Gynaecology

Pelvic Pain

Pelvic pain is discomfort or pain in the lower abdominal region that can range from mild to severe. It can occur in a number of different areas, including the lower back, hips, pelvis and lower abdomen. It can also extend to the genital area and inner thighs. The pain can be constant or intermittent and may be accompanied by other symptoms such as abnormal vaginal bleeding, discomfort during bowel movements, and pain during sexual intercourse.

Persistent pelvic pain (PPP)

PPP is a chronic condition that is characterised by persistent pain in the pelvic region lasting for at least 6 months. The causes of PPP are varied and may include gynaecological conditions such as endometriosis, uterine fibroids, or pelvic inflammatory disease. PPP can also be caused by non-gynaecological conditions such as musculoskeletal pain, nerve entrapment, or irritable bowel syndrome.

Some common symptoms may include:

Some possible causes of persistent pelvic pain may include:

The management of PPP requires a multidisciplinary approach and typically involves a combination of pain management strategies, such as physiotherapy, mindfulness-based stress reduction, and medications, as well as addressing any underlying causes of the pain which may include surgery. 

Other resources:

The Pelvic Pain Foundation of Australia has excellent resources on the topic of persistent pelvis pain, including

Links:

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