Chronic Pelvic Pain

Definition

Chronic pelvic pain is a steady pain that comes with a woman's menstrual cycle. Pelvic pain and pelvic masses are common symptoms experienced by women and it may be occur due to several causes. You can described both as acute or chronic, cyclic or non cyclic, localized of generalized, or a combination. It affects women of reproductive age and older. It's important to note that sudden, severe pain with mass indicates a serious disorder such as an ectopic pregnancy, and it also requires immediate evaluation and treatment.

Causes of Pelvic Pain

• If you have any infections, then it may lead to pelvic pain, such as vaginitis, urinary tract infection, and pelvic inflammatory disease (PID). Because bacteria may be enter via the genitourinary tract and cause inflammation.
• Ovarian cysts are masses, which are usually benign sacs that contain fluid or semisolid material. They may cause unilateral adnexal pain. Severe pain occurs with rupture or torsion.
• If you have spontaneous abortion, threatened, may also induce pelvic pain.
• Ectopic pregnancy, the implantation of the fertilized ovum in a place other than the uterus, can produce lower abdominal pain with a tender mass.
• Mittelschmerz can cause pain in the middle of the menstrual cycle due to ovulation.
• If you have Dysmenorrhea pain that occurs during mensesmay also cause this disease.
• Pelvic pain may also occur early in pregnancy, especially in the right lower quadrant, due to the dextrorotation of the uterus as it grows. It's sometimes referred to as round ligament pain.
• Pelvic malignancy can present as a mass but isn't commonly associated with pelvic pain.
• Endometriosis, the presence of endometrial tissue outside of the endometrium, may cause pelvic pain with dyspareunia. Uterosacral nodules may be felt during physical examination.

Pelvic pain may also be caused by non gynecologic conditions such as:

• GI disorders, such as appendicitis, spastic colon, diverticulitis, and inflammatory bowel disease that may cause this disease.
• If you have musculoskeletal problems, then it may also cause pelvic pain.

Symptoms of Pelvic Pain

• Cervical motion tenderness
• Adnexal tenderness
• Uterosacral nodules
• Nausea and vomiting
• Fever
• Vaginal fornix pain
• Severe pain with rupture of ovarian cysts, adnexal torsion, or hemorrhage
• Leukocytosis
• Enlarged, bulky uterus
• Cervical discharge
• Adnexal enlargement
• Leg pain
• Dyspareunia, or pain with deep thrusting during sexual intercourse

Treatment of Pelvic Pain

You can use various treatments to treat Pelvic Pain such as:

• You should be use antibiotics to treat Pelvic Pain.
• Nonsteroidal anti-inflammatory drugs
• Hormonal contraceptives
• Surgical removal of fibroids, cysts, or endometrial growths
• You can also use laparoscopic laser surgery for the treatment of Pelvic Pain.
• Antidepressants