28 weeks pregnant lower abdomen pain like dysmenorrhea

Abdominal pain is an extremely common symptom in clinical medicine. There are many causes of abdominal pain, including dysmenorrhea, various abdominal pains related to pregnancy, gastric perforation, intestinal obstruction, ovarian cyst pedicle torsion, appendicitis, and thousands more. Here we will give a brief and detailed introduction to the difference between abdominal pain in early pregnancy and menstrual pain. First of all, pregnancy pain and menstrual pain occur at different physiological stages, which is the fundamental difference between them. It can be identified based on blood HCG and B-ultrasound.

1. Abdominal pain during pregnancy: 1. Implantation pain: When the sperm and egg combine and embed normally in the uterine wall, there may be one or two days of mild, intermittent muscle cramps, with or without a small amount of vaginal bleeding, usually between the 6th and 12th day after the suspected pregnancy.

2. Ectopic pregnancy: Abdominal pain during pregnancy should also alert you to the occurrence of ectopic pregnancy. Any factors that hinder the combination of sperm and egg and the insertion into the uterine wall, such as pelvic inflammatory disease, previous history of ectopic pregnancy, history of sterilization surgery, IUDs, etc., are all high-risk factors for causing ectopic pregnancy in women. Amenorrhea, abdominal pain, and vaginal bleeding are the three main characteristics of ectopic pregnancy. If you have a history of amenorrhea and experience lower abdominal pain, especially pain on the left or right side, which may be accompanied by a small amount of vaginal bleeding, you should go to the hospital for examination as soon as possible to rule out ectopic pregnancy. Once the ectopic pregnancy mass ruptures, the consequences can be serious and you need to be careful.

3. Threatened abortion. Threatened abortion is most common in the first three months. If there is a history of amenorrhea, abdominal pain and vaginal bleeding may cause threatened abortion. It needs to be diagnosed and treated actively in time, otherwise it is very likely to develop into inevitable abortion.

4. Menstrual pain: Regular lower abdominal pain during menstruation or before and after menstruation, or pain in the lumbar region, or even severe and unbearable pain, which may be accompanied by nausea, retching, and heavy sweating. The main causes of dysmenorrhea include primary dysmenorrhea, endometriosis, adenomyosis and pelvic inflammatory disease. Its characteristics are regularity, blood HCG is negative, and no abnormalities are found in B-ultrasound.