Can the stomach pull during pregnancy. Pulls the stomach in the early stages of pregnancy, as during menstruation, before the delay, aching in the lower back, with and without discharge

Seeing 2 cherished stripes on a pregnancy test is the cherished dream of many women. But sometimes time moves inexorably forward, and the stork is in no hurry to fly.

How do you determine what is born inside you new life? And, if the usual menstruation did not come on the right day and the lower abdomen hurts, is this a sign of pregnancy? Or can such a condition be caused by other processes in the body? Let's figure it out.

Pain in the lower abdomen and possible pregnancy

So, the new menstrual cycle is nearing completion and you are looking forward to the "news" about the desired conception.

Of course, pregnancy, its inception and course is a purely individual process and can take place in different ways. But there are still basic similar signs, and one of them is a “pulling” pain in the lower abdomen.

Causes of pain in the lower abdomen at the beginning of pregnancy

1. The process of fusion of female and male eggs occurs during the period of ovulation, which, as a rule, falls in the middle of the cycle;
2. A few days (usually from 6 to 12) after fertilization, the egg reaches the uterus, passing through the fallopian tubes;
3. In the wall of the female reproductive organ, she finds a "cozy place" and is fixed in it;
4. At the same time, the fertilized cell seems to “push apart” the epithelial cells in order to settle better;
5. The process of implantation causes the first signs of pregnancy, in which the lower abdomen hurts and scanty spotting appears;
6. Most often, the “settlement” of the egg occurs towards the end of the cycle, when only a few days remain before menstruation.

Therefore, aching or pulling pain in the lower abdomen means either the successful fixation of the zygote, or the approaching menstruation (if fertilization has not occurred).

Interesting! Drawing pain (moderate) in the region of the suprapubic zone often means the fact that the female body has accepted the future baby. All organs and systems "start" the necessary processes and are ready to help the full growth and development of the crumbs.

Pulling in the lower abdomen: how to recognize pregnancy

It is quite difficult to determine the onset of pregnancy. Often a woman perceives such sensations as harbingers of menstruation.

If implantation was accompanied by spotting bleeding, most often there is only one verdict - the onset of menstruation. In such cases, the expectant mother does not even suspect a joyful event that has taken place in her body.

So, what to do if there are pulling pains in the lower abdomen?

The answer is simple: nothing.

We got a long-awaited positive result - wonderful, soon a joyful event is expected in your house.

Attention! Drawing pains in the suprapubic part are typical for about 4 weeks of pregnancy. If after a while the pain does not go away, but only intensifies, go to the doctor.

It is also important to ensure peace and rest for yourself, it is worth taking sick leave at work in order to spend a few days in bed.

By the way! The doctor, with complaints of pain in the lower abdomen, will most likely immediately diagnose you with uterine tone and prescribe a whole bunch of pills and hormones. Do not rush to take them!

Read the article about uterine tone and make sure that doctors often play it safe: Uterine tone in early pregnancy >>>).

Also take a look at the online course posted on the site, where, in addition to recommendations for a healthy conception, you will learn how to live the first weeks of pregnancy and bear a healthy baby. Follow the link: I want a baby!>>>

If you think that you felt the first signs of pregnancy just because your stomach hurts, you should carefully listen to the sensations of your body. Usually, the birth of a miracle is accompanied by some additional signs:

• Delayed menstruation (by the way, read the current article: Can menstruation occur during pregnancy?>>>);
• Abundant vaginal discharge caused by dysbacteriosis;
• The appearance of a metallic taste in the mouth, sensitivity to odors;
• swelling of the breast (mammary glands), darkening of the halo;
• Mood swings, irascibility, irritability.

Lower abdomen hurts: when is the help of a doctor needed?

Unfortunately, sipping in the lower abdomen does not always mean pregnancy.

Sometimes this phenomenon is a sign of gynecological diseases - they are often accompanied by a similar symptom. Often, the pain intensifies before menstruation, which can be perceived as an early sign of pregnancy.

In some cases, pain in the area below the navel can be triggered by the following pathologies:

1. Gynecological diseases;

• Apoplexy of the ovaries. Doctors call this term a hemorrhage in the ovarian tissue;
• Ectopic (tubal) pregnancy (read the article: How to identify an ectopic pregnancy?>>>).

Important! Incessant aching pain in the lower abdomen is a reason for an immediate appeal to a specialist.

Ectopic pregnancy, cysts and ovarian apoplexy are eliminated only by surgery. The loss of precious time in such cases can lead to disastrous consequences.

1. Diseases of the genitourinary system;

It cannot be unequivocally stated that pain in the lower abdomen is a sign of indispensable pregnancy. In some cases, it can be triggered by cystitis - an inflammatory process in bladder. Additional signs of such a disease are:

• frequent and painful urination;
• pain in the lumbar region;
• the presence of blood in the urine.

