Pelvic pain can be a complex and frustrating condition, affecting many people at some point in their lives. It might be dull and aching, sharp and stabbing, or a constant discomfort that impacts your daily activities, mood, and relationships.
What Causes Pelvic Pain?
Pelvic pain can originate from a variety of sources including:
- Gynaecological causes like endometriosis, adenomyosis, ovarian cysts, or pelvic inflammatory disease
- Musculoskeletal issues such as pelvic floor muscle dysfunction or pelvic joint problems
- Neuropathic pain related to nerve irritation or injury
- Gastrointestinal or urinary tract conditions that mimic gynaecological pain
Sometimes, despite thorough investigation, no clear physical cause is found — but your pain is always real and deserves treatment.
How Do I Investigate Pelvic Pain?
Diagnosis usually involves:
- A detailed medical history and physical examination of the pelvic floor muscles
- Pelvic ultrasound (often transvaginal)
- Sometimes MRI or referral to pelvic pain specialists or physiotherapists
The aim is to identify any treatable causes and develop a personalised management plan.
Treatment Options
Treatment is tailored to your specific diagnosis and may include:
- Medical therapies, including hormonal treatments, pain medications, and nerve blocks
- Pelvic floor physiotherapy to address muscle dysfunction
- Minimally invasive surgery such as laparoscopy to diagnose and treat conditions like endometriosis
- Pelvic floor Botox injections for muscle-related pain
I work closely with a multidisciplinary team to provide comprehensive care and support.
You Are Not Alone
Pelvic pain affects your mental health and social life. I encourage open, judgement-free conversations so we can tackle the pain together and get your life back.
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Please note: This information is general in nature and not a substitute for medical advice tailored to your specific situation.