How can chronic pelvic pain be managed?

Written in association with: Professor Saad Amer
Published:
Edited by: Conor Lynch

In this article below, Professor Saad Amer, an esteemed consultant gynaecologist, tells us all about chronic pelvic pain, including how this condition can be best treated.

What are the different types of chronic pelvic pain?

There are many types of pelvic pain. The main ones are:

 

  • Pelvic pain associated with menstrual bleeding
  • Pelvic pain during ovulation – also called mid-cycle pain
  • Pelvic pain during sexual intercourse
  • Non-cyclical pelvic pain, which could be constant or intermittent
  • Pain associated with bowel and bladder functions

 

What is the difference between acute and chronic pelvic pain?

Acute pelvic pain typically only lasts for a few weeks or months, whereas chronic pelvic pain lasts longer than six months.

 

How can chronic pelvic pain affect daily life and relationships?

Severe chronic pelvic pain can have a detrimental effect on women’s quality of life and ability to carry out day to day activities. It often affects their physical, emotional, and mental health with a major impact on social relationships. 

 

Some women are forced to quit their jobs and to abandon their careers due to the severity of their pelvic pain. It can also make sexual intercourse extremely uncomfortable with a detrimental effect on relationships.

 

What are the most effective treatments for chronic pelvic pain?

Treatments will start as soon as the woman presents with the chronic pelvic pain after the initial clinical assessment. Generally, there are three treatment strategies for chronic pelvic pain, including pain management, hormonal suppressive therapy, and surgery.

 

Treatment is usually individualised and tailored to every woman’s circumstances, taking into consideration the severity of pain, the possible underlying causes, and patient’s wishes. Surgery is usually offered as a last option and involves a camera inspection into the abdomen under general anaesthetic to identify and treat any possible pelvic disease such as endometriosis, adhesions, or ovarian cysts.

 

Can chronic pelvic pain be prevented, and what steps can be taken to manage it?

The best preventative strategy is to get an early diagnosis of chronic pelvic pain and deal with it promptly to prevent its progression. Sexual health education can prevent pelvic infections, which is a known cause of chronic pelvic pain. In most other cases, it will not be possible to prevent an onset of pelvic pain as many conditions that cause the pain (such as endometriosis) are not preventable.  

 

To schedule in an appointment with Professor Saad Amer today, head on over and visit his Top Doctors profile.

By Professor Saad Amer
Obstetrics & gynaecology

Professor Saad Amer is a highly experienced consultant gynaecologist based in Derby who specialises in endometriosis, polycystic ovarian syndrome and menstrual disorders alongside fibroids, ovarian cysts and chronic pelvic pain. He privately practises at Nuffield Health Derby Hospital and at Derby Private Health at the Royal Derby Hospital, while his NHS base is Derby Hospitals NHS Foundation Trust. 

Professor Amer has an impressive educational history. He has an MB BCh and MSc in Obstetrics and Gynaecology from Ain Shams University in Cairo. Here he went on to gain a broad-based general experience in obstetrics and gynaecology, before moving to the UK for more advanced training and further qualifications. These are an MD in Obstetrics and Gynaecology from the University of Sheffield and an MRCOG.

Professor Amer's specialist UK training took place at Royal Hallamshire Hospital at the University of Sheffield. He obtained a research fellowship in Reproductive Medicine and Surgery at the hospital, and also completed his research project that went toward completion of his MD.

As well as his clinical and education experience, Professor Amer has significant experience in higher education as a clinical lecturer at the University of Sheffield.

Professor Amer takes a leading role in minimal access surgery and clinical research promoting evidence-based practice of medicine. He has been recognised for his contribution to his subspecialist service for patients with polycystic ovarian syndrome, demonstrating a commitment to delivering high quality patient care and continuous improvement, and was awarded a Clinical Excellence Award by Derby Hospital NHS Foundation Trust. 

Professor Amer's clinical research has been published in over 70 peer-reviewed journals, and regularly presents papers in international scientific meetings. Furthermore, Professor Amer is regularly invited to speak at national educational meetings. He is also a member of various professional organisations including the British Fertility Society (BFS), The European Society of Human Reproduction and Embryology (ESHRE), The British Society for Gynaecological Endoscopy (BSGE), as well as the Royal College of Obstetricians and Gynaecologists (RCOG).

View Profile

Overall assessment of their patients


  • Related procedures
  • Platelet-rich plasma
    Sexually transmitted infections (STIs)
    Cosmetic Consulting
    Labiaplasty
    Vaginoplasty
    Breast reconstruction
    Congenital malformations
    Sexual dysfunction
    Laparoscopy
    Erectile dysfunction
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.