A comprehensive guide to pelvic pain

Pelvic pain is a common concern among women that can have a variety of causes. While it's not uncommon to experience occasional discomfort in the pelvic region, persistent or severe pain should not be ignored.

Leading consultant and a trusted specialist in benign gynaecological care, Miss Silvia Carta dives into the various aspects of pelvic pain, its possible causes, and when to seek medical help.

What is pelvic pain?

Pelvic pain refers to any discomfort or pain felt in the lower abdomen or pelvis region. It can range from mild to severe and may be intermittent or constant. The pelvis is an intricate area of the body, housing various organs such as the uterus, ovaries, fallopian tubes, bladder, and rectum, all of which can contribute to pelvic pain if there's an issue.

What are the principal causes of pelvic pain?

Pelvic pain can stem from a multitude of factors, including menstrual cramps, ovulation, and gastrointestinal issues. However, more serious conditions such as endometriosis, pelvic inflammatory disease (PID), ovarian cysts, fibroids, and urinary tract infections (UTIs) can also lead to pelvic pain. In some cases, pelvic pain may even be a symptom of a reproductive or urinary system disorder.

When is it necessary to seek medical help?

While occasional pelvic discomfort may not be cause for concern, there are certain signs and symptoms that warrant prompt medical attention. These include:

Severe or persistent pain: If the pain is severe, lasts for an extended period, or interferes with your daily activities, it's essential to consult a specialist.

Abnormal bleeding: Any unusual vaginal bleeding, especially if it occurs outside of your menstrual cycle, should be evaluated by a doctor.

Fever or chills: The presence of fever or chills alongside pelvic pain could indicate an infection that requires medical treatment.

Pain during intercourse: Pain during sexual intercourse, known as dyspareunia, may be a sign of an underlying issue that needs to be addressed.

Urinary symptoms: If pelvic pain is accompanied by urinary symptoms such as frequent urination, burning sensation during urination, or difficulty emptying the bladder, it's important to seek medical advice.

Diagnosis and treatment

Diagnosing the cause of pelvic pain often involves a thorough medical history review, physical examination, and possibly further tests such as blood tests, ultrasound, MRI, or CT scans. Treatment for pelvic pain varies depending on the underlying cause but may include medication, hormonal therapy, physical therapy, or in some cases, surgery.

Pelvic pain is a complex issue that can significantly impact a woman's quality of life. While occasional discomfort may be normal, persistent or severe pain should not be ignored. If you're experiencing pelvic pain or any concerning symptoms, do not hesitate to seek medical help. Early diagnosis and appropriate treatment are crucial for managing pelvic pain effectively and preventing potential complications.

If you would like to book a consultation with Miss Carta, do not hesitate to do so by visiting her Top Doctors profile today.