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November 10, 2018 by
The cause of pelvic pain is usually some disorder or disease of the female reproductive organs- uterus, cervix, vagina, fallopian tubes and ovaries. At times, it can also be due to diseases of the organs near the pelvis, such as appendix, rectum, bladder, intestines, and kidneys. In rare cases, the cause of pelvic pain can be unknown.
The common gynecologic causes of acute pelvic pain include:
-Ectopic pregnancy- this is a type of pregnancy which occurs outside the uterus.
-Miscarriage
-Ruptured ovarian cyst
-Infection of the female reproductive organs, known as Pelvic inflammatory disease (PID)
-The common non-gynecologic causes of acute pelvic pain include:
-Urinary tract infection (UTI)
-Appendicitis
The common gynecologic causes of chronic pelvic pain include:
-Menstrual cramps- This is the most common cause of chronic pelvic pain. The intensity of pain shifts at various stages of the menstrual cycle.
-Endometriosis
-Endometrial polyps- small protrusions in the uterine cavity
-Uterine fibroids- these are abnormal growths on the uterine wall.
-Cancers of the reproductive organs
Treatment for Pelvic pain:
Treatment plan depends on the cause of the Pelvic Pain And Pelvic Muscles Tension and , the extent of the disease, overall health of the patient and the tolerance of the patient to certain medications and therapies. The first step in treatment of pelvic pain is to identify the underlying cause and cure it. Besides that, initially for pain relief the following medications and methods can be used:
-Pain during Menstrual cycle: In case of dysmenorrheal, that is painful menstrual cramps, a combination of oral contraceptives can be used to relieve pain. Other hormonal treatments such as Progestin’s or GnRH agonists can also be considered.
-Antibiotic medications: These are for infectious causes of pelvic pain.
-Nerve stimulation therapy: Nerve stimulation therapies or Neuromodulation have proved to be effective in treating chronic pelvic pain. In this method, the sacral nerve, found in the lower back, is stimulated. This can provide some benefit for pain relief.
-Surgery: Surgical methods are used when oral medications and other therapies fail to relieve the pain. For pain relief the following surgical procedures can be used -
-Uterosacral nerve ablation or Presacral neurectomy: In this surgery the nerves to the uterus are cut off.
-Hysterectomy: If pain still persists after the nerves to the uterus are cut, the Uterus can be surgically removed.