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.