When the pregnant woman enters the 32nd week of gestation, that is, in the third trimester, there is a discomfort that is repeated in many women as the days go by: punctures in the vagina area. Why does vaginal pain occur in pregnancy? What can it mean? Is there any treatment for it? The gynecologist Alexandra Henríquez gives us an answer to all these questions.
The changes that women experience in their body from the moment they become pregnant are many and varied. This time we are going to focus on those known as Vaginal pain or pricking in the area of the vagina and vulva.
From the sixth week of gestation, the vaginal mucosa loses its normal pink color, becomes more congestive and acquires a subtly purple color. There is also an increase in vascularity and hyperemia that affects the skin, vulva and muscles of the perineum. The external genitalia are becoming more edematous and with a more bluish tone.
Likewise, the increase in vascularization together with uterine compression conditions a dilation of the superficial venous system, which in turn can produce varicose veins in the vulva that can be annoying or bleed with friction.
Towards the end of pregnancy, the baby is usually positioned with the head towards our pelvis (what is known as cephalic position). This causes small punctures in this part of the body, but also in the hips; and the head is looking for a place and is 'crashing' against the edges of the pelvis to accommodate.
The vaginal walls undergo marked changes and begin to prepare for distension during delivery, with considerable increase in mucosa, relaxation of connective tissue, and hypertrophy, resulting in increased vaginal length.
These punctures can be very annoying and can prevent a woman from walking. Many women have to stop when they are walking and feel one of these pricks. Pregnant women describe them as annoying, but don't worry because what it means is that delivery is near.
At first there is no treatment for vaginal pricks because they are produced by compressive and congestive phenomena, that is, the normal modifications during pregnancy.
Gynecologists use progesterone to decrease uterine contractions, but for vaginal pricks it could still be useful, but it does not make sense since what it means is rather late in pregnancy and what we want are natural contractions and not have to provoke childbirth.
There are women who hardly even know that they are pregnant, because they hardly have discomfort during the nine months of gestation. Others, meanwhile, maintain the nausea until the day of delivery. Each trimester of pregnancy has its good and bad characteristics. And since we are talking about the vaginal pain As a typical 'discomfort' of the last months and weeks of pregnancy, we are going to list other discomforts and changes that can occur in this period and moment of a woman's life.
- You may start the term with a lot of energy, but as the weeks progress you can notice great fatigue and you can look too clumsy to do some things.
- Emotionally you will be more sensitive. You know that the moment of delivery is approaching and that makes you feel like a roller coaster: fear of childbirth, joy in hugging your baby, uncertainty to see what your life will be like from now on ...
- You will experience what is known as the nest syndrome. You will have the urgent need to have everything prepared and clean to receive your little one.
- Your hands, feet and face will swell. It will not be overnight, but if you wear a ring, better take it off now. If in addition to swelling you notice that you have a headache, dizziness or that your vision is cloudy, go immediately to the doctor.
- The gut continues to grow and your skin may suffer, especially that of the gut and legs. Stretch marks may start to appear (if they haven't already)! Tip: keep these areas of your body well hydrated.
- During this third trimester, experts say that is when increased weight gain it is produced. Control your diet well because excess weight can not only cause pain in your hips and back but also cause problems in the face of childbirth.
- You will notice a considerable increase in the volume of your breasts, and is that they are preparing for the rise of milk and you may even add some liquid. Don't worry, it is what is known as colostrum, the first milk your baby will drink.
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