Pelvic Pain

Many women experience significant pain in specific locations of their pelvis, or throughout the pelvis, during their menstrual cycles or throughout the month. The causes of pelvic pain are not determined in all cases, but can often be traced to the uterus, ovaries, bowel, bladder and/or other pelvic sites. Some women will even experience pain during urination, defecation, intercourse, or even just while lying or sitting at rest.

The pain can also be associated with prior pelvic or abdominal operations and be related to scar formation. In some women, the pain can be caused by, or exacerbated by, emotional distress, and in some cases, by a history of physical or sexual abuse.

To diagnose the causes of pelvic pain, a detailed history and physical examination are performed as well as diagnostic tests including blood tests, ultrasound exams, CAT scans or MRI scans, and procedures to evaluate the bowels and/or bladder. Laparoscopy is also often needed to determine a diagnosis. Treatment options depend on the causes for the pain and often include medications, surgery, nerve-blocking treatments, biofeedback, counseling, or a combination of these treatments.

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