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Chronic Pelvic Pain Diagnosis, Causes, Symptoms, Treatments

Pelvic pain usually occurs below the naval. It can be sudden and severe, or mild and prolonged. If your pelvic pain lasts for six months or more, be it continuous or intermittent, it can be termed as chronic pelvic pain.  Visit your general physician ASAP if you experience pain in your pelvic region. They may refer you to a gynecologist, if required.


Medical history and physical exam is crucial to diagnosing pelvic pain. Be ready to discuss in detail your pain history, mental health and sexual history. The following tests also help pinpoint the root cause of the condition:

  • Blood tests
  • Urine tests
  • X-ray
  • Ultrasound
  • Stool test
  • Pregnancy tests for women of child-bearing age
  • Penile/Vaginal cultures to rule out sexually transmitted diseases
  • Lower endoscopy (To inspect the rectum and colon by inserting a lighted tube inside)
  • Hysteroscopy (uterus exam)
  • Diagnostic laparoscopy (The doctor takes a direct look at the structures of pelvis and abdomen)
  • CT scan of abdomen and pelvis
  • Bone density screening


  • Appendicitis
  • Constipation Or Bowel Spasm
  • Endometriosis
  • Ovarian Cyst
  • Pelvic Abscess
  • Pelvic Inflammatory Disease
  • Urinary Tract Infection
  • Compressed Nerve
  • Fibroids
  • Hernia

Symptoms of Pelvic Pain

  • Deterioration of menstrual cramps
  • Menstrual pain
  • Vaginal bleeding, discharge or spotting
  • Painful or difficult urination
  • Constipation/Diarrhea
  • Gas /Bloating
  • Blood witnessed during bowel movement
  • Pain during sex
  • Fever or chills
  • Hip Pain
  • Groin Pain

Pelvic Pain Treatments

Treatment varies for each patient according to the symptoms they present. Common treatments for pelvic pain include:

  • Hormone therapy for heavy menstrual bleeding or endometriosis.
  • Pain medications such as Non Steroidal Anti-Inflammatories (NSAIDs) ,narcotics, or drugs for nerve pain.
  • Surgery for certain females presenting adhesions, endometriosis or adenomyosis.
  • Physical therapy and biofeedback for females suffering from muscle pain or myofascial (connective tissue).
  • Psychological therapy, medication, or both to help patients cope with the pain and emotional distress.
  • Mind/body techniques like meditation, breath work, yoga and guided imagery can also help.
  • Nutrition and supplements can play a vital role. A diet that contains ample fruits, vegetables and grains can really help. Avoid foods that increase inflammation and take more of the foods that reduce inflammation.

For more information regarding Pelvic pain and how it should be treated, feel free to call our office at (815) 464-6166.