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When to Seek Medical Help for Pelvic Pain

May is National Women's Health Month, an ideal time to spotlight an issue affecting 15% of women of reproductive age: pelvic pain. This pain can be challenging to diagnose due to its potential causes, including endometriosis, ovarian cysts, and musculoskeletal problems. Dr. Megan Wasson, a gynecologic surgeon at Mayo Clinic specializing in minimally invasive procedures, emphasizes the importance of not ignoring pelvic pain and seeking medical help when it starts to impact your quality of life.

What is Chronic Pelvic Pain?

Chronic pelvic pain is defined as ongoing pain lasting at least six months. According to Dr. Wasson, this pain can manifest in various forms:

  • Pain during menstrual cycles or with periods

  • Pain during intercourse

  • Pain during urination

  • Pain during bowel movements

  • Pain associated with certain activities

Identifying the root cause of this pain is crucial and begins with a detailed discussion of your medical history with your healthcare team.

Diagnostic Approaches

To determine the cause of pelvic pain, your healthcare provider may recommend several diagnostic tests, guided by your symptoms and medical history. Common diagnostic tools include:

  • Urinalysis: To check for urinary tract infections.

  • Ultrasound: This is a frequently used tool to visualize the internal organs and identify abnormalities like ovarian cysts.

  • Advanced Imaging: Depending on the situation, a pelvic MRI or a look at the vasculature might be necessary.

A sonographer conducting an ultrasound to identify causes of chronic pelvic pain.

When to Seek Medical Care

Dr. Wasson advises seeking medical attention if the pelvic pain begins to affect your daily life. Key indicators that it's time to see a doctor include:

  • Persistent pain lasting more than a few months

  • Sudden and severe pain

  • Pain that disrupts your daily activities or sleep

  • Symptoms that seem to worsen over time

"We don't want to ignore pelvic pain," Dr. Wasson states. "A thorough evaluation is crucial to ensure there isn't anything requiring more urgent intervention."

Conclusion

Pelvic pain can significantly impact your life and well-being. Recognizing when to seek help is essential for managing your health effectively. If you experience chronic pelvic pain, consult with your healthcare provider for a comprehensive assessment to identify and treat the underlying cause.