Pain in the abdomen and the pelvic region can arise from various causes. On most occasions, benign conditions, such as constipation, gastritis, ovulation-related pain or a urinary tract infection may be the cause. Typically, OTC pain medications and/or appropriate short-term treatment with medications can lead to a complete resolution.
However, in some women, pain may persist and affect the quality of life. It may prevent them from being able to work independently and affect work productivity. In rare instances, it can cause significant disability requiring women to stay home and take prescription medications to control the pain.
Chronic or cyclic pain that affects the quality of life should be evaluated by a physician. Not all pain is from a gynecologic origin. Often, it could be due to other systems in the body (ex Gastrointestinal or from the Kidney/Bladder). Your gynecologist will work with other specialists, if needed, to isolate your cause of pain and recommend an appropriate treatment regimen. Often, it may require a trial of few medications before success is made. Sometimes, surgical interventions may be required to fix the cause of your pain and return to normal functioning.
A usual evaluation will require
- 1) A thorough History and focused physical exam
- 2) Imaging Studies – such as CT or Ultrasound
- 3) Laboratory studies, if indicated
Pelvic pain can be treated depending on the etiology. Your physician will work with you to develop a treatment plan appropriate for your health needs.