40 days pregnant, stomach pain but no bleeding

If you have abdominal pain for 40 days during pregnancy but no spotting, it may be that the gestational sac embryo has implanted in the wrong place, the abdominal pain may be caused by ectopic pregnancy, the abdominal pain may be caused by threatened abortion, or it may be due to indigestion caused by a weak digestive tract during pregnancy, which can also cause abdominal pain.

If this happens, it is recommended to go to the hospital for examination in time, perform ultrasound examination, understand the size of the gestational sac and the location of embryo implantation, and understand whether there is bleeding near the gestational sac, uterine fluid accumulation or other symptoms, such as pelvic fluid accumulation, etc. According to the results of the examination, timely and appropriate tocolytic treatment should be given. If it is an intrauterine pregnancy and there is fluid accumulation in the uterine cavity but no bleeding, it is also a sign of miscarriage. It is recommended to recheck the progesterone level, blood HCG and estradiol. If the progesterone value is relatively low, progesterone copper should be taken orally and timely pregnancy-preserving treatment should be given. During the pregnancy-preserving period, the couple should refrain from sexual intercourse, reduce activity, and go to the hospital for examination.

In clinical medicine, the occurrence of pregnancy spotting before the onset of labor is a relatively reliable sign of labor for most pregnant women. However, there is also a small number of patients who are not likely to experience pregnancy spotting before the onset of labor. Most of them will have it, but there are also a very small number of patients who are not likely to have it, so this is also normal. If you experience abdominal pain at 40 weeks, you should first go to the hospital for fetal heart monitoring to check the condition of uterine contraction.

If there are regular contractions every 5-10 minutes, each lasting about 40 seconds, you should examine the vagina to see if the cervical canal is shortened or the cervical opening is enlarged. If uterine contractions occur, you feel abdominal pain, and the cervical canal is shortened and the cervical opening is dilated, you should be hospitalized for labor treatment. Labor can be initiated even if no bleeding is seen. If regular uterine contractions occur, you should be hospitalized. Some people just can't see any bleeding.