Pelvic pain

Pain always causes a person discomfort, but by this it signals that it is worth paying attention to your health. Pelvic pain is not an exception. All of us, sooner or later, can feel the pain in the pelvic region and address such complaints to the doctor. Medically, doctors from all over the world believe that such a symptom as pain in the pelvis must necessarily be well researched, as it may indicate the presence of various diseases. At the same time, this symptom is also extremely difficult in order to diagnose the patient on it. But, do not immediately panic and the first appearance of painful sensations in the pelvis immediately think about the worst outcome. As they say, armed - means protected. This material will help you to equip with all the necessary basic knowledge about pelvic pain, thanks to which you can determine for yourself how urgently you need to see a doctor.

[1], [2], [3]

Women often feel pain in the pelvis

Pelvic pain can appear quite unexpectedly. But, nevertheless, bruises and injuries of the pelvic region in most cases become the main cause of the occurrence of such pain. In addition, pain in the pelvis can signal the inflammatory processes in the joints and tendons. That is why the pain in the pelvis and it seems to doctors so mysterious symptom that it can indicate the presence of absolutely different diseases.

Nowadays, more and more women are hearing the diagnosis of chronic pelvic pain syndrome in their address. How to check whether he is or not? If the pain is constantly present for 6 months and longer, the pain is of a different nature, but it has no binding to the menstrual cycle, there is localized pain in the lower back, below the navel along the abdominal wall, or simply poured all over the pelvis - this means that there are compelling reasons to suspect chronic pelvic pain syndrome. There are a number of reasons why women develop this syndrome: 

1. Urology: diverticulum of the urethra, bladder cancer, acute and chronic cystitis, bladder diverticulum, urethral syndrome, urethriocele, urolithiasis, inflammatory processes in chronic paraurethral glands, urinary tract infections that affect both men and women, but they This is rarely experienced with pelvic pain. 
2. Gynecology: endometriosis, processes that affect the formation of adhesions, chronic inflammatory diseases of the pelvic organs, endosalpinia, neoplasms of varying complexity (cysts in the ovaries, parovarial cysts, fibroids, fibroids, lymphoid cysts after surgery), cancers in the pelvic organs, painful ovulation , dysmenorrhea, the so-called "residual ovary syndrome" (possibly its appearance after the uterus and ovaries were removed due to surgery), an additional ovary, impaired outflow of cr in the case of malformations during menstruation, varicose manifestations in the pelvic area, stenosis of the cervical canal, endometrial polyps or cervical canal, omitted or dropping internal genitalia, placement in the pelvis of an intrauterine contraceptive or foreign body. 
3. Gastroenterology: chronic intestinal obstruction, colon cancer, constipation, colitis, hernia, diverticulitis, irritable bowel syndrome (if a person has stool disorders such as diarrhea or constipation and there is bloating - diagnose such a syndrome). 
4. Problems with tendons or muscles in the pelvis: fibromyalgia and myofascial syndrome (pain in the anterior abdominal wall and other muscles of the pelvis is usually called this term) accompanied by additional tension or spasm of the pelvic muscles, iliopsoas muscle abscess, muscle strain or bruises in the lower abdomen , femoral or vertical hernia. 
5. Bone pathologies: sarcoma of the abdominal bone, osteomyelitis, hip joint pathology, vertebral syndrome (it can also be considered in the context of neurological abnormalities), which can develop as a result of various spinal traumas, neoplasms in the spinal cord or sacral nerves, herniated intervertebral discs, osteochondrosis of the lumbar spine, sacral spine. 
6. Neurological pathologies: koktsigodiniya, or in other words, the syndrome of chronic coccygeal pain, neuralgia of various origin, tunnel neuropathy and traumatic tunnel pudendopathy, which has arisen as a result of surgical manipulations (this is characteristic of the involvement in the postoperative scar of skin nerves).

Unfortunately, every day, an increasing number of both women giving birth and young girls can hear from their doctors treating such a diagnosis as endometriosis. In medical terminology, there is also another name for this disease - adenomyosis. In the case in which the growth of tissue occurs in the body of a woman, namely, outside the uterine cavity, in its structure is absolutely the same as the endometrium, then during the menstrual cycles the same changes occur with it as with the endometrium. The presence of such a disease leads to the fact that a woman feels severe pain during intercourse, and monthly menstruation becomes very painful. Endometriosis is capable of provoking chronic pain manifestations in the pelvic region.

If you have a suspicion of a possible recent pregnancy and you feel pelvic pain, do not hesitate, and you should immediately go to the gynecologist for an examination. The fact is that such pain can accompany in some cases and absolutely normal pregnancy. But, unfortunately, quite often they testify that the pregnancy is ectopic (or, as it is also called - tubal). In the event that you have longer periods of pregnancy and previously painful manifestations in the pelvis you have not noted, then this may signal a threat of premature termination of pregnancy. Timely access to a doctor and, if necessary, treatment in a hospital ("support") can effectively remove such a threat and help to take the child to the necessary for normal delivery periods.

In the event that a person is in a state of depression or is subject to stressful manifestations, also sometimes note the psychosomatic nature of pelvic pain.

And men have pelvic pain

Many men also have chronic pelvic pain syndrome. In more than 90% of cases, it is associated with the presence of a disease such as prostatitis. It can occur in two types: inflammatory and abacterial. By itself, the pain syndrome is not treated in this case. Only in joint therapy with prostatitis it is possible to relieve a man of chronic pain in the pelvis.

If pelvic pain becomes your constant companion and brings many unpleasant sensations, then there is no sense in waiting for it to pass by itself. Men should seek advice from a urologist. Women should start the diagnosis with a visit to the gynecologist. In addition to these doctors, you may need to see a gastroenterologist. If you have previously had any pelvic injury, then go to the emergency room or consult a trauma clinic at the nearest clinic. Well, if all of the above doctors do not see the cause of pain in the pelvis, then it makes sense to turn to a psychiatrist or neurologist.

[4], [5], [6], [7]