
  8. Why is pregnancy necessary to know?
  9. Pathologies causing pulling pains
  10. How to distinguish safe pain?
  11. Pulls the lower abdomen in early pregnancy
  12. Belly pulls in late pregnancy
  13. Pathologies that cause pulling sensations in the lower abdomen
  14. Pulls the lower abdomen in the early stages
  15. 3 trimester pulling sensations

If the lower abdomen pulls like during menstruation, and there is no delay yet, then what to do? Is such a condition considered normal, or should I seek medical help immediately?

In order to protect your life and the health of the unborn baby, you need to clearly know what physiological changes in the body cause such pain and why such symptoms cannot be ignored. What pathologies can be hidden under this sign?

Female physiology

Pregnancy can be recognized by multiple signs, one of them is pulling pains in the lower abdomen. Such a complaint is so widespread that it is sometimes difficult to understand when this is a normal occurrence and when you need to immediately contact the profile doctor for help.

To figure out why the belly pulls on early dates pregnancy you need to have an idea about the process of fertilization of the egg cell. How does this happen? Why do physiological processes in the uterus lead to pain?

After the confluence of the egg and sperm, a zygote appears, then it moves along the fallopian tubes to the uterus to settle on its walls for future development.

This process can last from 6 to 12 days, approximately on the 20th day of the cycle. It turns out that the cause of pain in the lower abdomen can be another period or the birth of a new life.

The next stage in the development of the egg is implantation, pain in the uterus occurs (struggle against invasion of a foreign body and protection of the integrity of the epithelial layer). Sometimes there may be spotting spotting (in 25% of cases), but do not confuse them with menstruation.


Caution: pains in the lower abdomen during early pregnancy can indicate fertilization or signal a threat of interruption and other serious pathologies.

Gynecologists say that very often a woman loses her pregnancy without even knowing about it. This is due to the uterus pushing out a fertilized egg. There are physiological reasons for this; in nature, this condition is called natural selection.

What is the norm?

Painful sensations can be varied, depending on the location and degree of severity. Aching pains often intensify after physical activity.

At the beginning of pregnancy, the lower abdomen pulls for physiological reasons:

  • uterine epithelium is stretched;
  • pelvic organs are displaced;
  • the uterus spreads the epithelium inside the organ.

In any case, you can not self-medicate, you must definitely consult a gynecologist in order to avoid possible complications. The more painful sensations associated with obstetric pathology may be the result of physiological processes in the body of the expectant mother or may indicate pathological changes in the uterus (an ectopic pregnancy outside its cavity).

It is necessary to pay close attention to the body, especially if it draws the lower abdomen in the early stages with special intensity. The pain can give in the lower back or leg, accompanied by profuse spotting.

The amount of progesterone with a rapid increase can also cause pain in the abdomen and lower back, to make sure that the indicators are within normal limits, you need to undergo an appropriate examination, take tests and correctly diagnose the cause of this condition.

Stomach ache as before menstruation on day 22 of the cycle due to a violation menstrual cycle , it can be a pregnancy or hormonal disruptions in the body that lead to the appearance of painful and copious discharge.


Normally, the stomach hurts during pregnancy, not only because of the influx of blood to the uterus, but because of the stretching of the uterine epithelium. The fetus increases in size, which means the uterus changes its position. Such pains quickly go away if you take a relaxing posture and calm down.

When to sound the alarm?

If the lower abdomen is pulled during the first pregnancy in the early stages, then the future mother should be wary, especially in the case when the pain intensifies, becomes cramping, and bloody discharge from the vagina appears.

Reasons for violation:

  1. 1. Separation of the fetal egg from the uterus (such a threat persists the first trimester, only timely treatment can eliminate the pathology).
  2. 2. Inflammation of the pelvic organs, which can be activated during pregnancy, infection in the vagina, ovarian cyst, etc.
  3. 3. Frozen pregnancy - the embryo ceases to develop; on an ultrasound, the fetal heartbeat is not heard.
  4. 4. Ectopic pregnancy - the egg enters the fallopian tube and becomes fixed there, severe pain occurs, the temperature rapidly rises to 39 degrees. This condition is dangerous for the woman’s health, it can lead to damage to the reproductive organ and even fatal outcome of the patient (with heavy hemorrhage).

