Second Trimester Symptoms: What’s Normal and When to See a Doctor

Second trimester symptoms

What symptoms are normal in the second trimester of pregnancy?

Your Body’s Natural Changes during the second trimester

The second trimester is often a time when many women start feeling better—nausea fades, energy returns, and the pregnancy starts to feel more real as your belly grows. But with all these changes, you might also notice new symptoms that can leave you wondering: Is this normal? Here’s what to expect in the second trimester and when to check in with your doctor.

Itching and Skin Stretching

As your belly expands, your skin stretches, which can lead to itchiness. This is completely normal, but it can be uncomfortable. Keeping your skin moisturized with unscented lotion and wearing soft, breathable fabrics can help. If the itching becomes too much, calamine lotion can offer relief.

Stretch Marks

Some women develop stretch marks as the skin stretches rapidly. While genetics play a role, staying hydrated, eating a nutrient-rich diet, and applying creams with vitamin E or collagen can help keep your skin as elastic as possible.

The “Pregnancy Mask”

Some women notice darker patches of skin on their face, known as melasma or the “pregnancy mask.” Sun exposure can make it more noticeable, so using sunscreen daily and wearing a hat when outdoors can help protect your skin.

Back and Leg Pain

With the extra weight and changes in posture, backaches and leg pain can become more common. Resting when needed, using a heating pad on sore muscles, and wearing supportive shoes can make a difference.

Breast Changes

By the end of the second trimester, your breasts may feel heavier and more sensitive as they prepare for breastfeeding. A comfortable maternity bra with good support can help, and if you experience any leaking, breast pads can provide extra comfort.

Linea Nigra

You may notice a dark line running down the center of your belly—this is called the linea nigra, and it’s completely normal. It usually fades after birth, but if it bothers you, keeping your belly covered or using sunscreen when outside can help prevent it from darkening further.

Vaginal Discharge

A thin, milky-white discharge is common in the second trimester and is a sign that your body is protecting against infections. As long as it doesn’t have a strong odor or cause discomfort, it’s nothing to worry about. Avoid douching or using tampons, and if needed, panty liners can help you feel more comfortable.

Hemorrhoids and Varicose Veins

With increased blood flow and pressure, some women develop hemorrhoids or varicose veins. If you’re dealing with this, sitting with your legs elevated, avoiding tight clothing, and staying hydrated can help ease the discomfort.

Swollen Hands and Feet

Mild swelling in your hands and feet is normal as your body retains more fluid. If your fingers feel tingly or your feet ache, take breaks to stretch, rest, and move around. If you want to know more about this, you can click here to read an article about it. 

Dental Changes

Hormonal changes can affect your gums, making them more sensitive or prone to bleeding. Brushing, flossing, and keeping up with dental check-ups can help keep your teeth and gums healthy. If you come to our center, we can refer you to a trusted dentist at a good price.

When to Call Your Doctor

Some symptoms in the second trimester should not be ignored. If you experience any of the following, reach out to your doctor:

  • Vaginal bleeding
  • Sudden swelling in the face, hands, or fingers
  • Severe headaches or dizziness
  • Painful cramps in your belly
  • Fever and chills
  • Persistent vomiting or nausea that prevents you from eating or drinking
  • Burning sensation while urinating
  • Blurred vision
  • Feelings of depression or thoughts of harming yourself

Taking Care of Yourself

The second trimester is a time to focus on feeling your best. Eating a balanced diet, staying active with gentle exercise like walking or stretching, and avoiding smoking, alcohol, and excessive caffeine will help support both you and your baby. If you ever feel unsure about a symptom, don’t hesitate to reach out to your doctor—it’s always better to ask than to worry.

At Centro Tepeyac, we’re here to support you with free and confidential pregnancy testing, resources, and guidance. If you need a safe place to talk, we are here for you. You don’t have to go through this journey alone. Click here to make an appointment or call us at (301) 587-9516.

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