Pelvic pain occurs anywhere between the hips and below the bellybutton. When it lasts longer than 6 months, whether continuously or intermittently, it’s referred to as chronic pelvic pain. It may be a condition on its own, a symptom of another disease, or it may occur as a cumulation of several conditions. Sometimes it’s difficult to identify a single cause for the pain.
The location of pain may not be focused, and may be felt through the pelvic region. Symptoms may be described as:
Usually, chronic pelvic pain is complex and it can have multiple causes. Other times it may be related to a single cause. Depression, emotional distress, and chronic stress are a few psychological factors that may contribute to pelvic pain. Physical causes may include:
Doctors may prescribe medications to help ease pelvic pain. Over-the-counter or prescription pain relief may manage pain, but will provide little in the way of solving the problem. When pelvic pain seems tied to a woman’s menstrual cycle, hormone treatments may be effective. If infection is the source, antibiotics may clear up pelvic pain. Certain antidepressants have pain-relieving effects as well as mood-altering abilities, and these can sometimes reduce pelvic pain even in women without depression issues.
When specific points of origin for pelvic pain are identified, the doctor may inject long-acting, local anesthetics into those spots. Seeing a physical therapist for exercises and treatments may be effective in helping chronic pain stemming from soft tissue performance. If the doctor finds a problem that requires surgery, that may remove the source of the pain.