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Pelvic Pain

What is chronic pelvic pain ?

Chronic pelvic pain is any pain below your umbilicus and has been there for 6 months. The exact diagnosis can be tricky to both your physician and treating gynecologist.

What are the symptoms?

  • Dull aching pain
  • Abdominal cramps
  • Pain exacerbated by sexual intercourse
  • Pain which increases while passing urine or motion
  • Shooting abdominal pain radiating to any other body part

When to visit a gynecologist?

Please visit your gynecologist if you have symptoms of unexplained abdominal pain, chronic fatigue or you have been showing to your general practitioner with no relief of abdominal pain. Since a gynecologist has better understanding of the female pelvic anatomy, you should get yourself evaluated by her.

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Why do you have all these symptoms in chronic pelvic pain?

There are a lot of gynecological conditions which present as chronic pelvic pain. Endometriosis which causes powder burn spots all over the pelvis can present as vague or acute pelvic pain. Pelvic infections, or pelvic congestion can also present as symptoms of pain. Sometimes previous abdominal surgeries can cause thin fibrous bands called as adhesions, which can cause chronic pelvic pain.

Complications of chronic pelvic pain:

  • Tubo-ovarian masses
  • Deep pelvic abscess
  • Infertility
  • Chronic ectopic pregnancy
  • Psychological stress
  • Impaired quality of life
Management

Diagnosis & Treatment

We at Queen’s Gynecology believe in finding out your exact cause, so that we can plan your treatment accordingly. The objective of the treatment is to improve the overall quality of life. Sometimes, more than one modality of treatment may be required for a single patient.

The treatment modalities include :

  • Medicines- Painkillers, Antibiotics, Hormones, Antidepressants.
  • Rehabilitative measures- Physiotherapy, Psycho-counselling.
  • Surgery- Laparoscopy , Hysteroscopy

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