Pelvic pain is generally referred to as the pain in the lower abdominal region. Pelvic pain might be acute, sudden, or chronic, recurrent, cyclical in nature. It may present as central or lateralized pain and might spread to the thighs and buttocks. Pelvic pain might be an indication that something is wrong with the internal reproductive organs located in the pelvic region such as ovaries, fallopian tube, uterus and vagina in which case occurrence of pain may be related to particular time in menstrual cycle.
Pelvic pain can be indicative of a pelvic infection or related to the pelvic bones/spine problems.
Also it may indicate that there is something wrong with the digestive system or urinary system.
The causes are as follows:
The following symptoms might occur along with pelvic pain:
Sustained pain in the hips and the groin
Severe pain while urinating , passing stools or during sexual intercourse (dysparuenia)
Blood in stool
Severe menstrual pain ( dysmenorrhoea)
Repeated instances of constipation or diarrhoea
Increase In pain with stress and physical movements
The Gynaecologist will do physical examination including bimanual internal examination. Also, complete blood count, urine for microscopy, vaginal swabs if discharge, stool examination. Ultrasound examination of the pelvis is an important investigation.
If the pain is gynaecological and depending on the cause doctors might suggest different therapies. In cases where pain is due to an ovarian cyst or endometriosis, doctors may prescribe birth-control pills. In cases of suspected pelvic infection, antibiotics are prescribed. Also, laparoscopic surgery might be advised in cases of acute pain due to cyst, endometriosis, or pelvic adhesions: for confirmation of diagnosis and excision or removal of cysts and endometriotic implants and division of adhesions respectively. In some cases of chronic pain, the gynaecologist may manage the case with inputs from gastroenterologist and pain consultant. If you wish to discuss about any specific problem, you can consult a Gynaecologist.