Your pubic area can hurt after giving birth for several reasons, primarily related to the physical trauma and changes your body undergoes during pregnancy and delivery.
Common Causes of Postpartum Pubic Area Pain:
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Stretching of Pelvic Floor Muscles and Nerves: The passage of the baby through the birth canal stretches and potentially damages the pelvic floor muscles and nerves. This stretching and potential tearing can cause significant pain and discomfort in the pubic area.
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Pressure During Pregnancy: The weight of the baby during pregnancy puts immense pressure on the pelvic floor. This sustained pressure can lead to inflammation and pain in the pubic region.
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C-Section Related Nerve Irritation: Even if you had a Cesarean section, you may experience pubic area pain. The surgical procedure can irritate nerves in the pelvic region, leading to postoperative pain.
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Hormonal Changes: Hormonal shifts following childbirth can affect ligaments and joints, potentially contributing to pain and instability in the pelvic area, including the pubic symphysis (the joint at the front of your pelvis).
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Pubic Symphysis Dysfunction (PSD): Also known as Symphysis Pubis Dysfunction (SPD), this condition occurs when the pubic symphysis joint becomes overly mobile, causing pain in the pubic area, lower back, and hips. Pregnancy hormones that relax ligaments contribute to this condition.
What to Do About Postpartum Pubic Area Pain:
While postpartum pain is common, it's important to address it to improve your comfort and recovery. Here are some steps you can take:
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Rest: Avoid strenuous activities and give your body time to heal.
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Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage the pain. Consult your doctor before taking any medication, especially if you are breastfeeding.
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Ice Packs: Applying ice packs to the area can help reduce inflammation and pain.
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Pelvic Floor Exercises (Kegels): Strengthening your pelvic floor muscles can improve support and reduce pain. Consult with a physical therapist to learn proper techniques.
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Physical Therapy: A physical therapist specializing in pelvic floor health can assess your condition and provide targeted exercises and treatments.
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Supportive Garments: Wearing supportive underwear or a pelvic support belt can help stabilize the pelvic area and reduce pain.
When to Seek Medical Attention:
While some discomfort is normal, it's important to consult your doctor if:
- The pain is severe or worsening.
- You experience difficulty walking or moving.
- You have any signs of infection, such as fever, redness, or discharge.
- The pain interferes with your ability to care for yourself or your baby.
