Common Causes of Pelvic Pain and How to Treat It


There are several conditions and disease that can lead to pelvic pain. People with chronic pelvic pain are often dealing with multiple issues.

Pelvic pain can be the result of issues with the digestive system, urinary system or reproductive system. It can also be caused by issues with the muscles and the connective tissues around the pelvic area, and by irritated nerves in the pelvic region as well.

For women, pelvic pain caused by the reproductive system is quite common. It can be caused by issues like:

  • Menstrual cramps
  • Miscarriage
  • Ovarian cancer
  • Endometriosis
  • Uterine fibroids
  • Ovarian cysts
  • Adenomyosis
  • Vulvodynia

Pelvic pain can also affect men or women dealing with these issues:

  • Colon cancer
  • Crohn’s disease
  • Appendicitis
  • Constipation
  • Diverticulitis
  • Intestinal obstruction
  • Inguinal hernia
  • Fibromyalgia
  • Kidney stones
  • Interstitial cystitis
  • Muscle spasms around the pelvic floor
  • Urinary tract infections

Treating pelvic pain

The first step when it comes to treating pelvic pain is a visit to the doctor. During this, the doctor will take a look at the patient's medical history and ask questions about the symptoms the person is experiencing.

The doctor will perform a series of tests to get a better idea of what is causing the pain. The tests used to diagnose pelvic pain include:

  • Pregnancy tests
  • Blood tests
  • X-rays of the pelvic and abdominal region
  • Urine tests
  • STD tests
  • Bone density tests
  • Diagnostic laparoscopy
  • Stool tests
  • Ultrasound tests
  • CT scan of the affected areas

Once a proper diagnosis has been made, treatment can then commence. The level of pain experienced and the cause of the pelvic pain often determines the treatment options. Pelvic pain can usually be addressed with medication, like antibiotics and painkillers, or a surgical procedure.

1. Antibiotics

The doctor might decide to prescribe antibiotics if they suspect an infection is the cause of the pelvic pain. The doctor will also advise the patient to come back for a follow-up to ensure that the medication prescribed is working properly.

Patients are advised to take any antibiotics as prescribed by the doctor. While it might be tempting to stop the medication once the symptoms begin to clear up, the entire dose prescribed must be taken to ensure the infection is stopped in its tracks.

2. Treatment for partners

If the pain is caused by a sexually transmitted infection, the doctor might ask for your partner to come in for an examination. It is possible that they are already infected even if they do not display any symptoms.

3. Abstinence

Depending on the cause of pelvic pain, the doctor might advise the patient to abstain from sexual contact until the infection has been cleared.

4. Hospitalization

While most people with pelvic pain only need outpatient treatment, those with severe issues that are not responding to oral antibiotics might need to be hospitalized so intravenous antibiotics can be administered.

Dealing with pelvic pain? There is no need to let it affect your quality of life. Talk to one of our doctors for more information about your treatment options.

Let’s get started …

Call (212) 548-3267 today to reach General & Laparoscopic Surgeons of New York LLP.

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