Pelvic Pain

Pelvic Pain

Pelvic pain mainly occurs in the lower abdomen area which might be steady, or it might be a little unstable. In most of the cases, it is sharp and stabbing pain at a specific spot, or dull pain with larder spread. Obviously it affects your daily activities. Even high fever or inactiveness can be rise with this severe pain.

 

Being a woman you might feel this severe pain during your period. Sometimes it may happen when you have sex. Pelvic pain symbolizes the problem with one of your organs in your pelvic area. That can be the ovaries, uterus, fallopian tubes, cervix, or vagina.

In men, the problem is caused by the prostate or symptom of any infection. Either it’s related to the rectum, muscle, urinary tract, lower intestines, or bone.

 

You no need to be worried much about it. Our experienced surgeons are there to understand that pelvic pain. We are uniquely equipped to treat, diagnose, and operate if necessary to relieve from pelvic pain and its underlying cause.

 

Pelvic Pain Symptoms

Pelvic pain can be sudden, acute, chronic, intermittent, or cyclic by nature. Cyclic pain is mostly due to menstrual flow. It can also be associated with defecation, physical activity, urination, or intercourse.

Additional symptoms of pelvic pain include:

  •         Fever
  •         Signs of shock
  •         Lower back pain
  •         Excessive vaginal bleeding
  •         Nausea or vomiting
  •         Infertility

 

Types of pelvic pain

Ovulation

Many of the women experience sharp pain during ovulation when an egg is released from the ovary. The pain is called Mittelschmerz. It usually happens for only a few hours.

 

Endometriosis

This is a common cause that is present in about 70 percent of women with chronic pelvic pain.

 

Fibroids

  •     Large fibroids cause pressure symptoms.
  •     Acute pain can occur with degeneration, expulsion, and twisting of the fibroid through the cervix.

 

Adenomyosis

  •   This causes heavy bleeding with severe pain in menstruation.
  •   It creates the pain is due to bleeding and swelling of endometrial glands in the uterine muscle.

 

Ovarian Tumour or pelvic mass

  •   Due to the abnormal growth on the ovary either in the pelvis can cause pain.
  •   This pain mainly caused by twisting of the ovary or excessive pressure of the mass on surrounding organs.

 

Pelvic Inflammatory Disease (PID)

This is a kind of infection of the tubes, ovaries, or uterus that is caused by an untreated sexually transmitted infection. Almost 30% of women with PID subsequently develop chronic pelvic pain due to the scar tissue caused by the infection.

 

Pelvic Congestion Syndrome (PCS)

This condition act as a dilated uterine and ovarian veins found on a pelvic ultrasound. Actually, this is a controversial entity and has not been proven to be an actual cause of chronic pelvic pain.

 

 

Diagnosis and Treatment of Pelvic Pain

Some pelvic pain is not normal, and they might be a symptom of highly complex GYN conditions. Pelvic pain is a pain in the lowest part of your abdomen and the pelvis. It can be with different intensities that include constant or intermittent, dull or sharp, mild, moderate, or severe, and can radiate to your lower back, buttocks, or thighs too.

 

Thus, it’s extremely important to get a careful diagnosis. The wrong treatment can make the condition worse.

 

 Pelvic pain in women can be caused by:

  •         The reproductive organs (gynecological)
  •         The bladder (urological)
  •         Mental health issues (psychological)
  •         The intestines (gastrointestinal)
  •         Pelvic muscles and joints (musculoskeletal)

 

Treatments for Pelvic Pain

Endometriosis

Laparoscopic surgery is indicated if pelvic pain is caused by endometriosis specifically if fertility is desired. We shouldn’t rely on medical therapy as it doesn’t diagnose the extent of disease. Hence, unable to assess the best option for medical therapy.

 

Infection

Generally, the infectious causes of pelvic pain are treated with antibiotics instead of a surgical procedure.

 

Pelvic inflammatory disease (PID)

It is treated with a combination of broad-spectrum antibiotics. Because the specific bacteria might be causing the infection is often unknown. In some instances, the patients are not admitted to the hospital for IV antibiotics.

 

Urinary tract infection (UTI)

Oral antibiotics are often prescribed for specific bacteria found on urine tract infection.

Recurrent bladder infections often require antibiotic therapy for suppression daily. Hospitalization and IV antibiotic therapy are also required if there are kidney infections.

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