When pregnancy occurs in the woman's body, global changes begin to occur, which is due to the preparation for the upcoming bearing of the child and labor. At this time, various kinds of signs may appear that a new life has arisen inside. Among the main symptoms are pulling pains in the lower abdomen. And it is this symptom that most often causes anxiety among expectant mothers. So why does the stomach pull on early dates pregnancy?

Often, when the stomach pulls at the beginning of pregnancy, this causes considerable excitement in the pregnant woman, because such a symptom can predict premature termination of pregnancy. And indeed there is a risk, but on condition that the pulling pain is accompanied by bloody discharge from the vagina.

Physiologically, such pains are the norm during fertilization. This is due to the rush of blood to the uterus and increased blood circulation. Also, such pain is associated with swelling and stretching of the uterine ligaments. They, along with the growing uterus, must constantly stretch, which, in fact, can cause a certain kind of discomfort. However, not all women who are in an "interesting position" observe such a symptom.

Normally, pulling pains occur only during physical activity. If, even in a completely relaxed state, the soreness does not go away, then we can already talk about pathology. Therefore, it is very important to notify your consulting doctor in a timely manner of any changes in the body if you are planning a pregnancy.

Physiological causes

As a rule, a week after conception, pulling pains in the abdomen may appear and this is a normal manifestation of the ongoing physiological processes during pregnancy. At this time, the body begins to rebuild to work in a more active, so to speak, mode. And this phenomenon cannot but be reflected in the well-being of the expectant mother:

1. Pain of a pulling nature in gynecology is referred to as the first symptoms of pregnancy. And in the vast majority of cases, they occur at the time of implantation of the embryo to the uterine wall. This feeling is a bit similar to painful sensations before menstruation. In the same period, changes begin to occur in the mammary glands: they fill up, their sensitivity increases. Other symptoms of conception may also appear. If you are interested, you can read more about them in one of our previous publications.
2. As mentioned earlier, pulling pains in the lower abdomen are associated with increased blood circulation in the uterus. This is necessary in order for the embryo to receive oxygen and nutrition. But at the same time, excessively increased blood circulation can provoke uterine tone, which, in turn, is very dangerous for the fetus in the early stages.
3. The second reason for this phenomenon is changes in the uterus itself. The ligaments and tissues surrounding the uterus soften, stretch, and shift. Especially, rapid growth is observed in the first 4-6 weeks of pregnancy.
4. Also, one of the justifications for pulling pains in the lower abdomen is an increase in the amount of progesterone. In this case, characteristic pains in the upper part of the legs and lower back can be observed.

Dangerous states

As mentioned earlier, pains of a pulling nature may also have a different nature, not associated with physiological changes in the form of pregnancy. Therefore, the appearance of certain conditions should alert the expectant mother and force her to immediately consult a gynecologist.

In the case when the stomach does not just pull, but tends to increase soreness with characteristic cramping attacks, and at the same time spotting appears from time to time, you should immediately call an ambulance. The reasons for this condition may be:

1. Threat or already held separation of the fetal egg from the uterine wall. This condition is typical for the first trimester of pregnancy, but timely medical care will help save the life of the fetus developing inside the mother's womb.
2. Availability infectious diseases. We are talking not only about various kinds of inflammatory diseases, but also about those that are sexually transmitted. It is these diseases that worsen during pregnancy and cause a number of unpleasant consequences, including pain in the lower abdomen.
3. Frozen pregnancy often causes pulling pains in the uterus. Also, ectopic pregnancy and other pathological processes associated with the incorrect location of the fetal egg have similar symptoms.
4. Yellow cyst. One of the signs of such a pathological deviation can also be pain of a pulling nature in the uterus. But at the same time, it is important to understand that the corpus luteum cyst is in no way capable of harming the future of the child and, in most cases, after 1-2 months it simply resolves.
5. Cystitis is one of the frequent companions of pregnancy. Drawing pains, frequent urge to urinate and other similar symptoms characterize the presence of such a disease.

What to do if the stomach pulls?

The mother-to-be must notify her consulting physician of any discomfort. Timely diagnosis, for example, will help to avoid negative consequences, both for the well-being of a woman and for her unborn child.

But in addition to discomfort, there are a number of symptoms in which you should immediately seek medical help:

• pulling pain in the uterus and appendages, accompanied by sharp, intensifying spasms;
• cramping pains of varying intensity;
• severe vomiting, nausea, diarrhea, which is more like intoxication;
• bloody, profuse discharge;
• pain in any part of the abdomen, which increases with palpation.

