Chronic Pelvic Pain

Chronic pelvic pain is also known as long-term pelvic pain. Pelvic pain is any type of pain that you feel in your tummy mainly lower tummy. You will be told that you have chronic pelvic pain when you experience pain at all times or sometimes for more than 6 months. This is very common in women and around 1 in 6 women tend to have this type of pain. This kind of pain can be very distressing and can affect your quality of life.

What are the causes for chronic pelvic pain?

In most of the situations it has been noted that women with chronic pelvic pain is usually caused by combination of physical, psychological and or social factors rather than one single cause, sometimes cause may not be found. Some of the common causes for pelvic pain could be as follows

  • Endometriosis: this is a condition where cells from inner lining of your womb are found in elsewhere in the tummy, mainly in the pelvis
  • Pelvic inflammatory disease: infection of female reproductive organs
  • Cystitis: bladder inflammation
  • Adhesions: if you have any kind of surgery in the past you can develop some abnormal band like structures internally and cause pain
  • If you have had your uterus / bladder descended from it normal position (pelvic organ prolapse)
  • If you have any pain in your musculoskeletal system such as pain in the joint / muscle / bone of the pelvis
  • If you have a condition called irritable bowel syndrome (IBS)
What are the symptoms?
  • Constant nagging type of pain in the lower tummy (pelvis)
  • Lower back pain
  • Pain during sexual intercourse
  • Discomfort while passing urine / motion
  • Heaviness in lower tummy
What tests will be required for diagnosis?
  • You may be advised to undergo some test to check if you have any pelvic infections
  • Ultrasound scan (USG): this may be trans-abdominal (TAS) or trans-vaginal scan (TVS)
  • Sometimes MRI scan of the pelvis may be required.
  • Sometimes you may be offered laparoscopy if you have a condition like endometriosis or adhesions
What are the treatment options available?
  • Treatment will depend on the cause for your chronic pelvic pain.