Pregnancy brings an array of physical changes, but some can be particularly challenging. One such condition is pubic symphysis dysfunction (PSD), also known as symphysis pubis dysfunction or pelvic girdle pain. If you’re experiencing discomfort in your pelvic area, you’re not alone—PSD affects many pregnant individuals, especially in the later stages of pregnancy. Here’s what you need to know and how to find relief.
What Is Pubic Symphysis Dysfunction?
The pubic symphysis is a joint located at the front of your pelvis where the two halves meet. During pregnancy, the hormone relaxin helps loosen ligaments to prepare for childbirth. In some cases, these ligaments become too relaxed or unevenly stretched, leading to pain and instability in the pelvic area.
Symptoms of PSD
PSD can range from mild discomfort to severe pain, and symptoms often include:
- Pain in the Pubic Area: A sharp or aching sensation in the front of your pelvis.
- Radiating Discomfort: Pain may extend to your lower back, hips, thighs, or groin.
- Clicking or Grinding Sensations: You might hear or feel these in the pelvic area.
- Difficulty Moving: Pain during activities like walking, climbing stairs, or rolling over in bed.
What Causes PSD?
While the exact cause isn’t always clear, contributing factors include:
- Hormonal changes loosening the ligaments.
- Changes in posture as your body adapts to pregnancy weight.
- Previous pelvic injury or a history of PSD in earlier pregnancies.
Although PSD can’t always be prevented, there are ways to alleviate discomfort and support your body:
- Practice Good Posture:
- Avoid standing on one leg or crossing your legs.
- Sit with your back straight and use supportive cushions.
- Avoid Strenuous Activities:
- Minimize heavy lifting or activities that involve twisting your pelvis.
- Use Supportive Devices:
- A maternity support belt can provide stability and reduce strain.
- Engage in Gentle Exercises:
- Prenatal yoga or pelvic floor exercises (with guidance from a healthcare provider) can help strengthen and stabilize the area.
- Cold or Warm Compresses:
- Apply an ice pack or a warm compress to the affected area to reduce inflammation and pain.
- Physical Therapy:
- A physical therapist can recommend tailored exercises and treatments to manage PSD.
- Rest and Elevate:
- Take frequent breaks and elevate your legs to reduce pressure on your pelvis.
While PSD is generally not harmful to your baby, severe cases can significantly affect your mobility and quality of life. Contact your healthcare provider if:
- The pain becomes unbearable.
- You experience numbness or weakness in your legs.
- Symptoms persist despite at-home care.
In rare instances, medical interventions like crutches or delivery planning adjustments may be necessary.
Looking Ahead
Pubic symphysis dysfunction can be a frustrating and painful part of pregnancy, but with the right strategies, it is manageable. Remember, this is temporary and part of your body’s incredible journey to bringing life into the world. Lean on your support system, consult your healthcare team, and take each day as it comes.
Content Reviewed by Dr V.
Learn MoreDr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.