What is round ligament pain? Round ligament pain is a common pregnancy symptom often experienced during the second trimester. This discomfort arises from the stretching and thickening of the ligaments supporting your growing uterus.
Key Points:
– Sharp, brief pain: Typically felt on either side of the lower abdomen or groin.
– Occurs with movement: Pain often triggered by sudden movements, laughing, or coughing.
– Normal during pregnancy: A common, harmless symptom in the second trimester.
Understanding what is round ligament pain is essential for expectant mothers.
Round ligament pain is a sharp, brief pain that occurs in the lower abdomen or groin, primarily during the second trimester. It is caused by the stretching and tension of ligaments as the uterus grows.
I’m Matthew Casavant. With experience in obstetrics and minimally invasive surgery, I specialize in guiding expectant mothers through the nuances of pregnancy symptoms like round ligament pain.

What is Round Ligament Pain?
Understanding what is round ligament pain is essential for expectant mothers.
Round ligament pain is a sharp, brief pain that occurs in the lower abdomen or groin, primarily during the second trimester. It is caused by the stretching and tension of ligaments as the uterus grows.
The Ligaments Involved
You have two round ligaments, one on each side of your uterus. These ligaments are like ropes that help keep your uterus in place. During pregnancy, as your uterus expands, these ligaments stretch and may spasm, causing pain.
What Does It Feel Like?
Most people that ask ‘What is round ligament pain?’ also typically ask for a description of the pain to better understand it. Most describe round ligament pain as a sharp, stabbing, or stretching sensation. It can feel like a sudden jolt or tug in your lower abdomen or groin. This pain often catches you by surprise and usually happens when you move quickly—like rolling over in bed or standing up too fast.
When Does It Happen?
Round ligament pain is most common in the second trimester. This is when your uterus is growing rapidly, putting more tension on the ligaments.
Why Does It Happen?
The pain occurs because the round ligaments are stretching and thickening to support your growing uterus. When you make sudden movements, these ligaments can tighten quickly, causing a sharp pain.
Fact: According to Healthwise, round ligament pain affects between 10 and 30 percent of pregnant women.
Is It Dangerous?
The good news is that round ligament pain is not dangerous for you or your baby. It’s a normal part of pregnancy and usually goes away on its own or after resting.

Next, we’ll dive into the causes of round ligament pain and what you can do to manage it.
Causes of Round Ligament Pain
Round ligament pain can be quite uncomfortable, but understanding its causes can help you manage it better. Let’s break down the main reasons behind this common pregnancy symptom.
Growing Uterus
As your baby grows, your uterus expands significantly. This rapid growth puts extra tension on the round ligaments, which are responsible for supporting your uterus. The extra weight and size of the uterus make these ligaments work harder, leading to discomfort.
Fact: The round ligaments can stretch up to 10-12 centimeters during pregnancy to support your growing belly.
Stretching Ligaments
The round ligaments, which connect the uterus to the lower abdominal wall, stretch and thicken to accommodate the growing uterus. This stretching can cause pain, especially when you move suddenly or change positions quickly.
Note: The pain is usually felt in the lower abdomen, groin, or hips and can be sharp and short-lived.
Sudden Movements
Round ligament pain often strikes when you make sudden movements. Actions like standing up quickly, rolling over in bed, or even sneezing can trigger this pain. The ligaments, which are already stretched, get pulled even more during these movements, causing a brief but sharp pain.
Tip: To avoid triggering this pain, try to move slowly and support your belly when you need to change positions.
Hormonal Changes
Hormonal changes during pregnancy also play a role in round ligament pain. Hormones like relaxin and progesterone cause the ligaments to become more flexible, which can lead to increased stretching and discomfort as your uterus grows.
Quote: “Round ligament pain is a normal part of pregnancy and usually goes away on its own or after resting,” says Healthwise.
Understanding these causes can help you recognize why you’re experiencing this pain and take steps to manage it. In the next section, we will discuss various symptoms of round ligament pain to help you identify it more easily.
Symptoms of Round Ligament Pain
Round ligament pain is one of the most common discomforts during pregnancy. It’s often described as a sharp pain that can take you by surprise.
Sharp Pain
The pain is usually sudden and intense. Dr. Kameelah Phillips, an ob-gyn, describes it as a “shooting pain” that radiates from your lower abdomen into your groin. This sharp, jabbing feeling often happens when you change positions quickly, like getting out of bed or standing up too fast.
Cramping
Some women also experience cramping sensations. These cramps can feel similar to menstrual cramps and are typically felt in the lower abdomen. They may be more noticeable on one side of your body, but can also occur on both sides.
Pulling Sensation
Another common symptom is a pulling sensation. This feels like a tugging or stretching in your lower abdomen. It’s caused by the round ligaments stretching and can be particularly uncomfortable when you cough, sneeze, or laugh.
Lower Abdomen
The pain primarily affects the lower abdomen. This area is where the round ligaments support your growing uterus. The discomfort can sometimes extend into your hips and groin, making it difficult to pinpoint exactly where the pain is coming from.
Groin
Groin pain is another hallmark of round ligament pain. The pain can travel downward from your hips into your groin area. This can make activities like walking or rolling over in bed particularly uncomfortable.
