Mild lower abdominal discomfort and back pain can be common during early pregnancy because the body is adjusting to hormonal changes and the growing uterus, but severe pain should not be ignored. At 1.5 months of pregnancy, some women may experience stretching sensations, cramps, tiredness, and back discomfort, especially with fatigue or prolonged standing. However, severe lower abdominal pain, persistent back pain, or pain associated with bleeding, dizziness, fever, vomiting, or weakness may sometimes indicate problems such as threatened miscarriage, urinary infection, or, rarely, an ectopic pregnancy, which requires urgent medical evaluation. For mild symptoms, adequate rest, proper hydration, light meals, avoiding heavy lifting, and maintaining a comfortable sleeping posture may help. Gentle walking and avoiding long periods of standing may also reduce discomfort. Do not take painkillers or medicines on your own during pregnancy without medical advice. It is very important to consult your gynaecologist for a proper check-up and ultrasound if the pain is severe or persistent, so the pregnancy can be assessed safely and appropriate treatment can be given if needed. Early medical evaluation is always safer during pregnancy to protect both the mother and the baby.