Pelvic Pain

Pelvic pain is pain in the lowest portion of your abdomen and pelvis. Usually, pelvic pain refers to symptoms in women, arising from the reproductive or urinary systems.

Chronic pelvic pain refers to any constant or intermittent pelvic pain that has been present for more than a few months. Sometimes, after a disease has been treated or an injury has healed, the affected nerves keep sending pain signals. This is called neuropathic pain. It may help explain why it can be so hard to find the cause of chronic pelvic pain

Sometimes, you may notice pelvic pain only at certain times, such as during urination, menstruation or sexual activity.

The diagnosis of chronic pelvic pain requires a good patient history and physical exam. At your appointment, please come prepared to discuss many aspects of your health, including your past medical history, pain history, sexual history and mental health.



The physical exam will thoroughly assess the many possible sources of pelvic pain discussed under "Symptoms," with particular attention to the musculoskeletal system including the back, abdomen and pelvis. A Q-tip test may be performed to test the nerves outside and near the vagina.

Treatment for chronic pelvic pain is tailored to each patient, depending on the underlying causes of the pain.
Some treatment options include:
• Hormones for conditions such as endometriosis or heavy menstrual bleeding.
• Pain medications such as narcotics, nonsteroidal anti-inflammatories or medicines for nerve pain.
• Surgery for some women with adhesions, adenomyosis or endometriosis.
• Physical therapy and biofeedback for women with myofascial (connective tissue) or muscle pain.
• Psychological therapy, medication, or both to help you cope with chronic pain. A therapist can offer support and tools to handle living with chronic pain, and can also help you and your partner cope with the relationship and sexual issues that can arise as a result of chronic pain.