Ovarian torsion is a medical emergency because it can cut off the blood supply and destroy the ovary. The ovary may rupture, which can lead to life threatening bleeding. Prompt emergency treatment is important for the survival of both the woman and the developing fetus.
Ovarian torsion causes sudden, sharp, overwhelming pain that may get steadily worse. The pain does not go away or get better with massage. For some women, the pain is intense enough to cause vomiting or fainting. An ectopic pregnancy happens when an egg implants and grows somewhere other than the uterus — usually in the fallopian tubes. Factors that increase the risk of ectopic pregnancy include:.
An ectopic pregnancy is not viable. If it continues to grow, it may damage organs or cause life threatening bleeding. Once a pregnancy implants in the uterus, it will not move to another location. If an ultrasound confirms that the fetus is developing in the uterus, a woman does not need to worry about ectopic pregnancy. Numerous health issues, many of which do not have a direct association with pregnancy, can cause pain in the abdomen when a woman is pregnant.
Some pregnant women may think that their uterus is higher in the abdomen than it actually is and, thereby, mistake other forms of abdominal pain for uterus pain. Below are some other potential causes of abdominal pain during pregnancy and their symptoms:. A pregnant woman may also mistake gastrointestinal pain for uterus pain. Constipation is a common pregnancy complaint that can cause a range of sensations in the stomach, including sharp or shooting pains.
The right treatment depends on the cause of the pain. Women who experience normal early pregnancy aches and pains, such as those that are due to pelvic floor discomfort or round ligament pain, may find relief by:. Surgery can treat ovarian torsion. In some cases, the surgeon will be able to save the ovary, but in others, this organ may require removal. A woman should see a healthcare professional at least once during her first trimester to confirm the pregnancy, assess its viability, and ensure that the fetus is growing in the uterus.
This appointment provides a good opportunity to discuss aches and pains and to ask what is and is not normal. For most women, uterus pain in early pregnancy is a temporary discomfort that comes and goes. The pain may change as the pregnancy progresses. Some women find that it gets better. Others notice an improvement during the second trimester and then an increase in pain as the uterus expands in the third trimester. When pain is intense or occurs alongside other symptoms, it is important to see a healthcare professional.
However, it is difficult to treat during pregnancy. If the infection or condition is serious, the surgery can be done, relatively safer in the 2nd trimester. Pregnant women are more prone to urinary tract infections, and that can be confused with ovarian pain. Urinary tract infections can be treated with antibiotics. Your doctor will prescribe you a course of antibiotics and ask you to take rest. Make sure to complete this course to get rid of the infection and the pain.
You will have to follow-up with your doctor to check if the infection is gone. Your ovaries are not supposed to produce eggs while you are pregnant. However, they continue to do so in some women. The ovaries keep on releasing eggs, and this can cause mild pain. This runs the risk of double pregnancy, and you cannot take birth control pills during this time. Your doctor will ask you to use a condom while having sex to prevent complications.
Do not take analgesics for pain as these come with serious side effects and can harm your pregnancy. Analgesics are to be taken only under medical supervision. Fibroids or non-cancerous ovarian tumours can also cause a lot of pain. These can also lead to pain in the pelvic region. If you are planning to get pregnant, get your uterus checked first to ensure it is healthy and up for it. Fibroids can form due to injuries or diseases. Endometriosis or the abnormal growth of the tissue lining the uterus, making it move outside the uterus can also lead to ovarian pain, which is usually not felt as the pregnancy hormones control the pain.
Ovarian pain during pregnancy can also be due to a miscarriage. A miscarriage is associated with excessive pain in the uterus, and it can last up to 10 days. Talk to your doctor immediately as miscarriage needs treatment.
As your pregnancy reaches weeks, all the organs in the pelvic region start making space for the baby. You could experience ovarian pain due to this reason, which is normal, and you do not need to worry about it. Some cramping of the muscles to accommodate the baby is also normal. However, molar pregnancy is something you need to be aware of. Molar pregnancy is when the baby grows as a lump of tissues. It is associated with vaginal bleeding and a lot of pain.
The embryo cannot survive, and the lump needs to be removed immediately. You may experience ovarian pain during pregnancy if you have kidney stones. The pain spreads from the kidneys to your ovary, and you will also have a burning sensation while passing urine. If your urine has blood, the chances are high that you have kidney stones.
Your doctor will recommend drinking a lot of water to dissolve the stones. Bigger stones might require other interventions. There could be simple or complex ovarian cysts which can also get a torsion.
Twisting of these cysts can cause extreme pain. Implantation occurs when a fertilized egg attaches to the interior lining of the uterus. It typically occurs 6 to 12 days after conception. Implantation occurs before you are far enough along to have a positive pregnancy test. You may need emergency medical care, especially if you have sharp or chronic pain along with one or more of the following symptoms:. But if your doctor does not recommend any medical treatment for your pain, you may be able to manage mild discomfort at home.
Talk to your doctor before taking medication to manage pain. You should also talk to you doctor before applying heat, such as from a hot compress. Too much heat could cause serious birth defects. For treatment of an ovarian cyst, your doctor will take into account factors like the size of the cyst, whether or not it has ruptured or twisted, and how far along you are in your pregnancy.
They will make a treatment recommendation that will give you and your baby the healthiest outcome possible. In some cases, surgery can be safely performed during pregnancy.
Your healthcare team will tell you about the risks and possible outcomes based on your circumstances. If your pain is caused by an ectopic pregnancy, your doctor will likely prescribe the medication methotrexate.
This drug can stop the growth of rapidly dividing cells, such as the cells of the ectopic mass. If you are having a miscarriage, you may be able to pass the pregnancy at home.
In other cases, you may need medication to help you pass the tissue from the pregnancy loss or you may need a procedure known as dilation and curettage D and C. D and C is a minor surgery that can be used to remove the tissue from the lost pregnancy.
Your doctor and healthcare team can come up with a treatment plan for the healthiest outcome. Uterus pain in early pregnancy may be caused by gas or the stretching of your uterus.
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