In the event of one of the conditions described above, a pregnant woman should call an ambulance and take a horizontal position. In no case should you get to the doctor on your own, since any shaking and physical activity can only aggravate your well-being.

Outcome

At the end of the publication, I would like to make a small conclusion:

1. In the vast majority of cases associated with pulling pains in the lower abdomen at the beginning of pregnancy, the child developing inside the womb is out of danger.
2. In a woman who is not in an "interesting position", such sensations may be caused by taking inappropriate hormonal drugs, active sexual intercourse, stress and even a gynecological examination.
3. A pregnant woman should inform her gynecologist about any sensations that are uncharacteristic of her position. A timely diagnosed pathology or danger will help eliminate the negative impact on the health of the expectant mother and her child.

Have you or someone you know experienced this during pregnancy? If so, did the pain really go away after a few days without medical help? Share with us and our readers interesting, and for someone, perhaps even useful information leaving comments at the end of the post.

Why does the stomach pull in early pregnancy? This question often worries expectant mothers, and at times leads to panic. When is discomfort pathology, and when is it normal?

Pregnancy is a special time for a mother and her baby. After all, the connection between them is inextricable, and every negative influence or stress affects both of them.

Possible causes of pain

Every woman dreams of a pregnancy that is easy and does not cause any cause for alarm. However, a very common complaint among pregnant women is pain in the lower abdomen of a pulling or aching nature.

The complaint is so common that it is necessary to clearly understand when pulling sensations during pregnancy are pathological and require immediate medical intervention, and when they are quite physiological and require only general recommendations.

Of course, pain in the lower abdomen can appear at any stage of pregnancy, however, most often women notice their appearance in the early stages of pregnancy.

Painful sensations in the abdomen during pregnancy are very diverse both in subjective sensations and in their localization, in intensity of occurrence. Pain can appear both at rest and after any physical activity. Unpleasant sensations can manifest themselves in one place, or radiate to other areas.

Abdominal pain during pregnancy can occur for various reasons.

Unpleasant sensations in the lower abdomen are rarely avoided during pregnancy. These sensations can occur not only in pathology. During pregnancy, the uterus increases in size, there is a tension in its ligaments and muscles. In addition, there is a displacement of the pelvic organs. All this leads to the appearance of pulling or aching sensations in the abdomen. All these phenomena are manifestations of physiological changes that occur to a woman during pregnancy.

Of course, this state of fear does not cause and does not require any intervention from the doctor. However, pulling pains in the lower abdomen are not always a physiological process. Most often, this indicates that the pregnancy proceeds with pathology and requires medical adjustment.

That is why, with the appearance of pulling or aching pains in the lower abdomen, it is necessary to consult an obstetrician-gynecologist in order to accurately determine the cause of the pain.

Never self-medicate. Remember that you are responsible not only for yourself, but also for the little man that you carry under your heart.

Abdominal pain during pregnancy can be:

obstetric;

non-obstetric.

Pain associated with obstetric pathology may be associated with the development of:

physiological changes during pregnancy;

threatened miscarriage;

frozen pregnancy;

ectopic pregnancy.

Pain not associated with pregnancy can occur with:

inflammatory processes;

pathology of the digestive system;

surgical diseases;

diseases of other organs or organ systems.

Pain in the lower abdomen during pregnancy as a variant of the norm

Not all pain in the lower abdomen during pregnancy is a manifestation of pathology. Sometimes they can occur during the normal course of pregnancy.

As a physiological process, pain in the lower abdomen can occur in the following situations:

1 - a sign of the onset of pregnancy;

2 - early termination of pregnancy due to genetic mutations;

3 - displacement of the pelvic organs by the growing uterus;

4 - stretching of the ligaments and muscles associated with the growth of the uterus.

Abdominal pain may be just a sign of pregnancy

Abdominal pain is a sign of pregnancy

Finding out that you are pregnant is not difficult nowadays, because there are pregnancy tests. In addition, evidence of pregnancy is a delay in the onset of menstruation.

All this is good in the case when menstruation is regular, and their delay is at least 14 days. Only in this case, a pregnancy test can be positive. However, do not forget that not all tests are high-indicative, so he can show two coveted strips much later than we would like.

Therefore, it is necessary to pay close attention to the sensations of your body, because it signals the onset of pregnancy long before the manifestation of a delay in the onset of menstruation.

If you assume that pregnancy is possible, then listen carefully to your body: it can send you a signal in the form of pulling pains in the lower abdomen. At the same time, the pains will differ in their intensity: one woman will say that the pains are unbearable, the other will not notice them at all. Each woman is individual.

