There are many potential causes of pelvic pain, ranging from mild menstrual cramps to traumatic injury. Treatment of pelvic pain is dependent on the cause, so determining the cause is a crucial first step.
Determining the cause of pelvic pain will likely start with your doctor obtaining a medical history and explanation of symptoms. Your doctor may then order any of a number of tests, such as urine tests or imaging tests. The results of these tests will determine how your doctor may choose to treat you.
If pelvic pain is caused by a urinary tract infection, antibiotics will likely be prescribed and the patient may be encouraged to drink more water and less caffeine. A number of female reproductive issues may be treated with hormonal birth control, possibly in conjunction with painkillers. The use of heating pads may be recommended as well. In the event of more hazardous causes, such as ovarian cancer, or cases in which birth control and painkillers are not sufficiently controlling pain, surgery to treat the specific condition may be necessary.
Treating pelvic pain caused by injury or musculoskeletal deformity may be a more difficult task. After imaging tests are done to determine the exact nature of the injury or deformity, your doctor can determine if surgery is a reasonable first step, or if other methods should be tried first. Depending on the exact nature of the problem, your doctor may first wish to try steroid injections, oral medications, chiropractic care, psychological pain management (such as cognitive behavior therapy), or physical therapy. If these methods are not sufficient for pain relief, surgery may required.
If you are suffering from chronic pelvic pain, schedule an appointment with your doctor as soon as possible. Your regular doctor can refer you to a specialist if needed.