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Pelvic Pain

Pelvic Pain, it can develop in pelvic region area such as the area between the hips and below the bellybutton.

Causes:

Pelvic pain may be developed several gynecologic diseases. However, other health problems may cause pelvic pain such as interstitial cystitis or irritable bowel syndrome. Sometimes, psychological factors can be associated pelvic pain.

The following are other common causes of pelvic pain:

Endometriosis: In this health problem, tissue from uterine endometrium makes outside the uterus. The growth of tissue may affect the menstrual periods such as levels of hormone rise and fall as uterine endometrium does breaking down, thickening and bleeding every month. The tissue or blood can not exit the body through the vagina due to happen outside the uterus. This can develop pelvic pain.

Chronic pelvic inflammatory condition: This disease can develop if infection for long term, transmitted through sexual contact, causes one’s fallopian tubes to adhere and scar to one’s ovaries.

Fibroids: The experience of heaviness in the lower abdomen or pressure may associate due to growths of noncancerous uterine.

Psychological factors: Ones may be experience more pelvic pain, if she/he has been physically or sexually abused or under emotional stress. This is associated because excessive stress makes severe pain, possibly by causing changes in level of chemical or contracts one’s pelvic floor muscles.

Signs and symptoms:

  • Dull aching
  • Heaviness or pressure within pelvic region
  • Severe pain in pelvic area
  • Cramping or sharp pains
  • Continuously pain

Patients may experience the pain during intercourse. Patient can not sleep well and can not do exercise during the severe pain

Diagnosis:

Specific exams and tests may be suggested by the health care providers include:

Pelvic examination: this will be examined abnormal growths of muscles or tense pelvic floor muscles and symptoms or signs of infection. Health care provider will check changes in skin sensations and areas of tenderness. This is very necessary to consult the doctor, if patient experience any pain during the pelvic examination.

Laparoscopy: the doctor may use laparoscope to examine for signs of infection in pelvic area and abnormal tissues. This exam is very effective to diagnose the pelvic pain.

Cultures: sometimes, doctor can take a sample from vagina or cervix to determine the infection, herpes, Chlamydia or gonorrhea.

Imaging studies: in some cases, abdominal X-rays, Ultrasound, magnetic resonance imaging or computerized tomography may be suggested by the doctor to help detect abnormal growths or structures.

Treatment:

Pain killers: OTC pain relievers such as ibuprofen, aspirin or acetaminophen may be prescribed by the doctor to reduce the pelvic pain.

Antidepressants: Tricyclic antidepressants such as nortriptyline, amitriptyline and others can manage several pain syndromes. Patients should not use these antidepressants as high dose to reduce the pelvic pain.

Hormone treatments: Sometimes, hormonal medications are prescribed by the doctor to help control pelvic pain. Antibiotics are also preferred to fight against infection in pelvic area.

Surgery: for certain problems, Laparoscopic surgery may be recommended by the doctor. He can be recommended a hysterectomy. This is very effective to reduce pelvic pain.