If each menstruation is preceded by unpleasant painful sensations in the lower abdomen or lower back, you may not understand that once again they are an indicator of the onset of pregnancy.

In order to understand why pain occurs in the lower abdomen during pregnancy, it is necessary to remember the process of fertilization of an egg by a sperm. After their fusion in the fallopian tubes, the fertilized egg enters under the action of the movement of cilia into fallopian tubes oh in the uterus. The uterine endometrium is a loose mass where the fetal egg is implanted.

The process of implantation occurs on the eve of the expected menstrual flow and can cause pain, as a precursor to the onset of menstruation. However, menstruation does not come, which means that the resulting pain was a sign of the implantation of the unborn baby.

The process of implantation is the introduction of a fertilized egg into the endometrium of the uterus. At this time, there is a violation of the integrity of the uterine membrane, which may be accompanied by unpleasant sensations in the lower abdomen. In addition, sometimes slight dark bloody discharge may appear from the genital tract, which can be perceived as the beginning of another menstruation.

Abdominal pain is not always cause for concern

Abdominal pain associated with abortion due to gene mutations

Natural selection is one of the phenomena that helps only full-fledged creatures to be born. Therefore, situations often arise when a woman loses a fetal egg, unaware of the onset of pregnancy.

This phenomenon occurs due to the fact that there is any defect in the fertilized egg at the gene level. In this case, there is no implantation of the fetal egg, and spontaneous miscarriage occurs.

If a woman does not assume that pregnancy has occurred, she may not guess that a miscarriage has occurred. This is due to the fact that menstruation comes on time, or with a slight delay, and proceeds as usual. Sometimes menstruation can be accompanied by slight pain in the lower abdomen.

In addition, there may be weakness, nausea, breast swelling, sipping in the lower abdomen or lower back. However, all this is attributed to premenstrual syndrome, the phenomena of which disappear after the cessation of menstruation.

Obstetric causes of pain in the lower abdomen

threatened miscarriage

One of the most common causes of pain in the lower abdomen is a threatened miscarriage. This condition is individual and does not depend on physical exertion or complete rest, but on the condition of the woman and her unborn child.

Among the reasons that can cause spontaneous miscarriage may be:

sexual contact;

malnutrition of the fetal egg;

placental abruption.

Of course, this is not evidence that with complete rest, a miscarriage does not threaten you. Detachment can occur due to gene anomalies, and due to stress. No woman is immune from the threat of losing a baby.

That is why attention and sensitivity to the state of your body is so necessary, which in every possible way will send signals that the pregnancy is not going the way you want.

Threatening spontaneous miscarriage is accompanied by:

aching or pulling pains in the lower abdomen;

aching or pulling pains in the lower back or sacrum.

If you have pain in the lower abdomen, you should consult a doctor, since a threatened miscarriage, if medical assistance is not provided, can turn into an abortion that has begun, the treatment of which is much more difficult, if not completely useless.

An ambulance must be called if:

pain in the lower abdomen intensifies;

pain begins to radiate to other areas;

painful sensations are in one place, but do not go away or intensify;

bloody discharge from the genital tract appeared.

Abdominal pain accompanied by discharge may be a sign of miscarriage

Increased pain

If the pulling pains in the lower abdomen are weak, do not increase and do not radiate to other areas, then you can come to the antenatal clinic in the daytime on your own. This will not threaten serious complications of your condition.

If the pain becomes more intense, does not go away at rest, you need to take an antispasmodic, call an ambulance and go to bed. Of the antispasmodics, pregnant women are allowed to take No-shpa, or Drotaverine, and you can also use candles with Papaverine, which are placed in the rectum.

You can't put anything on your stomach. Both hot and cold application can contribute to the onset of spontaneous miscarriage. In addition, with the threat of abortion, this manipulation will not remove the pain.

localized pain

If a threatening spontaneous miscarriage occurs, the pain of a pulling or aching nature worries the pregnant woman in the lower abdomen.

If the pains have a clear localization in a certain place, most often on the right or left, then a mandatory consultation with a specialist is necessary, since an ectopic pregnancy or surgical pathology, such as appendicitis, may develop.

Bloody discharge from the genital tract

If bloody discharge from the genital tract has joined the pulling pain in the lower abdomen, urgent medical attention is needed. This phenomenon may indicate the onset of spontaneous miscarriage.

Allocations in this case can be scanty smearing or plentiful, dark or bright. In any case, you can not do without consulting an obstetrician-gynecologist.

There are situations when there are no pain sensations, and there are spotting from the genital tract. This case also requires the intervention of a specialist.

Any bloody discharge from the genital tract may be evidence of detachment of the fetal egg. Only timely treatment can contribute to the preservation and prolongation of pregnancy.

