Chronic Pelvic Pain In Women

 


Pelvic pain refers to the pain or discomfort felt in the lower abdomen region and pelvis of the body. The agony of the patient having pelvic pain can range from a sharp jab to a dull ache. When there are painful sensations below the navel lasting for more than six months, it is known as chronic pelvic pain.

 

It can occur in both men and women and could be a sign of some infection, unusual problems of the internal organs, or pain caused by damaged pelvic bones. In the case of females, pelvic pain might stem due to some issue with reproductive organs lying in the pelvic area that includes the uterus, fallopian tube, ovaries, cervix, and va-gina. At Vishesh Jupiter Hospital, best multispecialty hospital in Indore the expert doctors provide treatment for pelvic pain and other related concerns. The approach of treatment is followed by a proper diagnosis and prognosis of the concern/disease.

 

Symptoms of pelvic pain in women:

 

·       A faint ache in the pelvic region (hip and groins)

·       Cramps in the abdomen

·       Pain aggravated during sexual intercourse

·       Sharp abdominal pain that radiates to other body parts

·       Worsening pain while urinating or having a bowel movement

·       Vaginal discharge, spotting, or bleeding

·       Gas or bloating

·       Fever or chills

·       Chronic fatigue

 

Possible causes of pelvic pain in women:

 

·       Acute or vague pelvic pain is caused due to endometriosis (a condition wherein the tissue lining the inside of the female womb grows outside).

·       Congestion in the pelvis region

·       Disorders of the urinary bladder (including urinary tract infection)

·       Pelvic infection and inflammation

·       Sexually transmitted diseases

·       Pregnancy

·       Miscarriage

·       Ectopic pregnancy

·       Menstrual cramps

·       Fibroids

·       During ovulation

·       Cancer of the cervix, ovaries, or uterus

·       Ovarian disorders or ovarian cysts

·       Adhesions (thin fibrous bands) sometimes formed after abdominal surgeries.

 

How to diagnose pelvic pain?

 

During diagnosis, the gynecology doctor in Indore first reviews the patient's symptoms and medical history followed by a physical examination of the pelvis region to find areas of tenderness.

 

Some of the diagnostic tests include:

 

·       Blood tests

·       Urine tests

·       Pregnancy tests in women of reproductive age

·       Hysteroscopy to examine the uterus

·       Laparoscopy for direct examination of pelvis and abdomen to help identify chronic pelvic inflammatory disease and endometriosis

·       Culturing of vaginal samples to check for sexually transmitted diseases like gonorrhea or chlamydia.

·       Imaging tests like X rays of the abdomen or pelvic region, CT scan and MRI for detecting any unusual growths or structures, and Ultrasound of abdomen and pelvis (using sound waves to get detailed pictures of internal organs)

·       Sigmoidoscopy or colonoscopy

·       Stool guaiac test to look for microscopic blood in a fecal sample.

 

Treatment for pelvic pain in females:

 

Consulting and getting treatment from a gynecologist can reduce the symptoms and enhance the quality of life of the patient. The treatment provided depends upon the identified cause. Sometimes a combination of treatment modalities would be needed by one patient. The treatment modalities include:

 

Medications: Over-the-counter or prescribed pain relievers, antibiotics (if the pelvic infection is the identified source), antidepressants, and hormonal therapies like birth control pills (when the pelvic pain occurs during the menstrual cycle).

 

Rehabilitative measures:

 

Physical therapy such as relaxation techniques, stretching exercises, and massage is assisted by a physical therapist to cope up with chronic pain. Neurostimulation block the nerve pathways using a medical device so that pain signals cannot be received by the brain.

 

Psycho-counselling may help some patients whose pelvic pain could be intertwined with a personality disorder, depression, or a family crisis. Some of the types of psychotherapy that can work are biofeedback and cognitive behavior therapy. Trigger point injections can also be used to block pain at specific points.

 

Surgeries: This includes invasive procedures such as:

 

Laparoscopy- It is a minimally invasive procedure that can be carried out to remove endometrial tissue or adhesions. During this surgery, a thin tube with a fitted camera (laparoscope) is inserted through a small incision made near the navel. It helps guide the surgeon throughout the procedure. Other incisions may be needed to insert surgical instruments and remove the abnormal tissues.

 

Hysterectomy- It is a major surgical procedure wherein the complete uterus is removed. Sometimes, fallopian tubes, ovaries, cervix, and other surrounding structures may also be removed. It is done in rare complicated cases. After this surgery, the patient would no longer have to face periods, pregnancy, or menopause.

 

To get the best treatment for pelvic pain and other gynecological condition. Schedule an appointment with the expert and best gynecologist in Indore at Vishesh Jupiter Hospital

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