Pelvic pain is discomfort that occurs in the lowest part of your abdomen and pelvis, and its causes vary widely, which can make diagnosis a complex process. When discomfort is persistent and lasts for months, it is a case of chronic pelvic pain. Understanding the diagnostic and treatment approaches is a helpful first step. Here is more information about identifying and treating constant pelvic pain:
Using Ultrasound
An ultrasound is a standard first step in looking for the source of pelvic pain. This imaging test uses sound waves, so it creates pictures of the organs inside your pelvis. Your doctor will review the images to look for any structural abnormalities that might be causing discomfort.
For this procedure, a technician typically applies gel to your abdomen before they move a small device called a transducer across the skin. In some cases, a transvaginal ultrasound is performed, where a wand-shaped transducer is placed in the vagina. This method provides a clearer view of the uterus and ovaries. Your provider will analyze these detailed images to identify potential issues like:
- Fibroids
- Cysts
- Endometriosis
An ultrasound is a non-invasive tool, and it offers valuable information about your pelvic organs. The results help your healthcare provider determine the next steps in your diagnostic process. Finding the reason for your pain starts with a thorough examination.
Performing Laparoscopy
After initial imaging, your doctor might suggest a laparoscopy if a clear cause for the pain has not been found. A laparoscopy is a minimally invasive surgical procedure. It allows a direct view of the pelvic organs, and this helps in identifying conditions such as endometriosis or adhesions.
During the procedure, a surgeon makes a small incision near the navel and inserts a thin tube with a camera, and it is called a laparoscope. The surgeon can then see the pelvic cavity on a screen and look for abnormalities. If any tissue appears unusual, a small sample may be taken for a biopsy.
Providing Physical Therapy
Physical therapy is a treatment option for some types of chronic pelvic pain. A specialized physical therapist can help address issues with muscles and connective tissues in the pelvic floor. They create a personalized plan to meet your specific needs. Your treatment plan will typically involve exercises that you will practice with the therapist and at home, and may include:
- Stretching and strengthening exercises to improve muscle function.
- Manual therapy to release tension in tight pelvic muscles.
- Biofeedback to help you gain better control of your pelvic floor muscles.
- Relaxation techniques to reduce stress and manage pain levels.
Performing Surgery if Needed
When other treatments do not relieve severe pelvic pain, surgery may be an option. The type of surgery depends entirely on the underlying cause of your pain. A surgeon will discuss the specific procedure with you, including what it involves and the expected recovery process. Surgery might be used to remove uterine fibroids or endometrial tissue.
Get Checked for Pelvic Pain
Living with constant pelvic pain is complex, but there are ways to identify and manage it. Various diagnostic tools and treatments are available to help pinpoint the cause of your discomfort. From imaging tests to physical therapy and surgical options, a clear path exists to address the source of the pain. Schedule an appointment with a healthcare provider to discuss your symptoms and begin the process of finding a solution.
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