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Pelvic Pain Health Feed

Pelvic Inflammatory Disease - How To Diagnose it?

Dr. Deepika Hooda 85% (10 ratings)
Pt. B D Sharma Postgraduate Institute of Medical Sciences, Rohtak, Sawai Man Singh Medical College, Jaipur, Rajasthan
Gynaecologist, Gurgaon
Pelvic Inflammatory Disease - How To Diagnose it?

Pelvic Inflammatory Disease is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.

Causes

Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of different people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.

Symptoms

The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina. Associated symptoms of Pelvic Inflammatory Disease include high fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.

Diagnosis

A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries.
Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause Pelvic Inflammatory Disease.
An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs.
A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.

Treatment

The treatment procedures of Pelvic Inflammatory Disease vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.

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Pregnancy - What Does Pelvic Pain Indicate?

Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Alwar
Pregnancy - What Does Pelvic Pain Indicate?

During pregnancy a woman’s body undergoes constant changes. The entire body tries to accommodate place for the growing uterus as hormones levels drastically fluctuate and ligaments stretched. Pelvic pain and the ensuing discomfort around this time is a common phenomenon experienced by most women. 

Though the pain may be harmless, at times it may also lead to serious repercussions. Therefore the identification of the causes that lead to pelvic pain during pregnancy is crucial. Some of them are: 

  1. Accommodation pain: In the initial stages of pregnancy, women may experience cramps which are akin to the pain that precedes menstruation. However, in the case of pregnant women, the pain leads to no bleeding, but in all probability, is caused due to the expansion of the uterus.
  2. Round ligament pain: Amidst the host of changes that the body goes through, the ligament that goes from the uterus to the groin also undergoes a change; it expands. This is responsible for the pain in the sides especially when women are walking or getting up from a chair.
  3. Baby’s weight: As the weight of the fetus begins to increase it exerts a pressure on the nerves that move from the vagina to the legs. This causes a dull pain in the pelvic region which increases considerably with walking and riding a car. This is most commonly felt by women who are in their third trimester.
  4. Urinary Tract Infection: According to reports, most women suffer from urinary tract infection or UTI during pregnancy. This results in uncontrolled, often times, bloody urination and a pain in the abdomen. This is a major cause of concern as, if untreated, it infects the kidneys which in turn increases the risk of an early labour.
  5. Miscarriage: In the first trimester, a pain in the abdomen may be an indication of a miscarriage. In such a situation, the pain is followed by bleeding and cramps.
  6. Early labour: During pregnancy, an intermittent pain in the pelvic area and a back ache can also be suggestive of an early labour. If the contractions continue for over two hours after taking the necessary precautions like urinating and taking rest, it may be a sign of an early labor.
6 people found this helpful

My Gf took ECP levonorgestrel 1.5 mg on 5th Nov Then she had bleeding on 11th Nov. After that She had a cramping pain on left pelvic area on 23rd Nov. She had her next periods on 2nd December The Cramping has recently been INCREASED recently. And CRAMPS aggravates on sitting for some time and Relieved on lying down. She took two Urine pregnancy tests both were NEGATIVE. She Had a USG done on 22nd December of Whole abdomen and Left Pelvic area. It seems to be normal according to the Doctor. How long it may take for the CRAMPS to subside?

Dr. Col V C Goyal 93% (10523 ratings)
CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
1.no alcohol 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water Medicine can not be advised for open question ,for medicine contact on private chat.
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Pelvic Inflammatory Disease - How To Diagnose It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopic and Robotic Onco-Surgery, Diploma in Advanced Gynaec Laparoscopic Surgery
Gynaecologist, Mohali
Pelvic Inflammatory Disease - How To Diagnose It?

Pelvic Inflammatory Disease is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.

Causes

Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of different people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.

Symptoms

The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina. Associated symptoms of Pelvic Inflammatory Disease include high fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.

Diagnosis

A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries.
Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause Pelvic Inflammatory Disease.
An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs.
A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.

Treatment

The treatment procedures of Pelvic Inflammatory Disease vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.

Hello doctor, I have pain around pelvic area left side with heavy vaginal discharge which occur every month after the periods and this pain last for one to two days. Please advice!

Dr. Manju Yadav Yadav 87% (78 ratings)
bharti vidyapeeth university,pune
Ayurveda, Jhajjar
Take cap. Colostrum 500 mg 1 twice a day for 1 month Tab. Doxicycline and ofloxacin 1. 1 ech twice a day. Very effective.
1 person found this helpful
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HI, From 4-5 days I was feeling pain in right leg near groin. Now from yesterday I am feeling pain in groin and maybe scrotum too. I run daily at least a mile.

