Understanding Pelvic Pain

A Comprehensive Guide for Patients

Family Medicine

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Last updated: Mar 24, 2025

What is Pelvic Pain?

Pelvic pain refers to discomfort occurring in the lower abdominal area, below the belly button. It can be acute (short-term) or chronic (lasting more than 6 months).

Common Causes

In Women:

  • Menstrual cramps (dysmenorrhea)
  • Endometriosis
  • Ovarian cysts
  • Uterine fibroids
  • Pelvic inflammatory disease

In Men:

  • Prostatitis
  • Testicular conditions

In Both Sexes:

  • Urinary tract infections
  • Irritable bowel syndrome
  • Hernias
  • Kidney stones

Symptoms Associated with Pelvic Pain

  • Dull or sharp pain in the pelvic region
  • Pain during urination
  • Constipation or diarrhea
  • Pain during sexual intercourse
  • Lower back pain
  • Fever (in cases of infection)

When to Seek Medical Attention

Consult a healthcare provider if you experience:

  • Severe or sudden pain
  • Pain accompanied by fever
  • Bleeding
  • Difficulty urinating
  • Persistent pain lasting several days

Diagnosis

Your healthcare provider may use:

  • Physical examination
  • Imaging tests (ultrasound, CT scan, MRI)
  • Laboratory tests
  • Laparoscopy (in some cases)

Treatment Options

Conservative Treatments:

  • Pain medications
  • Heat therapy
  • Physical therapy
  • Relaxation techniques

Medical Interventions:

  • Antibiotics (for infections)
  • Hormone therapy
  • Anti-inflammatory medications

Surgical Options:

  • May be recommended for specific conditions
  • Depends on underlying cause

Prevention and Self-Care

  1. Maintain good posture
  2. Exercise regularly
  3. Practice proper hygiene
  4. Manage stress
  5. Stay hydrated

Living with Chronic Pelvic Pain

  • Keep a pain diary
  • Join support groups
  • Consider counseling
  • Follow your treatment plan

Always consult with your healthcare provider for personalized medical advice.

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