Long term lower Abdominal / pelvic pain

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  • Dr Ashfaq Khan
  • Ms Scharazed A Rouabhi
  • Mr Oudai Ali
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Pain in the lower abdomen or pelvis that lasts for more than 6 months.

Around 1 in 6 women suffer with such pain. This pain is usually caused by a combination of physical, psychological and/or social factors rather than a single underlying condition, although for many women a cause cannot be found.

Our consultants can help you to identify or rule out various causes of this annoying and frustrating condition.

 

Causes of Chronic Pelvic Pain:

  • Endometriosis and Adenomyosis can cause pain around the time of a period and during sex
  •  Pelvic inflammatory disease (PID), which is an infection in the fallopian tubes and/or pelvis
  •  Adhesions (scarred tissue in side pelvis form previous surgery or infection
  •  Bladder inflammation or interstitial cystitis
  •  Irritable bowel syndrome (IBS)
  •  Trapped nerves in the pelvic area
  •  Musculoskeletal pain (pain in the joints, muscles, ligaments and bones of the pelvis)
  •  Pelvic organ prolapse
  •  Depression and anxiety
  •  Traumatic experiences, such as sexual and/or physical abuse.

Common investigations (depending on your symptoms)

  •  Screening tests for pelvic infections (including sexually transmitted infections)
  •  Trans Vaginal ultrasound scan
  •  An MRI (magnetic resonance imaging) scan of your pelvis.
  •  Endo Test and some specific blood and Urine test

Treatment

Only after careful review of your symptoms and test results:

  •  Medical Treatment (Hormonal treatment or non-hormonal treatment)
  •  Surgical treatment (mostly Laparoscopic – keyhole surgery)

For more information on any condition, contact our private gynaecologists in London by calling 0208 050 6063 now.