Lower Abdominal Pain: Could It Be Pregnancy or Something Else?

Lower abdominal pain. Could it be pregnancy?

Hello, doctor! My menstrual periods have been regular for the past few months.
However, about two months ago, I noticed some spotting the day before my period started.
Since my last period ended, I've been experiencing increased vaginal discharge, sometimes yellowish in color.
I've also felt a bloated sensation in my lower abdomen, and for the past couple of days, I've been having intermittent abdominal pain, which sometimes feels like something is stabbing me and other times like something is hitting me.
Could this be a sign of pregnancy, or is there something else going on?

Nn, 10~19 year old female. Ask Date: 2020/05/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used for assessment.
There are many potential causes for abdominal pain, so if the symptoms persist, it is advisable to consult a physician for evaluation.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2020/05/07

More Info

Lower abdominal pain during pregnancy can be concerning, especially when accompanied by other symptoms. Based on your description, it seems you are experiencing a combination of symptoms that could be related to various conditions, including pregnancy, hormonal changes, or even gastrointestinal issues.

Firstly, the presence of blood-tinged discharge before your menstrual period could indicate hormonal fluctuations, which are common in the menstrual cycle. However, if you have missed your period and are experiencing symptoms such as abdominal pain and increased vaginal discharge, it is important to consider the possibility of pregnancy. The symptoms you describe, such as a feeling of fullness in the lower abdomen and intermittent sharp pains, can be associated with early pregnancy. These pains might be due to the stretching of the ligaments as the uterus expands, which is a common occurrence in early pregnancy.

However, it is also essential to rule out other potential causes of your symptoms. Conditions such as ovarian cysts, pelvic inflammatory disease, or even gastrointestinal issues like constipation or irritable bowel syndrome can also present with similar symptoms. The yellowish discharge you mentioned could be a sign of an infection, which should be evaluated by a healthcare professional.

Given your symptoms, it is advisable to take the following steps:
1. Take a Pregnancy Test: If you suspect you might be pregnant, taking a home pregnancy test can provide clarity. If the test is positive, you should schedule an appointment with your healthcare provider for further evaluation and prenatal care.

2. Monitor Symptoms: Keep track of your symptoms, including the frequency and intensity of the abdominal pain, any changes in discharge, and any other unusual symptoms. This information will be helpful for your healthcare provider.

3. Seek Medical Attention: If the abdominal pain becomes severe, is accompanied by heavy bleeding, fever, or other concerning symptoms, seek medical attention immediately. These could be signs of a more serious condition that requires prompt evaluation.

4. Consider a Gynecological Evaluation: If pregnancy is ruled out, or if you continue to experience symptoms, it may be beneficial to consult with a gynecologist. They can perform a pelvic exam, ultrasound, or other diagnostic tests to determine the cause of your symptoms.

In summary, while your symptoms could indicate pregnancy, they could also be related to other medical conditions. It is crucial to take a pregnancy test and consult with a healthcare provider to ensure that you receive appropriate care and guidance based on your specific situation. Early intervention can help address any potential issues and provide peace of mind.

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