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Evaluation and Treatment of Pelvic Pain

Most women experience pelvic pain at some point in their lives. It may be from normal causes or it may indicate a serious problem. My goal is to make sure you are safe and to make every attempt to improve the quality of your life

MANY ORGANS LIVE IN THE PELVIS including the uterus, ovaries, fallopian tubes, urinary bladder, intestines and appendix. To further confuse things, pain from the kidney and pain from muscles and from the abdominal wall can also seem to come from the pelvis.

From my standpoint, pelvic pain falls into three classifications:

Pain from normal functioning of the reproductive organs  will probably resolve without treatment, may be severe, but is self-limited. A frequent cause of this is a “functional” ovarian cyst. It is easy for a doctor to fall into the trap of doing surgery for such problems because the patient wants the problem solved, and feels that surgery will offer a quick “fix.”

Pelvic pain that may need treatment, but not on an urgent basis  Examples of this would include pain from endometriosis, scar tissue or a growing fibroid tumor. Chronic pelvic pain also falls into this category. Schedule an office appointment for the evaluation of this type of pain.

Pelvic pain that needs urgent surgery or hospitalization Examples of this type of pelvic pain would be a ruptured tubal pregnancy, appendicitis, severe pelvic infection or torsion (twisting) of an ovary. Generally this type of pain will require you go to the Emergency Room.

The Women's Care Clinic Lahore - Dr. Rehan Bin Asif
MY APPROACH INVOLVES:
  • Ask the right questions
  • Listen to you carefully
  • Get records from the Emergency Room
  • Get records from other doctors
  • Get results of any testing
  • Perform physical examination
  • Perform pelvic ultrasound examination
  • Understand how badly the pain is disrupting your life
  • Know your childbearing desires
  • Know other treatments you’ve tried
  • Using knowledge and experience.
  • I will try my very best to help you.
  • I may only treat with reassurance
  • NSAIDs (medicines like Motrin or Aleve) may sometimes be recommended
  • Birth control pills sometimes work best
  • Mirena IUD is a new approach to pain relief
  • Antibiotics are sometimes appropriate
  • Other hormonal suppression therapies are considered
  • Pelvic Floor Physical Therapy should be considered
  • Diagnostic or therapeutic laparoscopy is sometimes wise
  • Antidepressant or Anti-anxiety medications may be tried.
  • Referral to other specialists (Gastro or Urologist)
  • Referral to a Chronic Pain specialist
  • Consider Minimally Invasive Hysterectomy