Understanding Pelvic Pain: When to See a Gynaecologist

The pelvis is a vital region in the body, housing the organs of our digestive, excretory, and reproductive systems. It is located between the lower abdomen and lower limbs.

However, sometimes, a sensation of discomfort may arise here. It is termed as ‘pelvic pain’. There are several causes for such a condition – this blog will discuss each of them in detail. Keep reading until the end!

Types of pelvic pain: Explained!

The symptoms of pelvic pain mostly imitate period cramps. Although this is true to some extent, there can be underlying issues, too. Sometimes, the pain may stem from internal muscles, nerves, or the surrounding tissues, much like the all-in-one type. In this blog, we will clarify the differences between common cases of pelvic pain and learn what is normal and what is not. This will help you understand when to seek immediate medical intervention.

There are primarily two types of pelvic pain – acute and chronic. The former resolves within a short period; however, the latter persists for a long time, ranging from six months to even more. You will be surprised that the number of persistent cases is higher than that of acute scenarios. This, of course, leads to a more difficult diagnosis. On top of that, a lack of knowledge about pelvic pain causes such cases to become even more complex.

What are the common causes of pelvic pain?

• Menstrual pain: Cramping is very common during periods and is a potential symptom of pelvic pain. This happens when the uterus muscles suddenly contract or become tight. It is characterised by heaviness around the lower abdomen, hips and genitals, generally resolving on its own. However, if they get severe or persist for long, even after having medicines, it is indicative of endometriosis.
• Endometriosis: It is a condition when the cells lining the uterine wall start growing in other parts of the body, especially in the pelvis region. The common sites where these cells grow are the peritoneum, bowels, urinary bladder, and ovaries. Such cells undergo the same changes that occur during the menstrual cycle while remaining inside the uterus. However, unlike period blood, they do not have any scope of escaping outside the body and start accumulating inside. Over time, this leads to issues with scarring and inflammation.
• Adenomyosis: It is similar to endometriosis; the only difference is that it grows into the muscular wall of the uterus. Symptoms typically include abnormal to excessive bleeding, painful cramps, and discomfort while being intimate.
• Irritable bowel syndrome (or IBS): The exact cause of IBS is still unclear. However, the probable cause may be hypersensitivity of the muscular walls of the bowels. This leads them to contract ununiformly, triggering pain and flatulence. Such a type of pelvic pain generally resolves after you pass wind or clear the intestines. The best way to manage IBS is to avoid foods that cause excessive gas. Also, ensure not to take too much stress, as anxiety is directly related to IBS. Additionally, if you notice bloody or black-coloured faeces, treat your condition as urgent and visit a doctor as early as possible.
• Pelvic muscle pain: Sometimes, pelvic muscle spasms may trigger pain, whether constantly or intermittently. This especially happens to menstruating women. Some other symptoms are pain while having sex, vaginal or rectal discomfort (characterised by a sharp, throbbing sensation) etc. If you are experiencing such pain, avoid doing hardcore exercises like sit-ups, crunches, Pilates, etc. Instead, take rest and use heat pads. Also, you can do some light pelvic floor muscle stretches to relieve the cramps.
• Urinary Bladder pain & urinary tract infections (UTIs): UTIs affect more than 50% of women worldwide and are considered to be one of the most common causes of pelvic pain. It is generally associated with a burning sensation while passing urine. Also, lower abdominal pain may sometimes be experienced. If left untreated, these infections can lead to severe complications in future. Thus, if you see that your symptoms persist for more than a day, including fever, chills, backache, nausea, etc, seek immediate medical help.
• Vulval pain: Sometimes, the external female genitalia, or the vulva may be subjected to infections. This irritates and inflames the region, causing subsequent tissue damage and pain. The pain may become chronic in extreme conditions, known as ‘vulvodynia. It is characterised by a burning sensation and pain commonly triggered by touch. At times, the pain becomes so severe that some women find it difficult to use tampons or sit down for long periods.

What should you do to manage pelvic pain?

1. If you feel that your doctor is not listening to or seeing you, feel free to choose a second option. A Gynaecologist in London or elsewhere can provide specialised care and support.
2. A multidisciplinary team of doctors is best for managing chronic pelvic pain. When pain persists for a long time, it can affect other aspects of life and well-being. Thus, it is crucial to address your problem from all angles, and here lies the importance of a strong team of health specialists. For example, a women’s health GP, a gynaecologist, a therapist, a psychologist, etc. Sometimes, a sexual health coach also comes to help.
3. Remember to keep track of your existing symptoms. This helps to make the diagnosis process easy and accessible. Keep note of your symptoms and previous treatments so that they become helpful while you discuss them with different health professionals.
4. Have a good source of reliable health material that highlights self-care practices. However, consult a health coach before you start to maintain those. They can professionally guide you on what to do and what not.
5. Last but not least, do not feel disheartened or panicked. Pelvic pain is a common gynaecological condition that can affect anyone. Thus, do not shy away from seeking help—always remember that you have supportive people who will listen to you and suggest remedies.

Conclusion

Several private gynaecology clinics in London facilitate cost-effective diagnosis. Moreover, they offer a high level of confidentiality while assessing your condition. Thus, if you have been facing discomfort in the lower abdominal region, take it seriously and book a consultation before it gets too late!