Round ligament pain is a common experience for many pregnant individuals. While typically characterized by fleeting sensations, a common concern is whether this discomfort can become constant. Understanding its nature can help clarify why it might sometimes feel prolonged.
What is Round Ligament Pain
The round ligaments are two cord-like structures located on either side of the uterus. They connect the uterus to the lower abdominal wall, extending through the groin area. These ligaments support the uterus within the pelvic cavity. As pregnancy progresses and the uterus expands, these ligaments lengthen, thicken, and stretch.
This stretching and increased tension can lead to pain. Round ligament pain commonly presents as a sharp, stabbing, or pulling sensation in the lower abdomen or groin, occurring on one or both sides. It often intensifies with sudden movements like standing up quickly, rolling over in bed, coughing, sneezing, or laughing. While these sharp pains are typically brief, lasting only a few seconds or minutes, they can be quite noticeable.
Reasons for Persistent Discomfort
While round ligament pain is most often sharp and fleeting, some individuals experience a more persistent or constant ache. This prolonged discomfort is generally a duller, lingering ache in the lower abdomen or groin. It can feel like tugging on the inside of the lower abdomen or a generalized pressure extending into the hip area. This sensation might intensify as the day progresses, particularly after activity.
This constancy arises because the ligaments are under continuous tension as they support the rapidly growing uterus. Sustained physical activity, such as prolonged walking or standing, can lead to overworked ligaments, contributing to a constant ache rather than intermittent sharp pains. Certain body positions or repetitive movements can also keep the ligaments under strain, preventing them from fully relaxing. This sustained strain can result in lingering discomfort.
Strategies for Relief
Several approaches can help alleviate persistent round ligament pain. Rest is often beneficial, and taking breaks throughout the day can reduce strain on the ligaments. Changing positions slowly, especially when getting up, can prevent sudden stretching that triggers pain. When coughing or sneezing, flexing the hips or leaning forward can also help mitigate discomfort.
Support garments, such as maternity belts or belly bands, can provide gentle support to the growing abdomen, relieving pressure on the round ligaments. Applying warmth through a warm compress or bath can help relax muscles and ligaments, easing the aching sensation. Gentle stretching exercises or prenatal yoga, if approved by a healthcare provider, may improve flexibility and provide relief. For pain relief, acetaminophen can be considered after consulting with a healthcare provider.
When to Seek Medical Advice
While round ligament pain is a normal part of pregnancy, certain symptoms warrant medical evaluation. Pain that is severe, does not subside with rest or position changes, or is prolonged should be discussed with a healthcare provider. This is particularly important if the pain is accompanied by other concerning symptoms.
Symptoms indicating a need for medical attention include vaginal bleeding or unusual discharge. Fever or chills alongside abdominal pain also require prompt evaluation. Other warning signs include painful urination, contractions, new or increased lower back pain, nausea or vomiting not related to morning sickness, or difficulty walking. These symptoms could suggest a more serious underlying condition.