Pelvic Pain

This can be a very simple or a very difficult condition to manage particularly if it is a chronic condition i.e. lasts more than 6 months.The gynaecologist must do his best to try and identify a cause and sometimes after extensive investigation no gynaecological cause is found. This is not necessary a bad thing as the gynaecologist can then refer to another speciality to focus in on another a cause. Again this begins with a detailed history and an examination. Cyclical pain is usually gynaecological in origin especially when associated with painful, heavy periods and deep pain on intercourse (dysparaenia).

This also requires investigations include a transvaginal (internal) scan, abdominal/pelvic ultrasound, genital tract swabs, sometimes CT / MRI scans. If indicated a laparoscopy to try and diagnose a gynaecological cause would be considered a gold standard investigation. There are several gynaecological causes including endometriosis, adenomyosis, ovarian cysts, adhesions, and pelvic infections that should be discussed with your gynaecologist. Depending on the condition suspected or diagnosed there a usually multiple treatment options that can also be offered.