TL;DR: Pelvic pain during pregnancy is incredibly common — most of it is caused by normal physical changes like round ligament pain, loosening joints, and the growing uterus. But some types of pelvic pain do warrant prompt attention, including sharp or severe pain, pain accompanied by bleeding or fever, or pain that comes on suddenly. When in doubt, call your OB/GYN.
Experiencing pelvic pain during pregnancy? Contact the team at Lona Sasser OB/GYN.
Pelvic Pain During Pregnancy: What’s Normal, What’s Not, and When to Call Your Doctor
Pregnancy changes your body in profound ways — and your pelvis is at the center of a lot of that change. It’s not surprising that pelvic discomfort is one of the most common complaints during pregnancy. The good news is that most of it is a normal part of growing a baby. But some types of pelvic pain are worth paying attention to, and knowing the difference can give you peace of mind — and help you get care when you need it.
Pelvic pain during pregnancy can feel very different from person to person — ranging from a dull ache to sharp twinges to a deep pressure. Where you feel it, when it started, and what makes it better or worse are all clues that help your OB/GYN understand what’s going on.
At Lona Sasser Obstetrics and Gynecology, your health is our top priority. We offer comprehensive prenatal care for patients in Coral Springs, FL. To make an appointment, you can easily book online or give us a call at (954) 340-1050.
Common Causes of Pelvic Pain During Pregnancy (Usually Normal)
Round Ligament Pain
One of the most common sources of pelvic discomfort in pregnancy — especially in the second trimester — is round ligament pain. The round ligaments support the uterus and stretch as it grows. This can cause a sharp, stabbing sensation on one or both sides of the lower abdomen or groin, often triggered by sudden movements like standing up quickly, sneezing, or rolling over in bed. It’s typically brief and resolves on its own.
Pelvic Girdle Pain (PGP) and SPD
As pregnancy progresses, the hormone relaxin loosens the ligaments in your pelvis to prepare for delivery. This is a normal process, but it can sometimes cause the pubic symphysis (the joint at the front of the pelvis) to become unstable, leading to a condition called symphysis pubis dysfunction (SPD) or pelvic girdle pain. It can range from mild discomfort to significant pain with walking, climbing stairs, or turning over in bed. Physical therapy is often very helpful.
Growing Uterus and Pressure
As your uterus expands, it puts increasing pressure on surrounding structures — including the bladder, bowel, and pelvic floor. This can cause a general sense of heaviness or pressure in the pelvic region, especially in the third trimester. It’s one of the less glamorous but very normal parts of late pregnancy.
Braxton Hicks Contractions
Braxton Hicks are irregular, practice contractions that can cause tightening or cramping in the lower abdomen and pelvis. They’re usually painless or mildly uncomfortable, don’t follow a regular pattern, and typically stop with movement or rest. They’re a normal part of pregnancy, particularly in the second half.
When Pelvic Pain During Pregnancy Needs Prompt Attention
While most pelvic pain in pregnancy is benign, some types warrant a call to your doctor — or a trip to the emergency room. Contact your OB/GYN promptly if you experience:
- Severe or sudden pelvic or abdominal pain
- Pain accompanied by vaginal bleeding
- Regular, rhythmic cramping or contractions before 37 weeks (which could signal preterm labor)
- Pain with fever, chills, or burning with urination (which could indicate infection)
- Pain concentrated on one side of the lower abdomen early in pregnancy (which could indicate an ectopic pregnancy)
- Decreased fetal movement along with pelvic pain
These symptoms don’t always mean something is seriously wrong — but they do mean you should be evaluated. Trust your instincts. If something feels off, call.
Pelvic Pain by Trimester: What to Expect
First Trimester
Mild cramping in early pregnancy is common as the uterus begins to grow and implantation occurs. However, significant pelvic pain or one-sided pain in the first trimester should always be evaluated to rule out ectopic pregnancy or miscarriage.
Second Trimester
This is when round ligament pain tends to peak. It’s also when pelvic girdle pain may begin. Most second trimester pelvic discomfort is related to the physical changes of a growing pregnancy, but any pain accompanied by bleeding, contractions, or other concerning symptoms should prompt a call to your provider. If you have a history of uterine fibroids, your OB/GYN may want to monitor their size and position during pregnancy.
Third Trimester
Pelvic pressure and heaviness are very common in the third trimester as the baby descends into the pelvis (a process called engagement or lightening). Braxton Hicks contractions also become more frequent. Distinguishing Braxton Hicks from real labor contractions is an important skill — your OB/GYN can walk you through the differences at your prenatal visits.
Managing Pelvic Pain During Pregnancy
For most types of pelvic discomfort in pregnancy, there are safe, practical steps that can help:
- Rest and position changes — lying on your side with a pillow between your knees can relieve pressure
- A supportive pregnancy belt or pelvic support garment — especially helpful for pelvic girdle pain
- Warm compresses (not hot) — can soothe sore muscles and ligaments
- Prenatal physical therapy — highly effective for pelvic girdle pain and round ligament pain
- Acetaminophen — the recommended OTC pain reliever during pregnancy when needed; always check with your OB/GYN before taking any medication
Avoid prolonged standing, heavy lifting, or activities that aggravate your symptoms. If pain is interfering significantly with daily life, let your provider know — there’s a lot that can be done to help.
You Don’t Have to Wonder — We’re Here to Help
At Lona Sasser Obstetrics & Gynecology, your health is our top priority. We offer comprehensive prenatal care and obstetric services for patients in Coral Springs, FL. Our team — Dr. Lona Sasser, Dr. Mary Squire-De Leon, and Dr. Cherelle Leslie — is here to answer your questions and keep you and your baby healthy throughout pregnancy.
We serve women in Coral Springs, Tamarac, Parkland, Coconut Creek, Deerfield Beach, North Lauderdale, and Boca Raton.
Book your prenatal appointment online through Zocdoc or call us at 954-340-1050. Questions are always welcome.
Frequently Asked Questions About Pelvic Pain During Pregnancy
Is pelvic pain a sign of miscarriage?
Pelvic cramping can be associated with miscarriage, but it’s far more often a normal part of early pregnancy. The key distinction is whether it’s accompanied by heavy bleeding and whether it progresses. If you’re concerned, contact your OB/GYN — they can evaluate you and provide reassurance or appropriate care.
Can pelvic pain during pregnancy harm my baby?
Most types of pelvic pain — including round ligament pain and pelvic girdle pain — don’t affect your baby’s health or development. They’re a result of your body adapting to pregnancy. If pain is caused by a more serious condition, your OB/GYN will discuss the implications with you directly.
When does pelvic pain in pregnancy go away?
Most pelvic discomfort resolves after delivery, once the hormonal and physical pressures of pregnancy lift. Pelvic girdle pain may take a few weeks postpartum to fully resolve. If pelvic pain persists after birth, it’s worth discussing with your provider.
Is it normal to have pelvic pressure in the third trimester?
Yes. As the baby moves lower in preparation for birth, pelvic pressure and a feeling of heaviness are very common. This can start weeks before labor and is typically a normal sign of progress.
Photo by Ramon Hernandez