Pelvic pain is discomfort or pain felt in the lower abdomen, pelvis or pelvic region. In women, pelvic pain may be related to the reproductive organs, urinary system, digestive system or other structures within the pelvis.
Pelvic pain can be short-term or persistent. The cause can range from menstrual cramps and ovarian cysts to endometriosis, fibroids, pelvic infections or conditions affecting other pelvic organs.
Pelvic pain may occur in the lower abdomen or pelvis and can vary from mild discomfort to severe or persistent pain.
In women, pelvic pain can sometimes be associated with the uterus, ovaries, fallopian tubes, cervix or vagina. However, pelvic pain does not always originate from the reproductive system.
Pelvic pain can have many possible causes. These may include:
In women, pelvic pain may also be associated with gynaecological conditions such as:
Depending on the underlying cause, pelvic pain may occur along with other symptoms, including:
Diagnosis begins with a detailed discussion about your symptoms, medical history, menstrual history and previous pregnancies or surgeries.
A physical and pelvic examination may then be performed. Depending on the suspected cause, additional investigations may include:
Endometriosis is an important possible cause of chronic pelvic pain. It may cause painful periods, pain during intercourse, pelvic discomfort and sometimes fertility problems.
When endometriosis is suspected, the doctor may recommend imaging and, in selected cases, laparoscopic evaluation to better understand the condition.
Treatment depends entirely on the underlying cause of the pelvic pain. Management may include medicines, treatment of an infection, hormonal treatment, physiotherapy or surgical treatment when required.
Conditions such as endometriosis, fibroids, ovarian cysts or pelvic adhesions may require specific treatment based on the patient's symptoms and examination findings.
Persistent, recurrent or severe pelvic pain should not be ignored. A gynaecological evaluation can help identify the underlying cause and determine appropriate treatment.
Seek urgent medical attention if pelvic pain is severe, sudden or associated with heavy bleeding, fainting, fever, vomiting or possible pregnancy.
Consult Dr. Gursimran Kaur for evaluation and personalised management of pelvic pain and related gynaecological conditions.
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