In some cases, the appearance of bloody discharge from the genital tract may be a manifestation of a missed pregnancy, which requires immediate removal from the uterine cavity.

Frozen pregnancy

A fertilized egg does not always develop correctly. In some cases, its division stops and the embryo dies. Most often, a frozen pregnancy occurs due to any mutations. At the same time, the woman does not suspect that the pregnancy has stopped.

However, the dead fetal egg begins to be rejected on its own. At the same time, there are pulling pains in the lower abdomen, which are soon joined by bloody discharge from the genital tract.

When establishing the diagnosis of a missed pregnancy, curettage of the uterine cavity is indicated in order to get rid of a non-developing fetus.

Frozen pregnancy can cause abdominal pain

Ectopic pregnancy

An ectopic pregnancy most often proceeds as a tubal abortion, when the fertilized egg does not reach the uterus, and the implantation process occurs in the fallopian tube. At the same time, the development of the fetal egg can continue for a long time without any manifestations, up to 12 weeks of pregnancy. However, most often a tubal miscarriage occurs at 6-8 weeks of gestation.

The fetal egg develops and grows, which causes pain in the right or left side of the lower abdomen. The pains are unilateral, are obsessive, tend to increase.

In addition to pain in the lower abdomen, bloody discharge from the genital tract appears, and the pain begins to radiate to the leg from the side of the pain. There may be unpleasant sensations of pressure on the rectum. Medical surgery is the only way to save a woman's life. Preservation of pregnancy is impossible.

One of the characteristic signs of tubal pregnancy is the appearance of slight pulling sensations in the lower abdomen a few weeks before the strict localization of pain and bloody sensations in the lower abdomen.

Non-obstetric causes of pain in the lower abdomen

Inflammatory processes

Among non-obstetric causes, due to which there are pulling pains in the lower abdomen, inflammatory processes of the pelvic organs are most common. If earlier it was believed that there could be no inflammation in pregnant women, now it has been proven that a decrease in the immunity of a pregnant woman awakens all pathological processes in her body.

The stomach may hurt due to problems with the digestive tract

Surgical pathology

Of the surgical pathology, which may be accompanied by pulling pains in the lower abdomen during pregnancy, appendicitis is the most common.

In the early stages of pregnancy, the differentiation of obstetric and gynecological diseases with appendicitis is mandatory, since it has similar symptoms with them. There are pains in the lower abdomen, which most often occur in the navel, and then descend to the right iliac region. Nausea, vomiting, fever joins. The only treatment is appendectomy. In this case, the pregnancy is preserved.

Diseases of other organs or systems

In addition to obstetric and surgical causes, which can cause pulling pains in the lower abdomen in early pregnancy, other body systems may also be involved in the pathological process. The most common lesion is the urinary tract.

Cystitis

Cystitis, due to the anatomical features of a woman, can occur at any time and in any condition, so pregnant women are also susceptible to it, as are non-pregnant women.

The bladder, located in the lower third of the abdomen, can give false symptoms of threatened miscarriage. In addition, cystitis can occur in a pregnant woman quite often due to compression of the growing uterus of the ureters and the passage of the infection down, especially often in chronic pyelonephritis.

Cystitis, in addition to pulling or aching pains in the lower abdomen, is accompanied by pain during urination, pain at the end of the act of urination. In addition, the phenomena of cystitis may accompany spotting.

In any case, it is necessary to consult an obstetrician-gynecologist, pass a general urine test, and then consult a urologist and treat the infection. Any infection can adversely affect the condition of the fetus, so timely treatment is the key to the normal development of your child.

Drawing pains in the abdomen can occur in a woman for a variety of reasons. And often the appearance of such sensations is associated with the onset of pregnancy, since this sign is considered by many to be a sure sign of successful conception even before the start of the delay. In fact, this question is not as simple as it seems. This article will discuss why such pains can occur, and whether they are always harbingers of a delay.

Early sign or pathology?

Observing the sensations after ovulation is one of the favorite activities of women who are planning to add to the family. Just waiting for the right time and doing the test is too boring. It is much more interesting to guess, think, listen to yourself, in the hope of finding signs that will definitely indicate that the conception has taken place.

Ask women who got pregnant by pure chance how they felt before the delay. Most likely, they will answer that nothing. It didn’t hurt anywhere, didn’t pull, didn’t prick, I didn’t want pickled cucumbers. And only the absence of menstruation made me go and buy a test, which showed two clear stripes, leaving no doubt about the essence of what was happening.

I agree with this and traditional medicine, which believes that there are no special signs in the early stages before the delay, with the exception of an increase in the level of the hCG hormone, which a couple of days before the delay can already be determined in the patient's blood in the laboratory.

