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Pelvic pain

Pelvic pain is more common in women – this pain usually means problems in pelvic organs including bowel, bladder, uterus or ovaries. Sometimes pelvic pain comes from pelvic bones, muscles, nerves, blood vessels or joints.

Pelvic pain can be acute or chronic. Acute pain appears first time suddenly, sharply, unexpectedly and briefly. Chronic pain is usually on-going during months – persistent or recurrent. Sometimes pelvic pain appears at certain time depending on menstrual cycle, sexual activities or urination periods.

Pelvic pain can be dull or sharp, constant or interrupted (intermittent), mild/moderate or severe. Pelvic pain can sometimes radiate to lower back, buttocks or thighs.

Pelvic pain during menstrual cycle

Certain periods of menstrual cycle could trigger pain in pelvic area.

Ovulation
Some women feel sharp pain during ovulation and sometimes they could also have brown spotting. Usually ovulation pain lasts few hours and appears at different side each month – depending on which ovary releases the egg.

Pelvic pain

Pelvic pain

Dysmenorrhoea (menstrual cramps, pain during menstrual periods)
Many women notice discomfort or pain during menstrual periods. Sometimes (about 1 in 10 women) dysmenorrheal can be severe combined with menstrual cramps.

Endometriosis
If woman has endometriosis, usually she suffers from severe pain periodically (usually around the time of menstrual periods).

Pelvic pain during pelvic inflammatory disease

Pelvic inflammatory disease (PID) commonly triggered by sexually transmitted diseases (mainly Chlamydia or gonorrhea). PID symptoms include pain in lower abdomen or pelvis, fever, irregular bleeding and vaginal discharge.

Pelvic pain and tumors

Ovarian cyst
Ovarian cysts are non- cancerous benign tumors – fluid-filled sacs developed usually in one ovary. Ovarian cyst rupture or torsion always triggers severe pain in pelvic and abdominal zones. Main ovarian cyst symptoms include also dull ache in the lower back and thighs, irregular menstrual cycles, heavy long periods, unexpected abnormal bleeding, frequent urination, nausea and/or vomiting, faintness and/or dizziness.

Uterine fibroids
Fibroids are benign tumors which occur in the uterus. Degenerative changes in fibroids can cause pelvic pain, abdominal swelling, heavy periods, uterine bleeding, urination problems, constipation and infertility.

Cancer
Few types of cancer could also cause pain in pelvis – ovarian cancer, colon cancer, uterine cancer and cervical cancer. Each type of cancer has very specific symptoms including unexpected weight loss, uterine bleeding or bloody discharge, digestion problems and unexpected weakness.

Pelvic pain during pregnancy

Miscarriage
Miscarriage is pregnancy interruption and loss of a pregnancy during first 24 weeks. Most common miscarriage symptoms include severe pelvic and/or abdominal pain, vaginal bleeding with blood clots, pelvic cramps and dizziness.

Ectopic pregnancy
Ectopic pregnancy occurs when the fertilized egg attaches itself outside the cavity of the uterus – in most cases the ectopic pregnancies are found in the Fallopian tubes. Ectopic pregnancy typical symptoms include pain on one side of the lower abdomen or pelvis, missed period, vaginal bleeding or brown discharge.

Corpus luteum cyst
Corpus luteum cyst is a type of ovarian cyst which contains blood and other fluids. In most cases corpus luteum cyst cause no problems but sometimes it can become too swollen and may burst which could cause sharp pain on one side of pelvis.

Premature labor
Physiological normal labor starts after 37 weeks of pregnancy but sometimes women could experience premature labor which usually starts with pelvic severe cramps and pain that come and go in a regular pattern. During premature labor women usually have also vaginal mucous discharge or gush fluid from the vagina.

Pelvic pain – other causes

Appendicitis
Appendicitis – it is inflammation of appendix. Typical symptoms include abdominal tenderness and pain, loss of appetite, nausea or vomiting.

Irritable bowel syndrome (IBS)
Irritable bowel syndrome is a common gut disorder. IBS symptoms can include abdominal/pelvic pain, bloating, diarrhoea and/or constipation.

Cystitis
Cystitis is inflammation of the bladder, usually caused by a bladder infection. Cystitis is pretty common in women. It can be very disturbing because of several unpleasant symptoms – strong, persistent urge to urinate; burning sensation during urination; pelvic discomfort or pain; passing frequent, small amounts of urine and sometimes blood in the urine.

Hernia
Usually only strangulated hernia cause severe pain


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