Pelvic Pain: Causes, Symptoms, Diagnosis, Treatment in Dallas & Mansfield, TX is pain or discomfort around the lowest part of the abdomen and pelvis.
The pelvic region is the area below your belly button and in between your thighs where your reproductive organs are located.
Though pelvic pain can occur in men, it is more common in women.
Pelvic pain may be the symptoms of a condition or infection in the pelvic region. It may be an indication that there may be a problem with one of the reproductive organs in the pelvic area.
Women may experience pelvic pain if they have any problem or infection in the uterus, ovaries, cervix, Fallopian tube, or vagina.
Causes of pelvic pain
There are lots of possible causes of pelvic pain.
Pelvic pain can arise from more than one condition or problem. Possible causes of pelvic pain in both men and women include:
- Bladder disorders
- Colon cancer
- Sexually transmitted diseases
- Kidney infection or kidney stones
- Intestinal disorders
- Nerve conditions
- Pelvis disorder
- Testicular disorders
- Broken pelvis
- Psychogenic pain
Possible causes of pelvic pain in women may include:
- Ectopic pregnancy
- Pelvic inflammatory disease
- Menstrual cramps
- Ovarian cysts
- Ovarian cancer
- Uterine cancer
- Cervical cancer
- Mittelschmerz (ovulation pain)
- Uterine fibroids
- Painful sex
Symptoms of Pelvic Pain
Pelvic pain may be mild or severe depending on the cause of the pain. The pain may come and go. The pain could be a dull, sharp, or stabbing pain.
- You may feel pain while having intercourse
- You may feel pain in your pelvic while menstruating or urinating
- You may feel pain while standing or sitting
- You may feel pain in your groin and hip area that comes and go
- Discomfort in and around your pelvic region
Diagnosis of Pelvic Pain
One or more conditions can cause pelvic pain. During diagnosis, your doctor will review your medical history and ask you questions about your symptoms. Your doctor may ask you to describe the nature of the pain you feel.
Your doctor may conduct a pelvic exam and check for areas of tenderness by applying pressure around your pelvic area. Inform your doctor if you feel any pain or discomfort during the exam.
Your doctor may conduct tests to ascertain the exact cause of your pain.
The tests that may be conducted include:
Lab tests are conducted to check for infections such as gonorrhea or Chlamydia. Urinalysis and bloodwork may be ordered to check for urinary tract infection and blood cell counts.
Your doctor may order that an ultrasound be done to check for cysts or abnormalities in the uterus, ovaries, fallopian tube, or vaginal.
Your doctor may recommend abdominal X-rays, CT scans, or MRI to help detect any abnormal structures or growths.
Your doctor may recommend a laparoscopy to check for any abnormal tissues or signs of infection.
Treatment of Pelvic Pain
Treating the underlying cause of the pain is the key to relieving pelvic pain. Medications may also be given to help relieve pain and discomfort.
The treatment options include:
Over-the-counter pain relievers
Taking OTC medications such as aspirin, ibuprofen, or acetaminophen may help provide relief from your pelvic pain. Your doctor may also prescribe some prescription pain medications for more serious cases.
Hormonal medications are used when the pain is caused by hormonal changes during menstrual periods and ovulation. Hormonal medications and birth control pills may help relieve pain during these periods.
If you have an infection that is causing the pain, your doctor may prescribe antibiotics to help kill the bacteria responsible for the infection.
Tricyclic antidepressants, such as amitriptyline or nortriptyline may be used to relieve pelvic pain, especially in women that are depressed.
Trigger point injections
When your doctor finds specific points where you feel pain, a numbing medication may be injected into those painful areas to block the pain.
Transcutaneous electrical nerve stimulation (TENS)
TENS delivers electrical impulses to nearby nerve pathways. This helps to relieve severe pain.
Certain physical therapies such as stretching exercises, massage, and other relaxation techniques may help improve pelvic pain.
Surgery is only required in very serious cases whereby other conservative treatments are not improving your condition. If your doctor finds out that a damaged or infected organ is causing your pain, surgery may be recommended to rectify or remove the organ.
The surgery that your doctor may order depending on your condition may include laparoscopy or hysterectomy.
If you have endometriosis, your doctors may conduct a laparoscopy to remove the adhesions or endometrial tissue. During the surgery, your surgeon inserts a laparoscope through a small incision near your navel and inserts instruments to remove the endometrial tissue.