Pelvic Pain

Pelvic pain is mostly occurred in the lower abdominal area. The pain may be continuous, or it can come, and go. If the pain is severe, it can affect the performance of daily activities.

Women may experience a dull ache during periods. Other times during sex, there may be a pain. Pelvic pain suggests that the pelvic area may have problems with one of the organs such as the ovaries, uterus, fallopian tubes, cervix, or vagina. Pelvic pain indicates an underlying infection or problem with the lower intestines, urinary tract, rectum, muscle or bone. In men, the cause of pelvic pain is often the problem with the prostate gland.

Types of pelvic pain

Pelvic pain can be classified into two categories, such as-

  1. Acute Pelvic Pain Acute pelvic pain starts suddenly over a short period of time, and can range anywhere from a few minutes to a few days. Severe pain is often some sign or warning that needs immediate attention. Acute pain may indicate a problem with the bowel, bladder, bowel, or appendix. Can cause pain in the pelvis or pelvic area. There can be other reasons like pelvic inflammation, vaginal infection, vaginitis, and sexually transmitted diseases.
  2. Chronic pelvic pain – Chronic pelvic pain– may be continuous or intermittent. Intermittent pain usually has a specific cause, while persistent pain may be the product of more than one problem. The most common example of chronic pelvic pain is dysmenorrhea or menstrual cramps. Adenomyosis, endometriosis, and ovulation pain are some of the other causes of chronic pelvic pain.
  3. Below are some examples of the different types of pelvic pain described by women, possibly with cause and origin.
  4. Localized pain – inflammation is probably caused.
  5. Term pain- may intestine, appendix or results Spasaiming soft part as urine |
  6. Sudden onset of pain – possibly – a blockage in the blood circulation can result in temporary lack of blood supply.
  7. Slow developed pain – inflammation of the appendix or obstruction may be the culprit.
  8. Pain involving the entire stomach – This may suggest accumulation of pus, blood or intestinal contents.
  9. Pain due to agitation or during examination – there may be a possibility of irritation in the lining of the abdominal cavity.

Epidemiology of Pelvic Pain

Chronic pelvic pain is quite common, affecting most women. About 1 to 7 women are affected. Studies of reproductive-aged women in primary care practices showed a prevalence rate of pelvic pain up to 39%. About 10% of gynaecological referrals are for pelvic pain.

Psychopathology of Pelvic Pain

Limbic associated pelvic pain is hypothesized to have many features seen in these patients, but as the underlying pathology in the development of chronic pain is unknown.

Causes of Pelvic Pain

There are many reasons associated with brain pain, such as-

  1. Inflammation with direct irritation of nerves can occur as a result of fibrosis, trauma, pressure, or swelling of the insertional areas.
  2. Muscle contraction as well as spasms of both skeletal and smooth muscle.
  3. Psychological factors increase pain.

There can be many sources for sudden acute pelvic pain, some of the sources may include, such as-

  1. ectopic pregnancy
  2. Pelvic inflammatory disease.
  3. Deformed fallopian tubes
  4. Twisted ovarian cyst.
  5. Ovarian cyst rupture.
  6. Risk of miscarriage or miscarriage.
  7. Stones
  8. Urinary tract infections.

Causes of chronic pelvic pain may include, such as-

  1. Endometriosis or polycystic ovary syndrome.
  2. Menstrual Cramps|
  3. Uterine fibroids.
  4. Endometrial Polyps
  5. Adhesion between internal organs in the pelvic cavity.
  6. Reproductive tract cancer.

This insensitive long-term pain can often lead to the breakdown of a woman’s defence. As a result of which behaviour and emotional distress arise. Chronic pelvic pain syndrome has been used to describe such a condition.

Prostatitis is a common cause in men for pelvic pain, which generalizes pain and discomfort around the pelvic region, however, pain may be present in and around the testis, penis, anus region or lower back. The pain or discomfort may be continuous, or intermittent. Pelvic pain associated with prostatitis with ejaculation or urination may be more severe.

Symptoms of Pelvic Pain

Pelvic pain in females is related to pain affecting the lower abdominal area and pelvis. Severe female pelvic pain is often defined as pelvic pain. Which can continue for at least six months?

Symptoms of pelvic pain may include the following, such as-

  1. Pain that ranges from dull to severe.
  2. Pain ranges from mild to severe.
  3. Severe cramps during the period.
  4. Pain during sex.
  5. Pain while urinating.

Symptoms of pelvic pain may be such as-

  1. Blood in urine or feces.
  2. Heavy or irregular vaginal bleeding.
  3. Vaginal bleeding after sexual intercourse.
  4. Symptoms of depression are usually associated with chronic pain.

Pelvic pain in men is a common cause of prostatitis, pain or discomfort may be continuous or intermittent. Pain may be more severe with ejaculation or urination.

Treatment of pelvic pain

Treatment of pelvic pain depends on the root cause, which should be diagnosed before any treatment. Treatment is based on, e.g.

  1. Medical history and overall health.
  2. Degree of Condition
  3. Reason for the situation.
  4. Tolerance to specific drugs or therapies.
  5. Expectations for the condition.

Nonsurgical treatment for pelvic pain includes the following, such as-

  1. Antibiotics
  2. Anti-inflammatory medications.
  3. Relaxation Techniques.
  4. oral contraceptive
  5. Physical Therapy (PT)

In the absence of physical causes, pelvic pain may be associated with mechanisms associated with mental trauma. In some cases, psychotherapy is recommended, using various methods including nutritional modification, physical therapy (PT), environmental change, etc., in some other cases a multipurpose treatment is recommended, such as-

  1. Screening for pelvic pain.
  2. A complete medical history, physical and pelvic examination is the first step towards the examination.

Other diagnostic procedures for pelvic or pelvic pain may include, e.g.

  1. Blood test
  2. Urine-analysis.
  3. Pregnancy Test
  4. Culture of cells from the cervix.
  5. Ultrasound
  6. Magnetic Resonance Imaging (MRI)
  7. Computed Tomography (CT)
  8. X-rays.
  9. Laparoscopy
  10. High vaginal swab for bacteria and endocervical flab.

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