The Most Common Causes of Pelvic Pain

Though there are many causes of pelvic pain, it can vary greatly from woman to woman. Some of the most universal symptoms include:

• Cramping or aching
• Pressure and heaviness
• Sharp pain
• Pain during intercourse
• Pain during a bowel movement

At Boston Urogyn, Dr. Neeraj Kohli leads the way with advanced treatments for pelvic pain. Depending on the cause of your pelvic pain, our team provides minimally invasive solutions, such as:

• Medications
• Botox® injections 
• Biofeedback
• Physical therapy

Some conditions, such as fibroids and endometriosis may require more involved treatments or surgery. 

Before he decides how best to relieve your pelvic pain, Dr. Kohli meets with you to conduct a physical exam, understand your health history, run some tests, and customize a plan to help you feel better. 

Some of the most common causes of pelvic pain are described here:

Endometriosis

A common condition that affects women in their childbearing years, endometriosis may impact fertility. It occurs when endometrial tissues that are normally inside your uterus grow in other parts of your body. Pelvic problems associated with endometriosis include:

• Chronic pain
• Heavy periods
• Disruptive sleep
• Diarrhea or constipation

Menstrual cramps

About 50% of women who have periods experience pain during their monthly cycles. During the course of your body’s monthly shedding of your uterine lining, you may have constant aching or sharp pain and muscle spasms.

Fibroids

These are benign growths in your uterus that can vary considerably in size. Some of the symptoms of fibroids that may contribute to your pelvic discomfort are:

• Heavy menstrual bleeding
• Frequent need to urinate
• Low back pain
• Pain during intercourse
• Pain or pressure in your rectum

Urinary tract infections

UTIs are bacterial infections that cause burning during urination and a frequent need to urinate, along with these flank pain, pelvic pressure, and sharp pelvic pain.

Irritable bowel syndrome

A chronic gut disorder that creates discomfort in your abdomen, IBS causes intermittent gas, diarrhea, or constipation. These problems affect your pelvic area with:

• Abdominal pain
• Increased diarrhea near menstruation
• Excess bloating 

Pelvic inflammatory disease

PID is an infectious womb disease that’s caused by bacteria from a sexually transmitted disease. Pelvic symptoms of pelvic inflammatory disease include:

• Bleeding during intercourse
• Abnormal bleeding during your period
• Lower abdominal pain

Schedule an evaluation

Many of the conditions associated with pelvic pain have overlapping symptoms. That’s why it’s important to get a thorough evaluation and concrete diagnosis from our caring doctor at Boston Urogyn. Call one of the offices in Wellesley, Weymouth, Oak Bluffs, and Hudson, Massachusetts, to book a personal consultation or request an appointment online.