So where do the numerous articles and messages come from about what and how it should hurt if a woman managed to conceive a child? First of all, these are observations of those who are desperately planning a pregnancy, and “have fun” in the second half of the cycle with a description of their own feelings. It has been proven that the more a person focuses on his inner feelings, the stronger they become. In addition, women share their observations with friends, unfamiliar ladies on the forums. So there is a whole symptom complex with the general name "before the delay."

Doctors are skeptical about this, but there are no fewer questions for women.

To immediately place the accents correctly, let's be honest - pain and pulling sensations in the abdomen and lower back are possible in the second half of the cycle. Moreover, with the onset of pregnancy, and with premenstrual syndrome, and with several dozen more medical diagnoses that have nothing to do with pregnancy at all.

Pain can be caused by inflammatory processes, and not only of a gynecological nature: adhesions left after operations, banal eating disorders that cause bloating, increased gas formation in the intestines, a pronounced course of premenstrual syndrome, hormonal disorders.

The absence of any pain in the lower abdomen and lower back in the second half of the cycle is also the norm, and this happens in both pregnant and non-pregnant women. Drawing pain is not considered as a sign of an “interesting situation”, despite the fact that quite often women describe their earliest sensations in this way before the delay of menstruation. And then the question arises why it hurts and what to do about it.

Ovulation Calculator

Cycle duration

duration of menstruation

• Menstruation
• Ovulation
• High chance of conception

Enter the first day of your last menstrual period

Ovulation occurs 14 days before the start of the menstrual cycle (with a 28-day cycle - on the 14th day). Deviation from the mean value is frequent, so the calculation is approximate.

Also, along with the calendar method, you can measure basal temperature, examine cervical mucus, use special tests or mini-microscopes, take tests for FSH, LH, estrogen and progesterone.

You can definitely set the day of ovulation through folliculometry (ultrasound).

Sources:

1. Losos, Jonathan B.; Raven, Peter H.; Johnson, George B.; Singer, Susan R. Biology. New York: McGraw-Hill. pp. 1207-1209.
2. Campbell N. A., Reece J. B., Urry L. A. e. a. Biology. 9th ed. - Benjamin Cummings, 2011. - p. 1263
3. Tkachenko B. I., Brin V. B., Zakharov Yu. M., Nedospasov V. O., Pyatin V. F. Human Physiology. Compendium / Ed. B. I. TKACHENKO. - M.: GEOTAR-Media, 2009. - 496 p.
4. https://ru.wikipedia.org/wiki/Ovulation

Causes of pain

If we do not take into account the pathological causes listed above, and assume that a healthy woman still managed to get pregnant in the current cycle, then pain can be caused by a variety of factors.

In the first days after fertilization (it falls on the period of ovulation and a length of 24-36 hours after it), the zygote moves along the fallopian tube towards the uterus. This journey takes about three days. The zygote (the cell that formed after the fusion of the sperm and egg) cannot move on its own.

There are no conditions in the fallopian tube for its further development, therefore it is vital that the embryo reaches the uterine cavity, where such conditions exist.

To force the motionless zygote to move, the muscles of the fallopian tubes begin to work. It contracts rhythmically, setting in motion thin villi on the inner surface of the oviduct. The villi literally push the zygote to the mouth of the tube and from there into the uterus. This process continues for three days, therefore, after ovulation, during this time, slight pulling pains in the lower abdomen and in the lower back are acceptable, vaguely resembling menstrual sensations, but much weaker.

The brain of most women does not perceive impulses from the peristalsis of the fallopian tubes as pain, but there are women with increased sensitivity of the central nervous system. And they can theoretically perceive this peristalsis at the physical level.

After the embryo is in the uterus, within 2-3 days it is in free swimming in its cavity. The inner layer of the female reproductive organ is preparing to receive the embryo, under the action of progesterone, the growth and increase in the thickness of the endometrium occurs. And about 7-9 days after ovulation, implantation occurs.

First, the fetal egg adheres to the endometrium, and then begins to penetrate into this layer of the uterus, dissolving its cells with the help of special enzymes. The embryo sinks deeper into the endometrial layer, the chorionic villi are connected to the blood vessels of the mother's body. The child begins to receive nutrition from the mother's blood, and the hCG hormone begins to enter the woman's blood - the same one that, having accumulated a little later, will make it possible to diagnose pregnancy with the help of tests and blood tests.

During the implantation period, up to 70% of women do not feel anything unusual and strange. And only 30% of the ladies(again, with high nervous sensitivity and fine organization of the central nervous system!) the brain perceives impulses during microtrauma of endometrial cells as pain. In this case, the pulling pain is more noticeable than in the first days after conception, in addition, women describe the presence of a strange metallic taste in the mouth, as if there was a coin in it, weakness and increased fatigue.

