A common problem among women, pelvic pain has several causes. It may be acute, chronic, severe, or sudden, depending upon the exact cause. Its nature, intensity, and duration also vary. Sometimes, it may be difficult to pinpoint the precise location where the pain originates from. For example, pelvic pain may start because of a problem in the genitals or organs surrounding the pelvis, or it may even be psychosomatic.

What does pelvic pain feel like?

Pelvic pain in women differs from one person to another. Some may experience a dull and throbbing pain; others may go through a sharp and shooting pain in the pelvis. Pressure, tightness, and feeling stabbed by a dagger are also typical characteristics of pelvic pain.

What causes pelvic pain in women?

A healthcare professional can determine the exact cause of pelvic pain after a thorough check-up. Some common causes of pelvic pain include:

• Menstrual pain and cramps
• Endometriosis
• Ectopic pregnancy (a pregnancy that happens outside the uterus)
• Urinary tract infection
• Gastrointestinal issues
• Uterine fibroids
• Appendicitis
• Miscarriage
• Pregnancy-related pelvic girdle pain (PGP)
• Strenuous sexual activity

Pelvic inflammatory disease, ruptured fallopian tube or ovarian cyst, and cancers of the reproductive system are a few other potential causes of pelvic pain.

How does a doctor diagnose pelvic pain?

Depending on the symptoms you are experiencing, you might need to see a general practitioner, gynecologist, or gastroenterologist. For example, if you are experiencing recurring or chronic pelvic pain and have diarrhea or constipation and bloating, a gastroenterologist may make sense. Nevertheless, it is a good idea to start with your general practitioner. Your health provider will ask questions aimed at determining the type, category, and possible cause of your pelvic pain. It will be helpful to use the pain-tracking app to record all the symptoms and their timings; it will help your provider reach an accurate diagnosis faster. Besides a physical pelvic exam and medical history, your doctor may advise one or more of the following tests:

• Ultrasound
• X-ray
• Blood tests
• Urine test
• Pregnancy test
• Culture of cervix cells
• MRI (Magnetic Resonance Imaging)
• CT (Computed Tomography) scan
• Colonoscopy
• Sigmoidoscopy
• Laparoscopy

What are the ways to relieve pelvic pain?

Specific treatment and its duration depend on the diagnosis. Generally, pain medicines, anti-inflammatory medicines and diet, relaxation exercises, and physical therapy help relieve pelvic pain. However, your doctor may recommend surgery if these treatment methods don’t work.

You may also try the following home remedies for pelvic pain management.

1. Exercise, depending upon the intensity of pain—preferablly gentle and light exercises until pain alleviates. Get a physiotherapist to help you if your pain affects movement.

2. In case of debilitating pelvic pain, keep your legs elevated as much as possible.

3. Place a hot water pad or bottle on your pelvic region or sit in a tub full of warm water.

4. Try yoga, preferably under an expert’s supervision at first.

If you are pregnant, take your doctor’s advice before taking over-the-counter pain medicines, herbs, or trying specific yoga poses or exercises for pelvic pain management.