Pelvic pain is a complex and often distressing condition that affects many women at various stages of life. It can be acute or chronic, mild or debilitating, and may originate from multiple structures within the pelvic region, including reproductive organs, urinary systems, digestive organs, and musculoskeletal tissues. Because of its diverse causes, diagnosing pelvic pain requires a comprehensive and thoughtful approach.
Women experiencing pelvic pain should never feel that their discomfort is something they must simply tolerate. Seeking expert care is essential to identify the underlying cause and initiate appropriate treatment. At Summit Women’s & Wellness Medical Group in Rancho Cucamonga, CA, Dr. Renee Obey provides compassionate, thorough evaluations to help patients understand their symptoms and find effective relief.
Common Causes of Pelvic Pain
Identifying the source of pelvic pain is crucial for tailoring an effective treatment plan. Some of the most common causes include:
- Endometriosis
- Uterine fibroids
- Ovarian cysts
- Pelvic inflammatory disease (PID)
- Interstitial cystitis (painful bladder syndrome)
- Irritable bowel syndrome (IBS)
- Musculoskeletal disorders such as pelvic floor dysfunction
- Post-surgical adhesions
Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, causing inflammation and scarring. Fibroids are benign tumors that can press on other pelvic structures, leading to pain and pressure. Ovarian cysts, particularly if large or ruptured, may also cause sharp or aching pelvic pain. Infections such as PID can result in significant discomfort, especially if left untreated. Non-gynecologic causes, like bladder and bowel disorders, highlight the need for a comprehensive evaluation rather than assuming all pelvic pain is reproductive in origin.
When to Seek Medical Attention
Pelvic pain should not be ignored, especially if it is persistent, severe, or accompanied by other concerning symptoms. Women should seek prompt evaluation if pelvic pain is associated with fever, unusual vaginal bleeding, pain during intercourse, urinary symptoms, or digestive complaints. Changes in menstrual cycles, worsening discomfort over time, or pain that interferes with daily activities are also important reasons to consult a healthcare provider.
Early diagnosis can lead to better outcomes and prevent complications. Delaying care can allow conditions like endometriosis or infections to progress, potentially leading to more serious health issues. At Summit Women’s & Wellness Medical Group, Dr. Obey encourages open, judgment-free discussions about symptoms to ensure that patients receive the thorough evaluation they deserve.
Diagnostic Approach to Pelvic Pain
A detailed medical history and physical examination are the foundation of pelvic pain diagnosis. Dr. Obey takes the time to understand the characteristics of the pain—its onset, location, duration, and any factors that worsen or relieve it. Additional diagnostic tools may include pelvic ultrasound, MRI, urinalysis, blood work, and sometimes minimally invasive procedures like diagnostic laparoscopy.
In cases where pelvic floor dysfunction or musculoskeletal issues are suspected, referrals to physical therapy specialists may be recommended. Gastrointestinal evaluations may also be pursued if bowel symptoms are significant. By using a comprehensive and individualized approach, Dr. Obey can pinpoint the root cause of pelvic pain and design an effective treatment strategy.
Treatment Options for Pelvic Pain
Treatment for pelvic pain is highly personalized, depending on the underlying cause. Options range from conservative management to surgical intervention. Medications such as hormonal therapies can help manage endometriosis or fibroid-related symptoms, while antibiotics are necessary for infections like PID. Pain relievers and anti-inflammatory medications provide symptom relief for many patients.
In addition to medications, physical therapy focused on the pelvic floor can offer significant benefits, especially when musculoskeletal factors are involved. Lifestyle modifications, including stress management, dietary changes, and regular exercise, may also contribute to symptom improvement. In more severe cases, surgical interventions like laparoscopic removal of endometriosis lesions, fibroids, or ovarian cysts may be necessary to provide lasting relief.
Personalized Pelvic Pain Care at Summit Women’s & Wellness Medical Group
At Summit Women’s & Wellness Medical Group, patients with pelvic pain receive personalized, compassionate care that addresses both physical symptoms and overall well-being. Dr. Renee Obey understands that pelvic pain can be life-altering and that finding the right treatment requires careful listening, thorough evaluation, and ongoing support.
Each treatment plan is customized to meet the individual’s needs, goals, and lifestyle. The focus remains not just on relieving pain but also on improving quality of life, emotional health, and long-term wellness. Women in Rancho Cucamonga, CA, can trust that their concerns will be heard and their care will be handled with the utmost professionalism and empathy.
Resources
- Howard, F. M. (2011). Chronic pelvic pain. Obstetrics and Gynecology.
- Ballweg, M. L. (2004). Impact of endometriosis on women’s health: Comparative historical data show that the earlier the onset, the more severe the disease. Best Practice & Research Clinical Obstetrics and Gynaecology.
- Zondervan, K. T., et al. (2018). Endometriosis. Nature Reviews Disease Primers.
