Pelvic pain

Pain is the manifestation of an underlying disorder. Not all causes of pelvic pain are Gynaecological in nature. Some include bladder, bowel or muscle pain. Of the gynaecological ones, the causes range from :

• Pelvic infection
• Fibroids
• Endometriosis
• Adenomyosis
• Ovarian cysts
• Hormonal causes
• Pelvic varicose veins

Varying in severity, pain can be debilitating in some women to the point it affects their daily activities. Work can be interrupted. In some instances pain may be referred to external areas like the vaginal region. It can be associated with other problems like heavy periods, infertility and painful sex. Whilst usually it is present over a long period of time, occasionally it can present acutely. This is particularly so if ovarian cysts or infections are the cause. In these cases, urgent treatment will be required.

Initial investigations will include the use of ultrasound to check the pelvic organs. Blood testing looking for infection, endometriosis and tumor markers may also be required. Laparoscopy commonly is used to confirm the diagnosis.

Treatment will vary depending on the cause. It usually is a combination of medical and surgical modalities. Specialist pain physiotherapy is helpful. Pain management is an important consideration especially for those with chronic pain.

Pelvic pain does not need to be suffered as it can commonly be treated.