Reply to Idiopathic pelvic pain during early pregnancy

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[quote=Anonymous]From weeks four to seven of my first pregnancy, I suffered debilitating episodes of pelvic pain (severe cramping and pulling sensations) lasting ten minutes at a time between 8 and 30 times a day. It started—and resolved—gradually, with week five and six having the most frequent and severe episodes. After week eight, the pain never returned. I went through labor unmedicated and, with hindsight, now can compare the pain the contractions (not exactly the same but similar).

During and after pregnancy, I saw numerous specialists including OBs, a gynecologist, a MFM, midwives, gastroenterologists, an urologist, an internist, and a pain doctor. Multiple imaging studies and labs were ordered. Nothing abnormal was found. During the worst of it, I asked to be hospitalized, so I could be observed and have the pain managed, but my doctors refused as it was not clear what was wrong. We discussed termination of the pregnancy but, because my OBs said that the pain wasn’t obstetric, there was no guarantee that an abortion would stop it. Luckily, it resolved on its own.

We would like to try for a second child, but my husband and I are frightened of the pain occurring again—this time with a toddler in our care. No one has any answers what caused it. The best guess — and that is all it is — is endometriosis adhesions in my abdominal cavity that were pulled as my uterus shifted in early pregnancy. The theory is not perfect because (1) four years before pregnancy, I had exploratory surgery but no endo was visible at that time and (2) endo usually gets better, not worse, in early pregnancy due to the hormones.

I want to know what was wrong, so that in case it happens again, we have an idea of how to treat me, but none of the doctors I consulted had ever heard of symptoms like this and I’m not sure where to go next. I can’t be the only woman that this has happened to. Does it sound familiar to any of you? Where would you go next?

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