Pubic Bone Pain: Could It Be Pregnancy or Inflammation?

Pubic bone pregnancy test

Hello Doctor: For the past few days, I have been experiencing occasional pain in my pubic bone (on the left side).
It feels slightly tender when pressed, but sometimes there is no sensation at all.
My menstrual cycle has been normal for the past few months, and I have taken two pregnancy tests two months after sexual intercourse, both of which were negative.
Could this be a sign of pregnancy, or is it inflammation? Some people say that pregnancy can cause pubic pain, which makes me worried, but I have not experienced any bleeding.
I have gained about one kilogram from two months ago until now.
Is it possible that I am pregnant? My period has come regularly for three months, and there has been no sexual intercourse in between; does that mean I am 100% not pregnant (since I have tested)? Also, could you recommend any obstetricians and gynecologists in Hualien?

Yan, 10~19 year old female. Ask Date: 2019/05/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I have been experiencing occasional pain in my pubic bone (on the left side) over the past few days.
It feels slightly tender when pressed, but sometimes I have no sensation at all.
My menstrual cycle has been normal for the past few months, and I have taken two pregnancy tests two months after sexual intercourse, both of which were negative.
Could this be a sign of pregnancy or inflammation?
Answer: It is neither pregnancy nor inflammation.
Some people say that pregnancy can cause pubic pain, which is why I am concerned, but there has been no bleeding.
From two months ago until now, I have gained about one kilogram.
Could this indicate pregnancy?
Answer: It is not pregnancy; I have had my period for three months, and there has been no sexual intercourse in between, so is it 100% certain that I am not pregnant (I have tested)?
Answer: It is 100% not pregnancy.
I would also like to ask if there are any recommended obstetricians and gynecologists in Hualien?
Answer: I have not been to Hualien.

Reply Date: 2019/05/22

More Info

Pubic bone pain can be a concerning symptom, especially for individuals who are trying to understand its underlying causes. In your case, you are experiencing pain in the left pubic bone area, which can be attributed to several factors, including pregnancy, inflammation, or other musculoskeletal issues.

Firstly, it is important to address the possibility of pregnancy. You mentioned that you have had normal menstrual cycles for the past few months and have tested negative for pregnancy twice after sexual activity. If you have had regular menstrual cycles and negative pregnancy tests, the likelihood of being pregnant is significantly reduced. Pregnancy tests are generally very reliable, especially when taken after a missed period. However, if you are still concerned about the possibility of pregnancy, it may be worth consulting with a healthcare provider for further evaluation.

Regarding the pain you are experiencing, it could be related to several factors. One common cause of pubic bone pain is inflammation, which can occur due to various reasons, including physical activity, strain, or even conditions like pubic symphysis dysfunction, which is more common during pregnancy but can occur in non-pregnant individuals as well. This condition is characterized by pain in the pubic area and can be exacerbated by activities that involve the hips or pelvis.

Another possibility is that the pain could be related to musculoskeletal issues, such as muscle strain or ligamentous laxity. If you have recently increased your physical activity or have engaged in activities that put stress on your pelvic area, this could lead to discomfort.

In terms of your weight gain of approximately one kilogram, this is generally not significant and is unlikely to be a direct cause of your pubic bone pain. However, any changes in body weight can affect how your body feels and functions, particularly if you are experiencing changes in your activity levels.

If you are experiencing persistent pain, it is advisable to consult with a healthcare provider, such as a gynecologist or an orthopedic specialist. They can perform a physical examination and may recommend imaging studies, such as an X-ray or MRI, if necessary, to rule out any underlying conditions.

As for your inquiry about recommended obstetricians and gynecologists in Hualien, it is best to consult local health resources, such as hospitals or clinics, or seek recommendations from friends or family members who may have had positive experiences with specific doctors in the area.

In summary, while the symptoms you are experiencing could be related to pregnancy, the negative pregnancy tests and regular menstrual cycles suggest otherwise. The pain may be due to inflammation or musculoskeletal issues. Consulting with a healthcare provider will provide you with a clearer understanding of your condition and appropriate management options. Always prioritize your health and well-being by seeking professional medical advice when in doubt.

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