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What is pelvic pain?

Pelvic pain refers to pain anywhere in the area below the navel due to a disorder of any of the pelvic organs. In females, it may include the disorders of the uterus, ovaries, or the tubes and in males, prostate problems might lead to pelvic pain. Both genders may have pain related to urinary tract infection, pelvic bone and muscle disorders. However, it is most frequently experienced by women. 

What are its main signs and symptoms?

The pain is mainly localised to the lower abdominal area. Pain can be dull or sharp that comes and goes (intermittent pain). It can be generalized or spotty (localised)  that is limited to specific sites. The cause determines the nature and intensity of pain. The pain may be associated with burning urination, blood in urine, nausea, vomiting, and more. 

What are the main causes?

Causes common to both males and females include kidney stones, colitis, spasms of pelvic muscles, urinary tract infections, osteoporosis (reduced bone mineral density after menopause), and sexually transmitted diseases.

Causes in women:

Causes in men:

  • Prostatitis (inflammation of the prostate gland).
  • Epididymitis (inflammation of the epididymis).
  • Testicular infection.
  • Torsion of testes.

Pain localised in the hip area refers to a bone disorder or fracture as the possible cause and requires further evaluation. Right-sided pain can point out an ovarian cyst or pain radiating from an inflamed or swollen appendix (appendicitis).

How is it diagnosed and treated?

Diagnosing the cause of pelvic pain can be challenging, hence, the primary aim of your doctor will always be to elicit a good past and present history. This helps them to understand the exact nature of your pain so as to point out related causes. Your doctor will order certain blood tests and a urine test. Also, he/she might ask you to undergo certain pelvic scans including an ultrasonography and CT scan if needed, to look at the pelvic structures. Treatment depends upon the cause. Painkillers are given to manage acute and severe pain. Muscle relaxants and anti-inflammatory drugs are administered for spasms. In cases of scar formation, surgery is advised.

Self-care includes good posture maintenance and regular exercise. Other therapies include acupressure, vitamin injections and yoga. A regular follow-up is advised for a good and speedy recovery.

  1. Medicines for Pelvic Pain
  2. Doctors for Pelvic Pain
Dr.Raghwendra Dadhich

Dr.Raghwendra Dadhich

General Physician
6 Years of Experience

Dr. Brajesh Kharya

Dr. Brajesh Kharya

General Physician
10 Years of Experience

Dr. Tannu Malik

Dr. Tannu Malik

General Physician
1 Years of Experience

Dr. Sarabjeet Kaur

Dr. Sarabjeet Kaur

General Physician
7 Years of Experience

References

  1. Petros P.P. (2010) Chronic Pelvic Pain: A Different Perspective. In: Santoro G.A., Wieczorek A.P., Bartram C.I. (eds) Pelvic Floor Disorders. Springer, Milano
  2. Howard FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Sum1993;48:357–387. PMID: 8327235
  3. Ling FW. Management of chronic pelvic pain. Obstet Gynecol Clin North Am. 1993;20:XI PMID:8115094
  4. Koninckx PR, Lesaffre E, Meuleman C, et al. Suggestive evidence that pelvic endometriosis is a progressive disease whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril. 1991;55:759–765. PMID: 2010001
  5. Martin DC, Hubbert GD, VanderZwaag R, et al. Laparoscopic Treatment of Endometriosis. Fertil Steril 1989;51:63–67. Practical Manual of Operative Laparoscopy and Hysteroscopy
  6. National Institute of Child Health and Human development [internet]. US Department of Health and Human Services; Pelvic Pain.

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