Hips
Finally, some women feel the pain in their hips. This is less common but can occur as the ligaments stretch and pull on nerve endings in the area.
Fact: Round ligament pain is more commonly felt on the right side of the body, though it can occur on the left side or both sides.
Recognizing these symptoms can help you better understand and manage round ligament pain. Up next, we’ll explore how to manage this discomfort effectively.
How to Manage Round Ligament Pain
With understanding ‘What is round ligament pain?’ comes also managing it with a few simple strategies that can make a big difference in your comfort. Here’s how:
Rest
Taking breaks and resting can significantly reduce pain. If certain activities trigger your pain, try to avoid them. For example, if standing for long periods causes discomfort, make sure to sit down and rest frequently.
Gentle Exercises
Staying active is important, but you need to choose the right exercises. If your doctor says it’s okay, try moderate activities like:
- Water aerobics: Gentle on your belly and helps relieve pain.
- Prenatal yoga: Focuses on gentle stretching and breathing exercises. Always choose prenatal-specific classes.
Avoid Sudden Movements
Sudden movements can stretch the ligaments quickly and cause pain. To avoid this:
- Move slowly and change positions gradually.
- Avoid abrupt actions like standing up quickly or rolling over in bed.
- If you feel a sneeze or cough coming on, lean forward and support your belly with your hands.
Warm Compress
Applying a warm compress to your lower abdomen can help soothe the pain. Just be careful not to make it too hot. A warm bath can also provide relief.
Acetaminophen
For pain relief, you can take acetaminophen. Always follow the instructions on the label and consult your doctor before taking any medication.
Belly Band
Wearing a support band can provide extra support to your growing belly. This can help take some pressure off your round ligaments and make moving around more comfortable.
By incorporating these methods, you can manage round ligament pain more effectively and enjoy a more comfortable pregnancy.
When to Seek Medical Attention
While round ligament pain is a common and usually harmless part of pregnancy, there are times when you should seek medical attention. Knowing when to call your healthcare provider can ensure both your safety and your baby’s.
Severe Pain
If you experience severe pain that doesn’t go away with rest or over-the-counter pain relief, contact your doctor immediately. Persistent or intense pain might indicate a different issue that needs medical evaluation.
Bleeding
Vaginal bleeding during the second trimester is not typical and should be reported to your healthcare provider immediately. Bleeding can be a sign of complications that require urgent attention.
Contractions
If you feel regular contractions, especially if they are getting closer together, call your doctor. This could be a sign of preterm labor, which needs prompt medical care.
Fever
A fever or chills along with abdominal pain might indicate an infection. Contact your healthcare provider right away if you notice these symptoms.
Nausea
Nausea or vomiting not related to morning sickness can be a sign of a more serious condition. If you experience these symptoms, seek medical advice.
Difficulty Walking
If you have trouble walking due to pain, it’s essential to contact your healthcare provider. This could be a sign of a more severe issue that needs to be addressed.
Always trust your instincts. If something feels off, don’t hesitate to reach out to your healthcare provider. They are there to help you have a safe and healthy pregnancy.
Frequently Asked Questions about Round Ligament Pain
What does round ligament pain feel like?
Round ligament pain is often described as a sharp, stabbing, or stretching sensation. This discomfort typically occurs in the lower abdomen, groin, or hips. Many women notice it when they make sudden movements, such as getting out of bed, coughing, or rolling over in bed. Imagine a sudden, intense pain that catches you off guard. It’s usually brief but can be quite startling.
What can be mistaken for round ligament pain?
Several conditions can mimic the symptoms of round ligament pain:
- Hip Flexor Strain: Pain from a strained hip flexor muscle can feel similar but is more likely to be linked to specific physical activities or exercise.
- Hernia: A hernia can cause pain in the lower abdomen or groin, similar to round ligament pain, but it often comes with a noticeable bulge.
- Pelvic Girdle Pain: This type of pain is more widespread in the pelvic area and can be more persistent than the brief, sharp pains of round ligament pain.
Does round ligament pain mean the baby is growing?
Yes, experiencing round ligament pain is a normal part of pregnancy and indicates that your uterus is growing to accommodate your baby. This type of pain is most common during the second trimester when your uterus expands more rapidly. It’s a typical pregnancy symptom and usually not a cause for concern.
For more detailed information, you can refer to Healthwise or consult with your healthcare provider.
Conclusion
At South Lake OB/GYN, we understand that pregnancy can come with its own set of challenges, including the discomfort of round ligament pain. Our team is dedicated to providing personalized care to ensure you have a smooth and comfortable pregnancy journey. We hope we answered the question ‘What is round ligament pain?’ well and thoroughly in this article.
We offer a supportive environment where you can openly discuss your symptoms and concerns. Our experienced healthcare providers are always ready to guide you through effective pain management strategies, from gentle exercises to safe pain relief methods.
Whether it’s your first pregnancy or you’re adding to your family, South Lake OB/GYN in Clermont, FL is here to support you every step of the way. We believe in offering comprehensive pregnancy care that addresses both your physical and emotional needs.
For more information or to schedule an appointment, visit our Obstetrics Services page. We’re here to help you enjoy a healthy and happy pregnancy.


