Pelvic Pain

Dr. Nadheer K M (AIIMS)MBBS

December 13, 2018

March 06, 2020

Pelvic Pain
Pelvic Pain

What is pelvic pain?

Pelvic pain refers to pain anywhere in the area below the navel due to a disorder of any of the pelvic organs. In females, it may include the disorders of the uterus, ovaries, or the tubes and in males, prostate problems might lead to pelvic pain. Both genders may have pain related to urinary tract infection, pelvic bone and muscle disorders. However, it is most frequently experienced by women. 

What are its main signs and symptoms?

The pain is mainly localised to the lower abdominal area. Pain can be dull or sharp that comes and goes (intermittent pain). It can be generalized or spotty (localised)  that is limited to specific sites. The cause determines the nature and intensity of pain. The pain may be associated with burning urination, blood in urine, nausea, vomiting, and more. 

What are the main causes?

Causes common to both males and females include kidney stones, colitis, spasms of pelvic muscles, urinary tract infections, osteoporosis (reduced bone mineral density after menopause), and sexually transmitted diseases.

Causes in women:

Causes in men:

  • Prostatitis (inflammation of the prostate gland).
  • Epididymitis (inflammation of the epididymis).
  • Testicular infection.
  • Torsion of testes.

Pain localised in the hip area refers to a bone disorder or fracture as the possible cause and requires further evaluation. Right-sided pain can point out an ovarian cyst or pain radiating from an inflamed or swollen appendix (appendicitis).

How is it diagnosed and treated?

Diagnosing the cause of pelvic pain can be challenging, hence, the primary aim of your doctor will always be to elicit a good past and present history. This helps them to understand the exact nature of your pain so as to point out related causes. Your doctor will order certain blood tests and a urine test. Also, he/she might ask you to undergo certain pelvic scans including an ultrasonography and CT scan if needed, to look at the pelvic structures. Treatment depends upon the cause. Painkillers are given to manage acute and severe pain. Muscle relaxants and anti-inflammatory drugs are administered for spasms. In cases of scar formation, surgery is advised.

Self-care includes good posture maintenance and regular exercise. Other therapies include acupressure, vitamin injections and yoga. A regular follow-up is advised for a good and speedy recovery.


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  6. National Institute of Child Health and Human development [internet]. US Department of Health and Human Services; Pelvic Pain.

Medicines for Pelvic Pain

Medicines listed below are available for Pelvic Pain. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

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