Pelvic Pain Overview and Management
Know about the pelvic pain, causes, symptoms, diagnosis, treatment and management. Learn about useful tips and when to see the doctor and more.
Written by Dr. Dhankecha Mayank Dineshbhai
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 22nd Aug, 2025
Introduction
Pelvic pain is a common issue that affects many people, particularly women, but it can also occur in men. It refers to discomfort or pain in the lower abdomen, below the belly button, and between the hips. While pelvic pain can sometimes be mild and temporary, it can also be a sign of an underlying health condition that needs attention.
This article will help you understand the possible causes of pelvic pain, its symptoms, and ways to manage it effectively.
Consult a Gynaecologist for Personalised Advice
What Causes Pelvic Pain?
Pelvic pain can stem from various conditions, ranging from mild to severe. Some common causes include:
1. Gynaecological Causes (in Women)
- Menstrual cramps (Dysmenorrhea) – Pain during periods.
- Endometriosis – A condition where uterine tissue grows outside the uterus, causing severe pain.
- Pelvic Inflammatory Disease (PID) – An infection of the reproductive organs, often due to untreated STIs.
- Ovarian cysts or fibroids – Non-cancerous growths that can cause pressure and pain.
- Ectopic pregnancy – A pregnancy outside the uterus, which is a medical emergency.
2. Urinary and Digestive Issues
- Urinary Tract Infections (UTIs) – Burning pain while urinating and pelvic discomfort.
- Kidney stones – Sharp pain radiating to the lower abdomen.
- Irritable Bowel Syndrome (IBS) – Bloating, cramping, and pelvic pain linked to digestion.
3. Musculoskeletal Problems
- Pelvic floor dysfunction – Tight or weak pelvic muscles causing pain.
- Hernias or muscle strains – Pain due to physical stress or injury.
4. Other Causes
- Chronic Pelvic Pain Syndrome (CPPS) – Persistent pain with no clear cause.
- Nerve-related pain – Conditions like pudendal neuralgia.
If your pelvic pain is severe, persistent, or accompanied by fever, vomiting, or heavy bleeding, seek medical help immediately.
Symptoms of Pelvic Pain
Pelvic pain can feel different for everyone. Some common symptoms include:
- Dull, aching, or sharp pain in the lower abdomen.
- Pain during urination, sex, or bowel movements.
- Heavy menstrual bleeding or irregular periods.
- Bloating, constipation, or diarrhoea.
- Pain that spreads to the lower back or thighs.
Since pelvic pain can indicate various conditions, it’s important to track your symptoms and discuss them with a doctor.
Get Your Health Assessed
How Is Pelvic Pain Diagnosed?
To determine the cause of your pelvic pain, a doctor may recommend:
- Physical examination – Checking for tenderness or abnormalities.
- Blood tests – To detect infections or hormonal imbalances.
- Imaging tests – Ultrasound, MRI, or CT scans to view internal organs.
- Laparoscopy – A minor surgical procedure to examine pelvic organs (if needed).
If you're experiencing persistent pelvic pain, booking a consultation with a specialist can help identify the root cause. You can schedule an appointment easily through Apollo 24|7 for expert advice and diagnostic tests.
Managing and Treating Pelvic Pain
Treatment depends on the underlying cause, but here are some general ways to manage pelvic pain:
1. Medical Treatments
- Pain relievers – Over-the-counter medications like ibuprofen can help with mild pain.
- Antibiotics – If an infection (like UTI or PID) is the cause.
- Hormonal therapy – For conditions like endometriosis or fibroids.
- Physical therapy – Strengthening pelvic floor muscles can reduce pain.
2. Lifestyle Changes
- Heat therapy – A warm compress or heating pad can ease cramps.
- Regular exercise – Gentle activities like yoga or walking improve blood flow.
- Healthy diet – Reducing caffeine, alcohol, and processed foods may help.
- Stress management – Meditation or deep breathing can relax pelvic muscles.
3. Alternative Therapies
- Acupuncture – May help relieve chronic pelvic pain.
- Pelvic floor exercises (Kegels) – Strengthening these muscles can reduce discomfort.
When to See a Doctor?
You should consult a healthcare provider if:
- The pain is severe or sudden.
- It lasts longer than a few days.
- You experience fever, vomiting, or heavy bleeding.
- Pain interferes with daily activities.
Final Thoughts
Pelvic pain can be frustrating and disruptive, but understanding its causes and seeking timely care can make a big difference. Whether it’s a minor issue or something more serious, listening to your body and consulting a doctor is crucial.
Consult a Gynaecologist for Personalised Advice
Consult a Gynaecologist for Personalised Advice
Dr. Mona Yadav
Obstetrician and Gynaecologist
19 Years • MBBS, MD (Obstetrics & Gynaecology)
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Nulife multispeciality, Dombivli
Dr. Parul Sharma
Obstetrician and Gynaecologist
8 Years • MBBS, MS (Obstetrics & Gynaecology)
New Delhi
THE DOCTORS NESST, New Delhi
Dr. Asha Rani Singh
Obstetrician and Gynaecologist
24 Years • MBBS DGO
Delhi
Dr Asha Rani Singh Clinic, Delhi
Dr. K Anusha
Obstetrician and Gynaecologist
4 Years • MBBS, DGO
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SRINIVASAA HOSPITAL, Yemmiganur
Dr. Shyamala Devi
Obstetrician and Gynaecologist
38 Years • MBBS, MS Obstetrics & Gynaecology
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Sri Shivshakti Nilayam, Vijayawada
Consult a Gynaecologist for Personalised Advice
Dr. Mona Yadav
Obstetrician and Gynaecologist
19 Years • MBBS, MD (Obstetrics & Gynaecology)
Dombivli
Nulife multispeciality, Dombivli
Dr. Parul Sharma
Obstetrician and Gynaecologist
8 Years • MBBS, MS (Obstetrics & Gynaecology)
New Delhi
THE DOCTORS NESST, New Delhi
Dr. Asha Rani Singh
Obstetrician and Gynaecologist
24 Years • MBBS DGO
Delhi
Dr Asha Rani Singh Clinic, Delhi
Dr. K Anusha
Obstetrician and Gynaecologist
4 Years • MBBS, DGO
Yemmiganur
SRINIVASAA HOSPITAL, Yemmiganur
Dr. Shyamala Devi
Obstetrician and Gynaecologist
38 Years • MBBS, MS Obstetrics & Gynaecology
Vijayawada
Sri Shivshakti Nilayam, Vijayawada
