Pregnant woman with abdominal cramps and no bleeding

Some pregnant women will experience abdominal pain in the early stages of pregnancy, but without bleeding. This is generally normal and is physiological pain. It is caused by the enlargement and tension of the uterus. If it is physiological abdominal pain and some people continue to bleed, it means ectopic pregnancy or miscarriage. Below I will explain to you the basic conditions of early pregnancy.

1. What is the reason for abdominal cramps but no bleeding during pregnancy?

1. Physiological abdominal pain

When you are four or five months pregnant, your belly will suddenly grow bigger, and then your skin will feel tight, and you will feel a slight stretching pain in your abdomen after exercise. Some expectant mothers have continuous stimulation of the rib edge due to the enlarged uterus, which can cause rib pain or pain due to the relaxation and separation of the ischial tuberosity. This condition is a normal physiological need during pregnancy and does not require special treatment. Pay attention to rest and you can also relieve the pain by sleeping on your left side.

2. Physiological abdominal pain

If pregnant women experience intermittent lower abdominal pain or standard abdominal pain, back pain, or pelvic pain in the first few months of pregnancy, the problem may be very complicated. If it is accompanied by spotting of vaginal bleeding or a noticeable feeling of heaviness in the abdomen, it may be a sign of threatened miscarriage. If you experience severe pain on one side of your lower abdomen, accompanied by vaginal bleeding or fainting, it may be an ectopic pregnancy and you should go to the hospital for outpatient treatment immediately.

2. Causes of abdominal pain in early pregnancy

1. Ectopic pregnancy: The typical symptoms of ectopic pregnancy can be divided into three major symptoms: amenorrhea, abdominal pain, and vaginal bleeding. Therefore, many expectant mothers are reminded to check in time.

2. Uterine and ovarian tumors: During pregnancy, complications caused by uterine and ovarian tumors are also very common. Therefore, if you are found to have uterine and ovarian tumors during pregnancy, you must see a doctor as soon as possible if you experience severe pain, abdominal discomfort, abnormal abdominal enlargement, ascites, etc.

3. Uterine fibroids: Uterine fibroids may grow during pregnancy. The effects on pregnancy include uterine fibroid transformation and necrosis, uterine fibroid distortion, and direct impact on the baby's development or obstruction of delivery. This type of pain usually comes on suddenly and persists for a long time, and is considered local pain.

4. Miscarriage: If you find lower abdominal pain and bleeding in early pregnancy, you must be vigilant. The clinical symptoms of threatened abortion may include the above symptoms.

Generally, abdominal pain is more common due to physiological reasons, such as uterine injury, etc. This is not a big deal. It will be fine as long as you rest immediately and keep warm. Some are also caused by ectopic pregnancy and gynecological diseases, which require examination and diagnosis, and subsequent treatment. Ectopic pregnancy is more dangerous.