# Round Ligament Pain in the second trimester

Source: https://www.pregnancypowerhour.com/trimester-conditions/round-ligament-pain-in-second-trimester
Last updated: 2026-04-29

> In the second trimester, round ligament pain often becomes more noticeable as your uterus undergoes rapid growth, leading to sharper, more frequent twinges in the groin area.

For many expectant parents, the second trimester brings a new phase of pregnancy, often accompanied by the familiar sensation of round ligament pain, or those 'sharp groin twinges.' While you might have experienced this in the first trimester, it commonly becomes more pronounced now, particularly between weeks 14 and 22.

## Why it shows up this trimester

The second trimester is a time of significant growth for your baby and, consequently, your uterus. Your uterus expands rapidly, stretching the two round ligaments that connect it to your groin area. These ligaments are usually soft and pliable, but as they stretch to accommodate your growing uterus, they can become taut. Sudden movements, like standing up quickly, coughing, or rolling over in bed, can cause these stretched ligaments to spasm, leading to that characteristic sharp sensation.

## What it tends to feel like now

In this window, round ligament pain is typically described as a sharp, stabbing, or pulling sensation on one or both sides of your lower abdomen or groin. It often comes on suddenly and can be quite startling. While it's usually brief, lasting only a few seconds, some people report a dull ache that lingers afterward. It's distinct from uterine contractions and generally eases with rest and positional changes. Understanding this pattern can bring a sense of calm and clarity.

## What helps in this window

Supporting your body as it adapts to these changes can make a difference. Gentle movements, like slow stretches or prenatal yoga, might help. When changing positions, try to do so slowly and mindfully. Some find comfort in wearing a supportive belly band or maternity belt, which can offer a little extra lift to your growing uterus. Hydration is always a good idea, and listening to your body's cues for rest is paramount. Applying a warm compress to the affected area is another option many parents find soothing. Remember, you get to decide what feels right for your body.

## Working with your care team

While round ligament pain is a normal and common part of pregnancy, it's always wise to discuss any new or concerning symptoms with your healthcare provider. They can help differentiate round ligament pain from other potential causes of discomfort. Brittany is a trained birth doula. She is not a doctor, midwife, labor & delivery nurse, RN, NP, PA, nutritionist, or dietitian. PPH is practical wellness guidance and education — not medical care. Your provider is your best resource for your specific situation, especially if the pain is severe, persistent, or accompanied by other symptoms like fever or bleeding. Having these informed conversations helps you feel confident and clear about your pregnancy experience.