Pelvic Pain

Chronic pelvic pain describes ongoing or recurring discomfort in the pelvic area, which can be either constant or intermittent. It can significantly affect physical, emotional, and social well-being.

Common Causes of Chronic Pelvic Pain:

Endometriosis

Pelvic Inflammatory Disease

Uterine Adenomyosis

Uterine Fibroids: Benign uterine growths that may cause pressure or pain

Pelvic Floor Dysfunction: Tension or weakness of the pelvic floor muscles

Myofascial Pain Syndrome: Trigger points in the pelvic or abdominal muscles

Hernias or Nerve Entrapment: Such as pudendal neuralgia

Nerve Damage or Neuropathy: Following surgery or trauma

Male-Specific causes include Prostatitis, Orchitis, or Epididymitis

Assessment and Diagnosis:

To understand and treat chronic pelvic pain effectively, a thorough evaluation is necessary to determine the underlying cause.

Comprehensive history and assessment

Investigations: Blood tests, ultrasound, X-ray, MRI, CT scan

Follow-up for a personalised multimodal management plan

Referrals to specialists (e.g. Gastroenterologist, Gynaecologist, Urologist)

Multimodal Treatment:

Treatment varies depending on the underlying cause and may include:

Oral analgesics, including anti-neuropathic medications

Pain interventions: nerve blocks to the pudendal nerve, pulsed radiofrequency of the nerves, sympathetic ganglion of impar block, and trigger point injections

Physical therapy: pelvic floor exercises

Lifestyle and dietary modifications

Psychological support: stress management and cognitive behavioural therapy (CBT)

Laparoscopy for suspected endometriosis or adhesions

Surgery for conditions such as severe endometriosis, fibroids, or pelvic organ prolapse

Pelvic Pain

Common Causes of Chronic Pelvic Pain:

Assessment and Diagnosis:

Multimodal Treatment:

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