WHAT IS PELVIC PAIN?
Pelvic pain is the pain below the belly button in the anterior lower abdomen including the sex organs. It basically refers to pain in the region of women’s internal reproductive organs. The pain might be steady, or it might come and go. It can be a sharp and stabbing pain in a specific spot, or a dull pain that is spread out. If the pain is severe, it might get in the way of your daily activities. Pelvic pain can be a sign that there is a problem with one of the organs in your pelvic area, such as the Uterus, Ovaries, Fallopian Tubes, Cervix, or Vagina.
Pelvic pain can be acute and sudden in onset, or the pain can be chronic and longstanding, depending on the specific cause.The characteristics of the pain – location, timing, duration, etc., are important in diagnosing its cause along with any associated symptoms such as vaginal discharge or bleeding. Some types of pelvic pain may only be apparent at certain times, such as during sexual activity or during urination.
WHAT ARE THE SYMPTOMS OF PELVIC PAIN?
Many symptoms are related to pelvic pain. Some of these symptoms include:
- Menstrual cramps
- Menstrual pain
- Vaginal bleeding, spotting, or discharge
- Painful or difficult urination
- Constipation or diarrhoea
- Bloating or gas
- Blood seen with a bowel movement
- Pain during intercourse
- Fever or chills
- Pain in the hip area
- Pain in the groin area
RELATED : Know more about menstrual cycle.
WHAT ARE THE CAUSES OF PELVIC PAIN?
Possible causes of pelvic pain in both men and women include:
- Bladder disorders (such as urinary tract infections)
- Sexually transmitted diseases
- Kidney infection or kidney stones
- Intestinal disorders (such as diverticulitis or colitis)
- Nerve conditions (such as pinched nerves of the spine)
- Pelvis disorders (such as tightness and spasm of pelvic muscles)
- Broken pelvic bones
- Psychogenic pain (pain related to stress or psychological traumas from the past)
Possible causes of pelvic pain in women only include:
- Ectopic pregnancy
- Pelvic inflammatory disease
- Menstrual cramps
- Ovarian cysts or other ovarian disorders
- Cancer (cervix, uterus, or ovaries)
HOW CAN WE DETERMINE PELVIC PAIN?
To determine pelvic pain, the doctor might ask you for the symptoms you are undergoing and according to this they will perform specific tests to determine what is causing the pain. The tests may include:
- Blood and urine tests
- Pregnancy tests in females of reproductive age
- Vaginal or penile cultures to check for sexually transmitted diseases such as gonorrhea and/or chlamydia
- Abdominal and pelvic X-rays
- Bone density screening (special type of X-ray to determine the strength of bone)
- Diagnostic laparoscopy (procedure allowing a direct look at the structures in the pelvis and abdomen)
- Hysteroscopy (procedure to examine the uterus)
- Stool test (checking a stool sample for microscopic blood)
- Lower endoscopy (insertion of a lighted tube to examine the inside of the rectum and part or all of the colon)
- Ultrasound (test that uses sound waves to provide images of internal organs)
- CT scan of the abdomen and pelvis (scan that uses X-rays and computers to produce an image of a cross-section of the body)
HOW IS PELVIC PAIN TREATED?
Sometimes the infectious causes of pain can be treated with antibiotics rather than a surgical procedure. But there can be condition which might need a surgical treatment which includes:
- Laparoscopic Uterosacral Nerve Ablation(LUNA)
- Laparoscopic Presacralneurectomy (LPSN)
- Physical Therapy
- Trigger-Point Injections
- Local Anesthetic Patches
- Behavioral and Relaxation Feedback Therapies
- Nerve Stimulation.
Now that you know about Pelvic pain and related symptoms and causes, then you must opt for the related measures in order to treat the pain before it gets worse. Its time to take appropriate measures in stay pain-free and free from conditions that can lead to very critical condition. You can consult the best gynaecologist in the city – Dr Renu Malik, Radix Healthcare.