Pelvic pain in women can start before or during menstruation. Pain in the pelvic area may be present in pregnancy. Pain can unfortunately also indicate a whole range of diseases. Pain in the pelvis can mean inflammation of the pelvic organs. This location of pain is also a clue to exclude endometriosis and uterine fibroids. Sometimes the pain indicates the development of cervical or endometrial cancer.
In this article, Niketrainers.com.co will tell you:
Pelvic pains – when do they occur?
Pelvic pain is associated with a female ailment, usually related to menstruation. For this reason, they are sometimes underestimated. It should be remembered that pelvic pain may come not only from the genitals, but also from the urinary, digestive, osteoarticular and vascular organs. If it is persistent and recurrent, it requires detailed diagnosis and treatment.
Abdominal painradiating down to the pelvis is felt by a significant proportion of menstruating women during bleeding. Pelvic pain during menstruation may be at the beginning or end of bleeding. Pain in the pelvic area is caused by contractions of the uterus caused by prostaglandins. Pathologies within the reproductive organ may be responsible for the intensepain in the lower abdomenand pelvis during menstruation: ongoing inflammation, fibroids, endometriosis, and birth defects.
Pelvic pain is often reported by pregnant women. A common cause of this type of ailments are physiological changes that prepare the pelvis for childbirth – relaxation in the sacroiliac joints and the pubic symphysis. Pain intensifies during physical exertion and is of an oppressive nature. Pelvic discomfort can also be caused by the enlarging uterus and by fetal movements.
It is worth noting here thatpelvic paincan also be caused byan ectopic pregnancy. Its presence is evidenced by the arrest of menstruation, a positive pregnancy test result in the absence of an embryo in the uterus.
Pain in the pelvis and inflammation of the organs of the reproductive system
A common group of causes of pelvic pain in women is inflammation of the reproductive organs: uterus, vagina, ovaries, and fallopian tubes. Women who have undergone gynecological procedures, recurrent infections of the genital tract, with risky sexual behaviors and who use IUD contraception are particularly predisposed to the development of inflammation.
Female genital infections usually have a number of characteristic ailments. The most characteristicpain is the lower abdomen and pelvic area. Pain may appear during or after intercourse. There is a profuse discharge, fever and irregular menstrual bleeding.
Inflammation of the reproductive organs requires gynecological consultation and appropriate treatment. Otherwise, they may cause complications and turn into less-healing chronic inflammation.
Pelvic pain in pregnancy
The most common causes of pelvic pain in pregnancy include symphysis dehiscence. It is a condition that usually affects women in the third trimester of pregnancy. The reasons are hormonal changes and increasing load, which adversely affects the woman’s body. Another possible cause could be lumbar and pelvic pain. It is related to pregnancy and is divided into pain in the lumbar region, pain in the pelvic girdle, or a mixed form. The mechanism of formation is very complex and contributes to a significant deterioration in the quality of life. Stiff joints and connections within the pelvis and abnormal linkage mechanisms are among the factors mentioned.
Pain in the pelvic area in women – other causes
- Uterine fibroidsare often asymptomatic. If they are large, they may give the impression of a foreign body and pain in the lower abdomen and pelvis. Pain may indicate myoma is being born.
- Endometriosisis the presence of the lining of the womb outside the uterine cavity. Endometriosis foci can be located, for example, in the cervix, inguinal-femoral area, vulva, bladder, showing pelvic pain as a symptom.
- Cervical cancerandcancer of the uterine throneare often diagnosed late because they have non-specific symptoms. They include, among otherspelvic pains. Apart from pain, patients complain of abnormal bleeding, bleeding during sexual intercourse, and bloody discharge.
- The pelvic congestion syndrome is a chronic pain caused by dilated veins of the parasite and the peri-ovarian veins. Multiple women are especially predisposed to this syndrome – the above-mentioned vessels widen during each pregnancy. Pelvic congestion usually responds to painkillers to ease the symptoms. In rare cases, patients require embolization, i.e. occlusion of the dilated vessel using invasive radiology methods.
Pelvic pain – diagnosis
It can be difficult to make a final diagnosis of pelvic pain due to the large number of possible causes of the condition. Diagnostics is often required by many specialists, most often they are: gastroenterologist, gynecologist, urologist, internist,urogynecological physiotherapist.
During the diagnostic process, an interview, tests, assessment of posture, movement and pelvic positioning are used. Then, after correlating with the ailments about which the patient informs, extended diagnostics is used. For this purpose, laboratory tests are used and all available forms of imaging, such as X-ray, ultrasound, CT orPelvic MRI. Of course, a specialist decides about the need for a specific diagnostic procedure.
Pelvic bone pain – physiotherapy
The role of the urogynecological physiotherapist in pelvic pain is to accurately diagnose the cause and develop a rehabilitation plan. Most often, these are exercise programs combined with relaxation techniques designed to balance and restore balance to the pelvic floor muscles. Currently, many different methods and recognized physiotherapeutic measures are used, such as dry needling,craniosacral therapy, manual therapy, fascia therapy orosteopathy. The key seems to be to reduce pain and learn to cope with stress, which is especially important in people struggling with chronic pain. The mind plays a powerful role in perceiving pain. In the case of the aforementioned ailments, it is also worth using the support of a psychotherapist, a psychologist who will help you deal with anxiety and depression that often accompanies these diseases.
Independently at home, you should take care of the correct position during everyday activities and avoid generating high pressure inside the abdominal cavity, which occurs, for example, when lifting heavy objects. Urine should not be held for too long. You should include fiber in your diet and avoid highly processed foods.