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Overview

Pelvic pain might indicate that one of a woman’s reproductive organs is malfunctioning, which could be dangerous. Pelvic discomfort is often associated with women’s reproductive systems, however, it may affect either sex and be caused by a variety of factors. Pelvic pain may be caused by discomfort in the pelvic bone or other non-reproductive internal organs, or it might suggest an infection. Pelvic pain in women, on the other hand, might indicate an issue with one of the reproductive organs (uterus, ovaries, fallopian tubes, cervix, and vagina) in the pelvic region, which could be rather serious.

The lower abdomen, as well as the pelvic region, are both affected by pelvic pain. It may relate to problems with the reproductive, digestive, or urinary systems, as well as the muscles and ligaments of the pelvis and lower back.

Pain in the pelvic area may range from mild to severe, depending on the source and severity of the discomfort. Lower back, buttocks, and thigh discomfort are all possible symptoms of pelvic pain. Pelvic discomfort might happen just at certain times of the day, such as when you go to the bathroom or have sex.

Pelvic pain may come on abruptly, intensely, and quickly (acute), or it can last for a long period (chronic). Chronic pelvic pain is characterized as ongoing or intermittent pelvic discomfort that lasts six months or more.

When assessing the etiology of pelvic pain, the doctor will consider the patient’s symptoms as well as his or her medical history. A physical exam and other testing may be helpful in determining the cause of pelvic discomfort. Blood and urine tests will be performed. Females of reproductive age are tested for pregnancy and sexually transmitted illnesses are tested using vaginal or penile cultures. X-rays of the abdomen and pelvis are often performed for determining the cause of pelvic pain. Laparoscopy for diagnostic purposes is also done in certain instances. Other procedures to diagnose the underlying issues are endoscopy, ultrasonography and CT scanning.

Pelvic pain therapy differs depending on the source, the severity of the pain, and how often the discomfort occurs. Medical treatment for pelvic discomfort is occasionally used, and antibiotics may be used if required. If the pain is caused by a problem with one of the pelvic organs, surgery or other treatments may be required to relieve it. Causes

Pelvic pain may result from a range of disorders and diseases. Pelvic discomfort that lasts for a long time might be caused by a number of different conditions.

Any organ in the body, including the digestive, reproductive, and urinary systems, may cause pelvic pain. The muscles and connective tissue (ligaments) inside the pelvic floor structures, rather than the structures themselves, maybe the source of some pelvic discomfort, especially persistent pelvic floor pain.

Sciatica, an inflammatory illness that affects the nerves in the pelvis, may also cause pelvic pain.

In non-pregnant women, the following are the most prevalent causes of acute pelvic pain:

·       Cyst: Pelvic pain is caused when an ovarian cyst bursts or deforms. Acute pelvic inflammatory disease is an inflammatory condition affecting the ovary that causes pelvic pain.

·       Appendicitis: A painful development of the appendix on the lower right side of the belly causes discomfort.

·       Peritonitis: It produces severe discomfort that becomes worse over time and requires medical attention.

·       Infection of the urinary tract: You may have discomfort or a burning feeling while urinating.

The following are the most prevalent causes of chronic pelvic pain:

·       Infection: A bacterial infection of the womb, fallopian tubes, or ovaries that usually develops as a result of chlamydia or gonorrhea infection causes chronic pelvic pain.

·       Irritable bowel syndrome: It is a chronic digestive disorder that causes stomach pain, bloating, diarrhea, and constipation along with discomfort in the pelvic region.

Following are other causes of pelvic pain in women:

·       Endometriosis

·       Ectopic pregnancy

·       Miscarriage

·       Menstrual cramps

·       Fibroids

·       Ovulation  

Some other causes of pelvic pain in both men and women are listed below:

·       Colon cancer

·       Fibromyalgia

·       Kidney stones

·       Prostatitis

·       Ulcerative colitis

·       Hernia

 When to see a doctor

Pelvic pain that comes on suddenly and with a lot of pressure might be an indication of a medical emergency. Seek medical assistance on an immediate basis.

If your pelvic discomfort is new, if it is interfering with your normal activities, or if it is becoming worse over time, see your doctor right away.

Any rapid increase in pain or a change in the kind of pain may indicate the onset of a medical emergency or the likelihood of one. Additional indicators that it is time to seek professional assistance include the following:

·       Fever

·       Nausea and vomiting

·       Urine with an unpleasant odor

·       Urine or stool contains blood