Pelvic pain is a common gynaecological complaint and can be acute or chronic. It
is considered chronic (long-lasting), when it has been present for at least 3-6 months.
The type of pain varies from woman to woman. In some women, it is a mild ache that
comes and goes. In others, the pain is so steady and severe that it’s hard to sleep,
work, or enjoy life.
Some common causes of chronic pelvic pain include:
Problems of the reproductive system such as endometriosis, adenomyosis, and fibroids.
Ovarian cysts.
Pelvic infection.
Scar tissue (adhesions) in the pelvic area after a pelvic infection or surgery.
Diseases of the bladder or bowel, such as irritable bowel syndrome or painful bladder
syndrome.
Certain tests will be carried out to try and identify the underlying cause. These
may include a gynaecological examination, blood tests, urine culture, vaginal swabs
and a gynaecological ultrasound scan.
Depending on the findings the appropriate treatment will be instigated.
Medical treatment may include pain killers, antibiotics or hormonal tablets (such
as the contraceptive pill).
Surgery may include a laparoscopy (a camera in the tummy under general anaesthetic)
to help identify and treat the problem.
