It is said, pain is the language of the body that conveys the battle going on within the body. The body is designed uniquely to tackle the issues on its own but when the situation goes out of control, the body needs external support and help and indicates this by way of pain.
One such condition is Pelvic pain, which affects the lower part of the abdomen, between the belly button and groin. In some people, pelvic pain may manifest as menstrual cramps signifying ovulation. Causes may also include gastrointestinal issues, such as food intolerance. Pelvic pain may indicate more serious issues and proper evaluation is necessary.
Many women experience pelvic discomfort (pain in the lower part of the belly) on occasion, generally during their period. However, if you have daily pelvic pain, it could be a sign of a bigger problem within your bladder, bowels, reproductive organs, or pelvic muscles.
Endometriosis, adhesions, chronic appendicitis, and hernias are just a few of the disorders that cause pelvic pain. Sometimes medication controls the problem; other times surgery may be needed. Your doctor will examine you to identify the nature of the problem and the best course of action.
Your doctor will ask as to whether going to the restroom, walking, sitting, climbing stairs, or driving a car causes you pain. If you experience pain while engaging in these activities, it could be an issue with your bladder, bowels, or the muscles in your pelvis, hips, or lower back.
By pressing on these muscle areas your doctor may be able to determine exactly where the pain is originating. Problems such as endometriosis can cause pain because there may be tissue growth from the endometriosis on different organs within and outside of the pelvic cavity, which includes the ovaries, bladder, behind the uterus, and bowel.
Some doctors may suspect these problems during a pelvic exam & treatments are planned accordingly.
Conservative treatment means treatment without performing surgery. Depending upon the cause, your doctor may first try to treat your pelvic pain with medication. If you have endometriosis that may not work and you may be given medications that take away the estrogen in your body, therefore placing you in a short-term, menopause-like state. Endometriosis implants and pain can be reduced by lowering estrogen levels in the body.
Laparoscopy is a type of minimally invasive surgery that is performed with a telescope that is attached to a camera (laparoscope). The laparoscope is inserted into one of three to four small incisions made in your belly. During laparoscopic surgery, your doctor will be able to view your pelvic organs to see if they, or any other conditions, are contributing to your pain. Endometriosis, adhesions (scar tissue), appendicitis (appendix infection), or a hernia are some of the diseases your doctor may identify.
Finding out that everything is normal might sometimes be useful in deciding what treatment to follow.
The two most common problems that can be treated with laparoscopy are endometriosis and pelvic adhesions.
- Endometriosis can cause discomfort in the pelvis on a regular basis, as well as painful periods and pain during bowel movements or intercourse. Endometriosis can also make it difficult to become pregnant. Your doctor will use an electric current or a laser to try to remove the endometrial tissue that is seen during your laparoscopy. Treatment will help to decrease or eliminate the symptoms.
- Pelvic adhesions (scar tissue): Adhesions in and around the pelvic cavity may form if you have endometriosis, a pelvic infection, surgery on your pelvis, a cyst on an ovary, or have had surgery on your pelvis. Organs that are normally separated from one another become connected due to scar tissue. Pelvic discomfort might not usually require medical attention. However, if a person suspects an infection is causing pelvic discomfort, if they have unexpected vaginal bleeding and severe pain, or if they have a known illness and suffer rapid changes in pain, they should consult a doctor.
If a person with pelvic discomfort develops a fever, nausea, or vomiting, they should consult a doctor. A doctor will conduct a comprehensive evaluation and assist in the development of an appropriate treatment plan.