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Pelvic Pain

Pelvic pain is pain that occurs in the lower abdomen and pelvis.

The pelvic region is the area between the umbilicus (belly button)and the groin in the front and between the buttocks at the back. The Pelvic area mainly consists of the reproductive, urinary, and digestive systems such as the uterus, bladder, and intestines. Pelvic pain can be acute or chronic. Acute pelvic pain occurs suddenly and stays only for a short period of time. Chronic pelvic pain lasts for more than six months and does not show any improvement with treatment.

Symptoms

Pelvic pain may be dull or sharp; persistent or intermittent; mild to severe, and can extend to your lower back or thighs.

The common symptoms of pelvic pain are

  • Pain in the hip and groin area
  • Pain and cramps during menstruation
  • Pain during urination, bowel movements, and intercourse
  • Fever or chills
  • Constipation or diarrhea

Causes

Usually, pelvic pain is considered an indication of infection or problem in the pelvic area. It is observed most commonly in women but can also occur in men.

The common causes of acute pelvic pain are:
  • Pelvic inflammatory disease (infection of the reproductive organs),
  • Urinary tract infection
  • Appendicitis (inflammation of the appendix)
  • Ectopic pregnancy (pregnancy that occurs outside the uterus)
  • Twisted or ruptured ovarian cyst
  • Ruptured fallopian tube
  • Miscarriage or threatened miscarriage
  • Congestion or abscess (collection of pus) in the pelvic region
The common causes of chronic pelvic pain are:
  • Chronic pelvic inflammatory disease
  • Endometriosis (abnormal growth of the uterus lining)
  • Interstitial cystitis (inflammation of the urinary bladder)
  • Irritable bowel syndrome
  • Pelvic floor disorders (spasms or tension in the pelvic floor muscles)
  • Uterine fibroids (non-cancerous uterine growths)
  • Psychological factors such as stress, depression, or a history of physical abuse

Diagnosis

Your physician diagnoses pelvic pain by observing your Pain symptoms, Medical history, and by performing a Pelvic examination. For additional information, your physician may request blood tests, urine and culture tests, pregnancy tests, and imaging studies. Imaging studies such as X-ray, ultrasound, laparoscopy, CT (Contrast tomography), and Magnetic resonance imaging (MRI) scans are helpful in examining the pain source in the pelvic region.

Treatment

Treatment for pelvic pain depends on the cause of pain, intensity, and frequency of the pain. Conservative management of pelvic pain includes rest and participating in regular physical therapy and exercise. Medication can be used to relieve pain (pain killers), muscle spasm/ contraction (muscle relaxants) and to treat infection (antibiotics). Your physician may also instruct you to take hormonal medications for pain relief during ovulation and menstruation.
Surgery is considered for patients with chronic pelvic pain due to endometriosis, pelvic floor disorder, and other chronic pelvic problems. Laparoscopic surgery (removal of endometrial tissue or pelvic adhesion) and Hysterectomy (removal of the uterus) are the common surgical options for treating pelvic pain.

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