This condition is dangerous for the woman’s health, it can lead to damage to the reproductive organ and even fatal outcome of the patient (with heavy hemorrhage)

If the pain intensifies, you need to immediately call an ambulance team, you can not do sharp movements , you need to lie on the bed and relax. You can’t put anything on your stomach, neither hot nor cold, which can contribute to the onset of spontaneous miscarriage.

It can sip a stomach in a localized manner, on the right or on the left, as one of the signs of an ectopic pregnancy, inflammation of the ovaries, rupture of a cyst, appendicitis, etc. Only a specialist can establish the true cause of pain.

If the rejection of the fetal egg has occurred, then the pulling pains become constant, cramping, in addition there are abundant spotting, most often clot-like.


If the rejection of the fetal egg has occurred, then the pulling pains become constant, cramping, in addition there are abundant spotting, most often clot-like

With spontaneous abortion, an infection can penetrate into the uterine cavity, in the absence of medical assistance, this condition is dangerous with serious consequences: purulent salpingitis, sepsis develops.

When making such a diagnosis, curettage is indicated. An additional course of therapeutic treatment is assigned, as well as a health resort recovery. Menstruation in the absence of pathological changes is restored the next month.

Other possible causes of pain

When not to worry? However, it is necessary to correct the digestive tract, eliminate inflammatory processes , prevent rupture of appendicitis. Among non-obstetric reasons, when the lower abdomen hurts before menstruation, it is worth highlighting a number of violations.

  1. 1. Can pull the stomach during the menstrual period with inflammation of the bladder, according to the anatomy female body it is located next to the ovary, and therefore the pain can be localized in the left or right side of the lower abdomen. Additional symptoms are frequent urination, burning and cramps. It is impossible to ignore this situation, an infection is developing, which can become a serious threat to the growing embryo.
  2. 2. If the stomach pulls and hurts during pregnancy, we can talk about failures in the digestive tract. Stool disorder, constipation, flatulence, nausea and vomiting are frequent companions of the future mother. In this case, you need to normalize the bowel and unpleasant symptoms disappear.
  3. 3. Another reason why the pregnant woman’s stomach ache is inflammation of the appendix, a similar disorder can be recognized by the following features : headache, nausea, vomiting, fever, general weakness in the body, dagger pain. It is important to consult a specialist in order to remove appendicitis (such an operation will not affect the state of the embryo).


It is important to consult a specialist in order to remove appendicitis (such an operation will not affect the state of the embryo)

Corpus luteum cyst

Can the stomach hurt during pregnancy if there are pathological disorders of the corpus luteum cyst? It develops on the site of a bursting follicle, its task is to produce progesterone in the first months of the conception of the baby and before the formation of the placenta.


If the development of the corpus luteum does not come in correctly, then excess fluid accumulates in the cavity, the cyst grows in size and begins to put pressure on nearby organs. Such a pathology is not dangerous for the development of the embryo, but it can cause aching pain in the abdomen.

Pregnant women with this diagnosis should limit themselves from physical exertion, do not lift weights, exclude active sexual intercourse. When the cyst ruptures, abdominal bleeding occurs abundantly, which can lead to termination of pregnancy or premature birth (on late dates )

In the second trimester, aching pains subside, the condition of the expectant mother stabilizes, signs of toxicosis practically disappear, the child continues to develop in favorable conditions for him.


What should be done?

If the stomach begins to hurt during pregnancy, then you should not panic, but try to relax, lie down on the bed, calm down, assess the degree of pain, note the presence of related factors.

If the pain is aching in nature, which quickly go away, then perhaps this is a sign of physiological changes in the body of a woman. In this case, you can take a valid painkiller and exclude physical activity.

The manifestation of cramping pain is likely to indicate spontaneous abortion related factors will be blood discharge , headaches, general deterioration of the patient’s well-being.

