The pelvic region comprises many structures, and as a result, there are many possible causes for acute and chronic pelvic pain, including:
painful menstruation or ovulation
pelvic inflammatory disease
internal swelling (edema)
miscarriage or intrauterine fetal death
structural defects in the uterus or other organs
Some types of pelvic pain can emanate from issues affecting the pelvic floor, including uterine and vaginal prolapse, and sometimes, conditions occurring elsewhere, such as in the digestive system, may cause referred pelvic pain.
We use the most advanced techniques to determine the causes of pelvic pain so they can be treated appropriately. Diagnosis begins with a thorough discussion of the symptoms followed by a physical and pelvic exam and Pap test. Blood work, urinalysis and other diagnostic testing such as ultrasound, CT scan or in-office evaluations to look at the uterus, vagina, cervix and fallopian tubes may also be ordered to look for signs of specific causes.
Hysteroscopy is an in-office diagnostic exam that uses a thin, flexible instrument called a hysteroscope that is inserted through your vagina to look inside your uterus and your fallopian tubes. It can also be used to aid in performing some minor procedures as well.
Laparoscopy is a minimally-invasive surgical technique that uses very small incisions to perform surgical procedures and medical assessments. It offers a much faster recovery time and less discomfort compared to traditional surgery.
Treatment depends on the underlying cause of your pain and may include medication, minimally-invasive procedures, laparoscopic surgery or general surgery. When an underlying cause cannot be determined, your treatment will focus on relieving the symptoms.
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