Sometimes there is scanty spotting bleeding that lasts about a day - this is the so-called implantation bleeding. It does not pose any danger to the woman and her unborn child.

From the moment of implantation to the date of delay, there are still about 7 days (maximum). And this week, theoretically, some strange sensations may appear due to the fact that now the hormonal background is different from the hormonal background of a non-pregnant female body. Progesterone is elevated, hCG doubles every two days, the uterus and vagina begin to be better supplied with blood, the blood flow in the genitals is, of course, slightly, but already increasing.

During this period, the appearance of aching pain in the abdomen may be a sign of an individual restructuring of the body to a new hormonal background, most often in the early stages, women more accurately formulate the condition, claiming that they experienced a feeling of “fullness” below - this is the first sign of a more intense than before , blood supply.

Again, the vast majority of the fair sex does not notice such nuances. In women who regularly suffer from premenstrual syndrome, for example, in the "pregnant" cycle, nothing can hurt, and nothing will bother them. Therefore, the appearance of any sensations from the category “pulls the ovaries, hurts below, tingles in the uterus”, etc. is a very individual feature that suggests that some changes are taking place in the female body. Whether it turns out to be a pregnancy, in any case, only the time and the test carried out not before the delay, but during, that is, after it, will show.

When to see a doctor?

If the lower abdomen is pulled during the onset of pregnancy in the very early stages, in any case, it is worth waiting for a delay in order to take a test, take a blood test and find out for sure if there is a pregnancy. Unfortunately, pulling pains immediately before the delay and after it cannot be called normal. No matter how women console each other on the Internet, talking about “stretching uterine ligaments”, you should know: no ligaments are stretched at these times, the uterus has not yet been enlarged. And most often, pulling pain is associated with the threat of miscarriage.

The reasons can be varied: genetic abnormalities of the embryo, incompatible with its further growth and development, unsuccessful implantation, in which the fetal egg was fixed in the wrong place and wrong, a low level of progesterone produced by the corpus luteum. Usually, going to the doctor at a very early date with complaints of nagging pain does not give anything. In obstetrics, there is a rather cynical, but reasonable opinion, which says that the threat of miscarriage in the very early stages in 85% of cases leads to a miscarriage, and nothing can be done about it. The woman is prescribed antispasmodic "No-shpu", vitamin E and sent home to wait for the outcome.

If the threat is associated with a lack of progesterone, progesterone preparations are prescribed and again sent home to take them strictly on schedule. But already after 5-6 weeks of pregnancy (a week or two after the start of the delay), the attitude changes, and the patient will receive treatment aimed at maintaining the pregnancy in case of a threat.

Remember that you should consult a doctor for pulling pains that are combined with atypical secretions (bloody, green, gray, serous, purulent), as well as for pains that occur against a background of elevated body temperature.

Whether there is a pregnancy or not, diagnostics will show, but to begin with, doctors will exclude dangerous infections, inflammation and surgical pathologies.

After the onset of pregnancy, almost all women experience an uncomfortable pulling feeling in the abdomen. Such a feeling can be very frightening for a woman, especially if this is her first pregnancy, since everyone has heard that if the stomach is pulled in the early stages of pregnancy, a miscarriage may begin. But it should be understood that such sensations can be caused by various factors, which can only be identified by an experienced obstetrician-gynecologist.

Causes of pulling pains in the lower abdomen in early pregnancy

Among the reasons that can cause a painful pulling feeling of discomfort are the following:

• Basically, discomfort occurs due to the fact that the uterine muscles begin to contract;
• The pulling pain that occurs after conception may be one of the first symptoms of pregnancy. The sensations arising in the process are similar to the signs that appear before menstruation;
• Disorders of the gastrointestinal tract - since progesterone helps to relax not only the uterus, but also other smooth muscle organs (including the intestines), food does not have time to be digested in time, which creates stagnation, leading to pulling pains and flatulence. Usually this sensation disappears after a bowel movement, but only for a short period of time;
• Similar pains can also appear due to a rush of blood in the uterus (because blood circulation begins to increase in it).

It is also normal to experience a pulling sensation due to swelling of the ligaments of the uterus. This is a natural process, because they stretch along with the growing uterus.

Symptoms

Drawing pain in this case is often a sign of pregnancy, so it is not considered dangerous for the mother’s body and the health of her child. But, since this symptom is sometimes a signal of some kind of pathology, you should definitely consult with your doctor when it appears.

