What causes pain in the perineum during pregnancy

Patient's question:

I am 5 months pregnant. When walking or sitting, I don't feel much, but when I press with my hand, I can feel that the perineum is slightly more swollen than before, and when I press it, it feels painful inside the perineum. What could be the reason? Is it related to the gestational age?
Medical history: I have previously had herpes simplex virus, and after a check-up at 1 month of pregnancy, it was confirmed that it had been completely treated. I think it should not be a recurrence, right?

Doctor's answer:

According to your description, it is necessary to consider the possibility of the enlarged uterus after pregnancy pulling on the pelvic cavity and the surrounding ligaments. Regular follow-up is recommended. As long as the fetus is doing well, there is no need to worry. Pay attention to proper rest, avoid strenuous activities, maintain cleanliness and hygiene of the vagina, frequently clean the external genitalia, and change underwear frequently. Avoid sexual intercourse during the last three months of pregnancy to prevent premature labor. Regular follow-up is required.

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