Pelvic Pain

Acute pelvic pain is a common presenting complaint in women. The differential diagnosis includes gynecologic, urologic, musculoskeletal, gastrointestinal, vascular, and metabolic disorders. Dr.Paul’s approach is to find the underlying cause and treat it.

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Common Causes of Pelvic Pain: 

Adenomyosis
Endometriosis
Menstrual cramps
Ectopic pregnancy
Miscarriage
Mittelschmerz (ovulation pain)
Ovarian cancer
Ovarian cysts
Pelvic inflammatory disease (PID)
Uterine fibroids
Vulvodynia
Other causes in women or men:
Appendicitis
Colon cancer
Chronic constipation
Crohn’s disease
Diverticulitis
Fibromyalgia
Inguinal hernia
Interstitial cystitis (painful bladder syndrome)
Intestinal obstruction
Irritable bowel syndrome
Kidney stones
Past physical or sexual abuse
Pelvic floor muscle spasms
Prostatitis
Ulcerative colitis
Urinary tract infection (UTI)

Dr.Paul’s approach to pelvic pain

He will first find the source of pain: The source of pain in woman with acute pelvic pain can be a gynecologic, urologic, musculoskeletal, gastrointestinal, vascular, or metabolic disorder. Acute pelvic pain may be of visceral or somatic origin, or both. It is important to remember that pain may be referred from another location.

He will take a full history from you and will do a physical examination.

Testing: A pregnancy test should be obtained in all women of reproductive age presenting with acute pelvic pain. He also recommends Urinalysis to rule out Urinary tract infections.

Imaging: He may order other tests such as  x-rays, ultrasound, CT scan, MRI of lower abdomen. 

If you want to see Dr.Paul for pelvic pain, please call us 814 424 2095 or just walk-in.