Dr. Julie Mercy J David 89% (19323 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
You can begin stretching your groin muscles right away. Stretch gently and avoid any pain. If you have pain while doing these exercises, you should not do them. Hip adductor stretch: Lie on your back. Bend your knees and put your feet flat on the floor. Gently spread your knees apart, stretching the muscles on the inside of your thighs. Hold the stretch for 15 to 30 seconds. Repeat 3 times. Hamstring stretch on wall: Lie on your back with your buttocks close to a doorway. Stretch your uninjured leg straight out in front of you on the floor through the doorway. Raise your injured leg and rest it against the wall next to the door frame. Keep your leg as straight as possible. You should feel a stretch in the back of your thigh. Hold this position for 15 to 30 seconds. Repeat 3 times. You may do the next 2 exercises when the pain in the groin muscles decreases. Side-lying leg lift, cross over: Lie on your injured side with your top leg bent and your foot placed in front of the bottom leg. Keep your bottom leg straight. Raise your injured leg as far as you can comfortably and hold it for 5 seconds. Keep your hips still while you lift your leg. Hold this position for 5 seconds and then slowly lower your leg. Do 2 sets of 15. Straight leg raise: Lie on your back with your legs straight out in front of you. Bend the knee on your uninjured side and place the foot flat on the floor. Tighten the thigh muscle on your injured side and lift your leg about 8 inches off the floor. Keep your leg straight and your thigh muscle tight. Slowly lower your leg back down to the floor. Do 2 sets of 15. Once it is easy to do the leg lifts, start strengthening your thigh muscles and groin muscles with the following elastic tubing exercises. Resisted hip flexion: Stand facing away from a door. Tie a loop in one end of a piece of elastic tubing and put it around the ankle on your injured side. Tie a knot in the other end of the tubing and shut the knot in the door near the floor. Tighten the front of your thigh muscle and bring the leg with the tubing forward, keeping your leg straight. Return to the starting position. Do 2 sets of 15. Side plank: Lie on your side with your legs, hips, and shoulders in a straight line. Prop yourself up onto your forearm with your elbow directly under your shoulder. Lift your hips off the floor and balance on your forearm and the outside of your foot. Try to hold this position for 15 seconds and then slowly lower your hip to the ground. Switch sides and repeat. Work up to holding for 1 minute. This exercise can be made easier by starting with your knees and hips flexed toward your chest. Resisted hip abduction: Stand sideways near a door with your injured side further from the door. Tie elastic tubing around the ankle on your injured side. Knot the other end of the tubing and close the knot in the door near the floor. Pull the tubing out to the side, keeping your leg straight. Return to the starting position. Do 2 sets of 15. For more resistance, move farther away from the door. Resisted hip adduction: Stand sideways next to a door with your injured side closer to the door. Tie a loop in one end of the tubing and slip the loop around the ankle on your injured side. Make a knot in the other end of the tubing and close the knot in the door near the floor. Bring the leg with the tubing across your body sideways, crossing over your other leg and stretching the tubing. Return to the starting position. Do 2 sets of 15.
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I am feeling pelvic discomfort whenever I am psychologically thinking of it. Is it really there or psychologically happens? How to get rid of it.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
As you get pelvic discomfort whenever you psychologically think of it.it may not really be there and anyway do a checkup
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Hi, I have minimal free fluid in my pelvis and I consulted with my gynaecologist he suggests me 15 days antibiotics course. But now I feel irritating in my right side pelvis area and pain lower back. Is the pain is scary?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Very generally speaking, fluid in the pelvis on an MRI scan is a very nonspecific finding. Anything that causes inflammation of the organs in the pelvis can be associated with fluid there. For example, endometriosis, in which tissue from the uterus escapes into the abdominal cavity, could cause this.
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Hello Doctor, I am getting pelvis pain if I sit for more time what is the reason?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
you have osteoarthritis of hip joints and avoid sitting for too long in the same position and get up often
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Pelvic Floor Disorder - What Causes It?

Dr. Somya Sinha 90% (54 ratings)
MBBS, MS- Obs & Gynae, DNB - Obs & Gynae
Gynaecologist, Ranchi
Pelvic Floor Disorder - What Causes It?
Gaining weight can cause pelvic floor disorders. True or false? Take this quiz to find out.
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