What is the reason for stomach pain like dysmenorrhea in early pregnancy?

Stomach pain like dysmenorrhea in early pregnancy may be related to factors such as hormonal changes, uterine enlargement, threatened abortion, ectopic pregnancy, urinary system infection, etc., and can be treated through rest and observation, drug treatment, surgical intervention, etc. If the pain persists or worsens, it is recommended to seek medical treatment promptly.

1. Hormone changes

Increased levels of progesterone in the body after pregnancy will cause the smooth muscles of the uterus to relax, which may cause lower abdominal pain similar to dysmenorrhea. This pain is usually mild and short-lived, does not require special treatment, and can be relieved by bed rest. Avoid strenuous exercise or standing for long periods of time, and wear loose clothing to reduce abdominal compression.

2. Uterine enlargement

After the embryo implants, the uterus gradually expands and pulls the surrounding ligaments, which may cause intermittent dull pain, especially when the body position changes. It is recommended to use a belly support belt for pregnant women to reduce the pulling sensation and apply local hot compress at a temperature not exceeding 40°C for 15-20 minutes each time. If it is accompanied by vaginal bleeding, you need to be alert to threatened abortion.

3. Threatened abortion

It may be related to the insufficiency of the corpus luteum and embryonic chromosomal abnormalities, which manifests as paroxysmal colic with brown discharge. It is necessary to follow the doctor's advice to use progesterone capsules, dydrogesterone tablets and other drugs to protect the fetus, and absolutely stay in bed. Avoid eating foods that may promote uterine contractions, such as hawthorn and barley.

4. Ectopic pregnancy

Implantation of the fertilized egg in the fallopian tube will cause tearing pain on the affected side, which may be accompanied by radiating pain in the shoulder and a feeling of swelling in the anus. Immediate surgery is required after diagnosis, such as fallopian tube fenestration or methotrexate injection treatment. People with a history of pelvic inflammatory disease or fallopian tube surgery need to be extra vigilant.

5. Urinary system infection

Decreased immunity during pregnancy can easily lead to cystitis, lower abdominal pain and frequent urination and urgency. You can take cefaclor dry suspension, fosfomycin trometamol powder and other safe antibiotics during pregnancy as directed by your doctor, and drink more than 2000 ml of water every day to avoid holding in urine.

In the early stages of pregnancy, you should maintain 8 hours of sleep a day and consume nuts and dark vegetables rich in vitamin E to help stabilize the uterine environment. Perform pregnancy yoga 3-5 times a week to improve blood circulation and avoid supine positioning. Record the frequency and duration of pain. If there are more than 3 regular contractions per hour or bright red bleeding occurs, emergency treatment is required immediately. Monitor changes in HCG and progesterone levels during regular prenatal check-ups, and perform ultrasound examinations if necessary to rule out abnormalities in embryonic development.