How does lower abdominal pain occur on both sides successively at 47 days of pregnancy?

Patient's question:

Age and disease description: Female patient, 25 years old. She had vaginal candidiasis after marriage and had not had a recurrence after three months of treatment. Generally healthy. One month into pregnancy, she occasionally experienced pulling pain in the right lower abdomen. Ultrasound showed the right ovary was slightly enlarged and there was a small amount of pelvic effusion. It was confirmed as intrauterine pregnancy recently. She now has dull pain in the left lower abdomen with mild local tenderness. Appetite and sleep are normal, with frequent dreams at night. Stool is thin and soft, and there is no vaginal bleeding.
History of treatment and effectiveness: She has been using a belly warmer for warmth.
Help needed: I want to rule out the possibility of miscarriage.

Doctor's answer:

Hello, this situation involves observing whether there is bleeding. Pay attention to eating less raw and cold irritating foods. It is recommended to regularly check the fetus's condition at the hospital, but avoid high stress and ensure adequate rest. During the early stages of pregnancy, abdominal pain is also normal. Rest more during the early stages of pregnancy, and also take folic acid to prevent fetal malformations. If the pain is severe, you need to see a doctor promptly and do not delay. It is recommended to go to the hospital on a suitable day for an ultrasound examination to confirm whether it is an intrauterine early pregnancy and to rule out the possibility of ectopic pregnancy or adnexal cysts. If there are no abnormalities, it is a normal intrauterine early pregnancy, and you can appropriately rest and avoid overexertion. Generally, there is no need for medication.

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