Pulling in the lower abdomen in early pregnancy

Pulling in the lower abdomen at the beginning of pregnancy can sometimes be due to the development of the following conditions:

• The fertilized egg separates from the uterine wall, resulting in a spontaneous miscarriage. A similar threat exists during the entire 1st trimester of pregnancy;
• Various infectious diseases (including sexually transmitted ones), which are exacerbated during pregnancy, causing pain and discomfort. Therefore, when registering in gynecology, a woman undergoes a full examination and takes tests to identify the possible presence of latent infections;
• The state of the so-called frozen pregnancy, during which the development of the embryo stops. Also in this state, the increase in the level of hCG in the blood stops, and examination through ultrasound does not determine the heartbeat of the fetus.

Pulls the stomach on the right in early pregnancy

A pulling sensation that appeared on the right in the abdomen is usually a sign of an onset inflammation of the appendix or a disease of the internal genital organs (right ovary, right fallopian tube). In addition, such symptoms may be a manifestation of the development of renal dysfunction or an inflammatory process in the ileum or caecum.

Pulls the stomach on the left in early pregnancy

Pain that develops in the left side of the abdomen mainly accompanies disorders in the functioning of the large intestine. In this case, you can hear the rumbling in the stomach and the passage of gases, but the uterine tension is not felt.

Also, at an early stage of bearing a child, pulling pain appears due to the fact that in some cases the embryo is fixed in the wrong place (in the uterine tube) - this phenomenon is called an ectopic pregnancy. Because only one of the pipes is affected in this situation, it will pull in it - to the right or to the left.

Constantly pulling the stomach in early pregnancy

If a woman feels a constant pulling feeling in her stomach, and this discomfort does not disappear even after trying to lie down, it is necessary to be examined by a doctor, as this symptom may be a harbinger of a future miscarriage. It is also important that in addition to constancy, such pain is quite intense.

Diagnosis of pulling pains in the lower abdomen in early pregnancy

Diagnosis of pulling pains in the lower abdomen in the early stages of pregnancy

In the process of diagnosing a pulling sensation, the first thing to do is often an examination in a gynecological chair. But this procedure is not very effective and therefore is rarely appropriate for such symptoms.

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Analyzes

To find out the nature of the onset of symptoms, the patient must take urine and blood for general analysis blood, carried out laboratory research on the hormonal profile (progesterone, human chorionic gonadotropin). In some cases, to exclude diabetes, a laboratory test for sugar using glucose stimulation can be performed.

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Instrumental diagnostics

An ultrasound is also performed immediately to rule out an ectopic pregnancy and any possible complications. Having received information based on the results of instrumental diagnostics, doctors determine further actions.

Treatment of pulling pains in the lower abdomen in early pregnancy

To eliminate pain (if they are caused by the fact that the organs of the birth canal begin to naturally prepare for childbirth), it will be enough to lie down, turning on left side- this will definitely remove the discomfort. You should also avoid stress and heavy physical exertion, and besides this, rest even after an ordinary short walk. But you need to remember that for a pregnant woman a little physical activity is a necessity, and do not neglect it.

If the problem concerns the gastrointestinal tract and you often experience constipation, then you need to start eating right and lead a more active life. Fermented milk products should be introduced into the daily diet (in particular, it will be useful to use home-made yoghurts (Narine)), fresh fruits and vegetables. But onions, legumes, and black bread will have to be abandoned, because they cause flatulence. You should also move more actively - perform light exercises for pregnant women 3-4 times / week, and in addition to go for light evening walks and swim in the pool.

Medications

When the stomach pulls at the beginning of pregnancy, it is possible that this is an increased tone of the uterus. To reduce it, you can use Papaverine suppositories or take a No-shpa tablet as a first aid. But then you need to go to see a doctor.

vitamins

At an early stage, it is desirable to take vitamin complexes especially for pregnant women. They contain the optimal daily dose of trace elements and vitamins that are necessary for the healthy development and growth of the baby. Among these drugs are Vitrum Pronatal and Multi Tabs Ponatal, Pregnavit and Pregnacare, as well as Materna, Elevit, etc.

Alternative treatment and herbal treatment

If the pulling sensations that have arisen are not associated with any pathology in the development of the baby, and there are also no spotting discharges from the vagina, heavy bleeding or sharp pain syndrome, but only flatulence is felt due to malnutrition, you can remove it with the help of herbal tinctures.

Ingredients: boiling water and 1 tsp. coriander to be chopped. After that fill it hot water(1 stack) and boil for a few minutes. Then strain the broth and drink regularly before meals.

Pulling pain is also effectively removed by a decoction made from the leaves of the watch. It is prepared in this way: pour hot water into the chopped leaves of the watch (2 tablespoons), after which we insist for at least 1 hour. Then we filter and drink several times a day. This tincture is suitable for people with low stomach acid, constipation or gastritis.