Acute pain in the ovary area is a signal of an ectopic pregnancy, while the temperature rises significantly, there is a general lethargy of the body. Immediate surgery required.

With severity in the uterus, there is a suspicion of a frozen pregnancy. There may be spotting discharge of scarlet or brown, the absence of toxicosis and other previously having symptoms of pregnancy.


If in the early stages it pulls in the lower abdomen, and the remaining indicators are normal, there are no spotting, then you should not worry, the main thing is to regularly be examined by a gynecologist, take all tests and enjoy the period of motherhood.

When pain of a physiological nature interferes with everyday activities, the gynecologist can prescribe an anesthetic, self-administration of contraindications analgesics.

Attention: gynecologists advise women during the period of bearing a child at the slightest ailment to consult a doctor for advice, it is better to let the alarm be false than to start pathological processes.


In case of inflammation of the pelvic organs or the presence of infection, therapeutic therapy will be prescribed that will not affect the development of the baby in the womb. If the cause of abdominal pain is intestinal problems, then you need to adjust the diet, switch to more easily digestible foods.

Let be pain lower abdomen in early pregnancy will be a pleasant surprise, and not a sad signal about the development of pathological changes. Take care of yourself and do not self-medicate.

Having become pregnant, a woman almost immediately begins to feel changes in the body: the restructuring of taste drives, hypersensitivity to smells, pulling pains in the lower back, lower abdomen, appearing already for 3-4 weeks. When to treat them as natural, and when to see a doctor?

Physiological reasons

Usually for two reasons, pulls the lower abdomen during pregnancy.

  • Threat of miscarriage or premature birth.
  • Purely physiological reasons that are in no way connected with the development of the child and should not cause alarm.

Such a distribution is conditional, and a woman can figure it out on her own if she knows her term and is registered with a gynecologist. One way or another, if the pain is not cramping, and there is no discharge from the vagina, you should not worry.

Why is pregnancy necessary to know?

Throughout pregnancy, at any time, a woman can feel abdominal pain, and each time she can have her own reasons. It is important to know in which cases they are physiologically justified, and in which they are caused by pathology. Let's start with the first, natural:

  • Uterine weight, circulating blood volume increase.
  • The tension of the ligaments of the uterus, which support it in the pelvis on weight, rises.
  • Physical activity increases, due to which the muscles of the press and ligaments of the uterus tighten.
  • Signs of flatulence, bloating, incomplete bowel movement.
  • Stress, a disorder of the nervous system.

For these reasons, the stomach pulls during pregnancy, and they are easily eliminated. But there are more serious reasons.

Pathologies causing pulling pains

They can be caused by diseases not only of the uterus, but also of other organs. Namely:

  • Gastrointestinal problems.
  • Pancreatitis or appendicitis; chronic inflammation of the genitourinary system.
  • Ectopic pregnancy.
  • Risk of miscarriage or premature birth.
  • The process of detachment of the placenta. In these cases, you need to consult a doctor.

How to distinguish safe pain?

It is necessary to determine the nature of the pain, other disturbing signs. When there is no reason for alarm?

  1. It pulls below the abdomen not constantly, but temporarily, and if you rest while lying down, they stop.
  2. The pains are dull, but not sharp, not cramping.
  3. There are no other symptoms like indigestion, poor appetite, nausea and vomiting.
  4. There are no vaginal discharge.
  5. After taking a pill or another no-shpa or rectal suppository papaverine, the pain subsides.
  6. The pain does not increase, does not become unbearable. She doesn’t get back pain anus when urinating.
  7. There is no fainting, decreased pressure, increased heart rate - that is, symptoms that occur during an ectopic pregnancy.

Pulls the lower abdomen in early pregnancy

On terms up to 24-26 weeks most dangerous reasons - This is a threat of miscarriage and an ectopic pregnancy. It is important for a woman to save her baby and prevent complications during ectopic pregnancy. The following is a description of the symptoms of these conditions.

