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. Pelvic area mainly consists of reproductive, urinary and digestive systems such as 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.
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 with pelvic pain are:
Usually pelvic pain is considered as an indication for 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:
The common causes of chronic pelvic pain are:
I will ask you questions to obtain your pain symptoms, medical history and also perform a pelvic examination. For additional information, I may request blood tests, urine and culture test, pregnancy test, and imaging studies.
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). I may also advise 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 uterus) are the common surgical options for treating pelvic pain.