Pelvic Pain Treatment


Pelvic pain is not merely a discomfort—it's an interruption to your life, affecting millions of individuals worldwide. Whether it's acute or chronic, sporadic or constant, dull or sharp, pelvic pain can permeate every aspect of daily living. It may be a constant discomfort or a sharp, sudden sensation, influenced by daily activities like exercise, sexual activity, and bodily functions such as menstruation and urination. This widespread issue impacts both men and women globally, but remember, you are not alone in this struggle, and there are solutions to help you regain control and comfort.


Understanding the Causes of Pelvic Pain in Women:

This pain can originate from a multitude of sources, making it a complex condition to diagnose and treat. In women, this discomfort may arise from issues with the reproductive organs, urinary tract, pelvic floor muscles, bones, peritoneum, nerves, blood vessels, as well as the cervix, vagina, and vulva. Identifying the root cause is crucial for effective management. 

Common Causes of Acute Pain

  • Ovarian cyst rupture
  • Ovarian torsion
  • Appendicitis
  • Ectopic pregnancy
  • Kidney stones
  • Acute bowel obstruction
  • Pelvic and genitourinary infections
  • Gastroenteritis

Common Causes of Chronic Pain

  • Endometriosis
  • Adenomyosis
  • Primary dysmenorrhea
  • Fibroids
  • Interstitial cystitis
  • Ovarian cysts
  • Pelvic floor dysfunction
  • Pelvic and abdominal adhesions
  • Vulvodynia
  • Gastrointestinal irritation and inflammation

Less Common Causes

  • Hernia
  • Pudendal neuralgia and pudendal nerve entrapment
  • Abdominal wall neuropathy
  • Pelvic congestion syndrome
  • Pelvic girdle syndrome
  • Pelvic organ prolapse
  • Ovarian remnant syndrome
  • Foreign body giant cell reaction
  • Müllerian abnormalities
  • Cancer of pelvic organs
  • Chronic appendicitis
  • Generalized visceral hypersensitivity

When to Seek Help

If you find yourself dealing with sudden and intense pelvic pain, it's crucial to seek immediate medical attention. This type of acute pain could be a sign of a serious medical emergency that requires prompt evaluation and treatment.

If you are experiencing persistent pelvic pain that is impacting your daily life, it's important to address it. While pelvic pain, especially in women, is unfortunately common, it should not be dismissed as normal. Many people have suffered for a long time because their symptoms were not taken seriously by society or the medical community. No one should have to endure constant pain. By seeking help from a pelvic pain specialist for diagnosis and treatment, you can improve your quality of life. Early intervention can prevent unnecessary suffering, disability, and potential disease progression.

Warning Signs

  • Dependence on over-the-counter pain medications
  • Partial relief from pain medications
  • Planning activities around pain
  • Disrupted sleep due to pain
  • Missing work or school due to pain
  • Interference with intimate relationships
Investigating Pelvic Pain:

Understanding pelvic pain involves a thorough investigation tailored to each individual. It typically begins with a detailed patient history, where previous medical records and insights are collected through a comprehensive questionnaire. This initial assessment is crucial for guiding further steps in identifying the underlying cause of discomfort.

Gynecological Pelvic Pain:

If gynecological issues are suspected, a thorough pelvic examination is conducted, often accompanied by transvaginal and/or abdominal ultrasounds for pain mapping and surgical planning. Additional imaging, like MRI, may be recommended based on initial findings. Minimally invasive procedures, such as hysteroscopy and laparoscopy, might be considered for precise diagnosis and treatment.

Gastrointestinal Pelvic Pain

For those experiencing gastrointestinal symptoms, a comprehensive approach is necessary. This may include stool samples, blood work, physical examinations (including abdominal and rectal assessments), and various imaging techniques such as ultrasound, MRI, and colonoscopy.

Pelvic Pain Related to the Urinary Tract:

Investigating urinary tract-related pain involves several steps, including urine cultures, blood work, and detailed imaging focusing on the bladder, ureters, and kidneys. Procedures like cystoscopy may also be recommended to gain further insight.

Pelvic Musculature Involvement:

When pelvic floor dysfunction is suspected, an examination of the pelvic floor muscles becomes crucial. Skilled pelvic floor physical therapists can offer a comprehensive evaluation, guiding towards tailored interventions and relief.

Finding the Right Treatment Options for You:

Whether your pain is mild or severe, there are a variety of both invasive and non-invasive treatments available to help manage and potentially resolve your symptoms. Options may include:

  • Minimally invasive surgeries involving the pelvic and abdominal organs and tissues
  • Medications for inflammation, infection, and pain management
  • Physical therapy for muscle retraining and relaxation techniques
  • Nutritional counseling to address inflammation and gastrointestinal issues
  • Complementary therapies such as acupuncture, yoga, and mindfulness techniques for stress reduction

With over a decade of meticulous patient follow-up, we have witnessed remarkable and ongoing improvements in the majority of our pelvic pain patients, with many experiencing complete relief from their pain. Diagnosing and treating pelvic pain can be intricate, requiring expertise and a personalized approach utilizing a range of treatments and therapies tailored to each individual patient's needs.