If there is a risk of miscarriage:

  • Drawing, persistent pain in the lower abdomen, aggravated by physical exertion, with movement.
  • The discharge is bloody or spotting.
  • General malaise, dizziness, weakness.
With ectopic pregnancy:
  • Permanent dull or sharp pain in the abdomen, back. After the rupture of the pipe - sharp and piercing.
  • Nausea, weakness, vomiting, other manifestations of pregnancy.
  • The pulse is frequent and weak, hypotension, loss of consciousness, pallor.
  • Bloody discharge, which increases with a rupture of the fallopian tube.

For all these symptoms, you should call ambulance .

Belly pulls in late pregnancy

If this happens in the third trimester, consult a doctor as soon as possible, even if the pains are short-term, because the reasons can be related to both the development of the fetus and health future mother . More about them:

  1. If everything is in order with pregnancy, then after 30 weeks the body gradually prepares for childbirth. At this time, progesterone is actively produced, which relaxes smooth muscles. However, not only the uterus has smooth muscles. The walls of the gallbladder, intestines, etc. consist of smooth muscle fibers. If the gallbladder decreases its activity, the pregnant woman shows signs of digestion, heaviness in the abdomen, belching, heartburn, and bloating appear for 30-32 weeks. You should change the diet, where you need to enter foods rich in fiber, fruits and vegetables in raw form.
  2. In the last weeks of pregnancy, the fetus grows rapidly, the uterine ligaments are over-stretched. From this pulls the stomach. The farther, the stronger the feeling of overstrain of the lower abdomen. To eliminate this, it is useful for a pregnant woman to resemble classes with special exercises that remove pain and strengthen muscles.
  3. At 37-38 weeks, a pulling, painful sensation in the abdomen portends an approaching birth. During this period, it is necessary to observe how intense and periodic they are, what is the nature of the discharge. The appearance and duration of the precursors of labor at 7-10 days is considered normal. If the pain does not intensify, and the discharge does not change its character, then everything is in order.
  4. If the pulling pains last for a long time, and the abdomen becomes hard, then the birth can begin prematurely. Dill and spotting discharge exacerbate the situation. Particularly dangerous for the fetus are labor at 32-34 weeks of gestation, since the fetus has not yet formed lungs. It is urgent to go to bed.
  5. In the later stages, signs in the form of acute cramping pains signal the onset of placental abruption. This usually occurs as a result of injuries, physical activity pressure surge. Hypoxia of the fetus, pain, worsening of the condition can cause rupture of the vessel in the uterus. This starts bleeding. This is an occasion for hospitalization and caesarean section.

The occurrence of pulling pains in the lower abdomen is a common occurrence during pregnancy. If it appears before the birth or is in the nature of training fights, then you should not worry much, but you need to quickly collect the bags in the hospital and get ready to meet with your baby.

And if such phenomena are observed in the first or second trimester, then it is impossible to discount them, and you need to consult a doctor. Today we will try to highlight the main reasons why during pregnancy, and what to do in this situation.

Pathologies that cause pulling sensations in the lower abdomen

In the case when a pregnant woman's lower abdomen periodically pulls, she can talk about diseases internal organs . If you notice one of the following reasons, you must certainly seek medical help.

So, the stomach during pregnancy can hurt because of:

  • Gastrointestinal tract problems - frequent constipation, chronic dysbiosis or helminthic invasion may occur;
  • Inflammation of appendicitis or acute pancreatitis;
  • The presence of disorders in the genitourinary system - diseases of the kidneys, bladder, ovaries, uterus;
  • Perhaps the development of an ectopic pregnancy;
  • There is a risk of miscarriage or the onset of premature birth;
  • The beginning of the process of placental abruption before the start of labor.

There is no reason for urgent medical attention if:

  • When pregnancy is not permanent, and the sensations are temporary. As a rule, they stop if you lie down and relax;
  • The pain is dull and pulling in nature, there are no sharp and cramping sensations;
  • In addition to the pulling sensation, there are no associated symptoms of an upset gastrointestinal tract or spotting;
  • After taking no-shpa or using candles with papaverine, the sensations change in intensity and pass completely through time;
  • There is no increasing intensity of pain, they can be easily tolerated;
  • Pulls the lower abdomen, but there is no pain in the anus or difficulty urinating;
  • There is no sharp decrease in blood pressure, an increase in heart rate and the urge to vomit.

