Pelvic pain is concentrated in the lower pelvic area, and it tends to be chronic (lasting six months or longer). This type of pain may be sporadic, but it can also be constant in some rare cases. Pelvic pain is often at its height during menstruation. It may also happen while urinating, during intercourse, or at other times. Pelvic pain can range from mild to severe. For some people, the pain can be so severe that it can significantly inhibit their ability to live their life normally.
Why Does Pelvic Pain Happen?
The reason for pelvic pain varies from one patient to the next. Pelvic pain is most often related to the reproductive organs, but it can also be the result of urinary tract or bowel issues. Sometimes, the pelvic pain has multiple causes. For example, a patient can have both endometriosis and irritable bowel syndrome with severe pelvic pain resulting from both conditions.
How Does the Doctor Diagnose Pelvic Pain?
A thorough medical history will be the first thing needed to diagnose pelvic pain. The OBGYN will perform a pelvic exam, and other tests like an ultrasound, colonoscopy, laparoscopy, or MRI may also be needed.
How Is Pelvic Pain Treated?
Pelvic pain is treated in a variety of ways today. Medications can provide short-term relief, and they may be especially helpful for people who have only sporadic pelvic pain. However, long-term relief may require surgical treatment. Pelvic pain can be resolved by surgically removing the source of the pain in many cases. For example, a patient with endometriosis can get pain relief when the uterine lining is destroyed during a procedure like endometrial ablation. There are also procedures that can cut or destroy specific nerves, which blocks the signals of pain from making it to the tissue and organs.