The above pains do not pose a danger to the future baby, but it’s worthwhile to call the doctor again to be safe and calm down.

Pulls the lower abdomen in the early stages

If pain in the lower abdomen is observed in the initial period of pregnancy, then they should be an object of special attention and a reason for seeking medical help. If the lower abdomen is actively pulling at 6-7 weeks of pregnancy, this may indicate the possibility of a miscarriage or an ectopic pregnancy.

A threat of abortion exists if:

  • accompanied by unpleasant sensations in the lumbar region and intensify with physical exertion;
  • Bloody type discharge present;
  • There is general malaise, weakness and dizzy.

Symptoms of an ectopic pregnancy include


The transition from sharp and dull pain in the lower abdomen to sharp and stitching.

Nausea, general weakness is added, there is no appetite, vomiting may occur.

Blood pressure drops sharply, a woman may faint, the pulse is greatly increased, and the skin becomes noticeably pale.

There are strong spotting that increases even more during the rupture of the fallopian tube.

All of the above symptoms cause IMMEDIATE APPLICATION to the doctor to provide emergency care since they wear enough dangerous nature for good health.

3 trimester pulling sensations

If the stomach pulls down in the presence of late pregnancy, then it is necessary to establish the cause of the pulling pains as soon as possible and take appropriate measures. To the doctor on this stage handling is simply necessary in order to avoid dangerous situations.

Medical assistance is necessary, regardless of whether the symptoms are short-term or long-term. For a period of 30-32 weeks, the severity of the lower abdomen may be due to normal bloating or heartburn. AT this case prescribing treatment is quite simple, making small adjustments to the diet.

Lingering sensations in a pregnant woman in the later stages may appear due to intensive growth of the fetus. This is due to overstretching of the ligaments of the muscles, which are not ready for rapid changes. Especially these sensations are noticeable if the child is expected to be large. Sudden pains that can occur when sneezing or coughing are also added to them.

Sparing physical exercises can help in this situation, which allow you to strengthen muscles and develop the necessary flexibility. You can attend group yoga classes, Pilates, use fitball or devote time to swimming in the pool.

If pulling pains become frequent companions of a pregnant woman for a period of 32-34 weeks, and the abdomen hardens for a while, this can indicate a threat of premature birth.

It is especially worth the alarm if bloody spotting appears. It is urgent to consult a doctor and possibly go to a hospital for support, since at this stage of pregnancy there is a great danger to the unborn baby. It is too early for him to be born due to an unformed pulmonary system.

It is too early for him to be born due to an unformed pulmonary system

If the pains sharply give down the abdomen and are cramping in nature, then in later pregnancy this may indicate the onset of placental abruption. This can happen due to trauma, a sharp increase in blood pressure or strong physical overstrain, and is also fraught with fetal hypoxia, since the baby will not receive oxygen.

As a rule, pain is accompanied by bleeding, a pregnant woman needs to urgently hospitalize and conduct cesarean section to save a child.

Thus, there are many reasons for the appearance of drawing pains in pregnant women and it is impossible to say unequivocally whether they are dangerous or not. Of great importance is the duration of pregnancy and the general physical condition of the future mother.

Therefore necessary with special attention listen to your body and for the slightest deviations that arouse suspicion, seek the advice of a doctor. Since timely health care in most cases, it helps to maintain the health of both the mother and the baby.

Be healthy and think positively!

When to sound the alarm?
Is such a condition considered normal, or should I seek medical help immediately?
What pathologies can be hidden under this sign?
How does this happen?
Why do physiological processes in the uterus lead to pain?
What is the norm?
When to sound the alarm?
What should be done?
When to treat them as natural, and when to see a doctor?
Why is pregnancy necessary to know?
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