Pelvic or Perineal Pain

Pelvic and perineal pain can be confusing and uncomfortable. This type of pain can affect anyone, but it’s especially common in women. Understanding what causes this pain, its symptoms, and how to find relief can help you manage it better. Pelvic pain is any pain felt in the lower abdomen or pelvic area. This area includes the reproductive organs, bladder, and lower intestines. The pain can be sharp, dull, or crampy and may come and go or be constant.

Common Causes

There are many reasons you might experience pelvic pain, including:

Menstrual Cramps: Many people experience cramps during their periods, which can cause discomfort in the pelvic region.
Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of it. This can lead to severe pain, especially during periods.
Ovarian Cysts: These are fluid-filled sacs on the ovaries that can cause pain if they rupture or grow large.
Pelvic Inflammatory Disease (PID): This infection of the reproductive organs can cause significant pain and discomfort.
Irritable Bowel Syndrome (IBS): This digestive disorder can cause cramping and pain in the pelvic area due to bowel issues.

Perineal pain refers to discomfort in the perineum, the area between the vagina and anus. This pain can be sharp, burning, or aching and may be caused by several factors:

Childbirth: Many women experience perineal pain after giving birth, especially if there was tearing or an episiotomy during delivery.
Infections: Infections in the urinary tract or genital area can lead to pain in the perineum.
Skin Conditions: Conditions like eczema or yeast infections can cause irritation and pain in the perineal area.
Pelvic Floor Dysfunction: This occurs when the muscles in the pelvic floor don’t work properly, leading to pain and discomfort.

Common Additional Symptoms

In addition to pain, you may experience other symptoms such as:

Changes in bowel or bladder habits
Pain during sex
Discomfort while sitting
Swelling in the pelvic area
Unexplained fatigue

If you notice any of these symptoms, it’s important to consult a healthcare provider.

When to See A Medical Professional

You should see a healthcare provider if:

The pain is severe or doesn’t go away.
You have other concerning symptoms, like fever or unusual bleeding.
Pain interferes with daily activities or your quality of life.

A healthcare provider can help determine the cause of your pain and recommend appropriate treatment.

Diagnosis and Treatment Options

To diagnose the cause of pelvic or perineal pain, your healthcare provider may:

Take a detailed medical history and ask about your symptoms.
Perform a physical exam.
Order tests, such as ultrasounds, blood tests, or other imaging studies.

Treatment will depend on the underlying cause of your pain and may include:

Medications: Pain relievers, anti-inflammatory drugs, or hormonal treatments can help reduce discomfort.
Physical Therapy: Specialized physical therapy can strengthen pelvic floor muscles and relieve pain.
Lifestyle Changes: Dietary adjustments, exercise, and stress management can also help manage symptoms.
Surgery: In some cases, surgery may be necessary to address specific issues, such as cysts or severe endometriosis.

Take control of your health

with Advanced Women's Care

Pelvic and/or perineal pain can be distressing, but understanding it can help you find relief. If you experience this type of pain, don’t hesitate to reach out to your healthcare provider. Early diagnosis and treatment can lead to better outcomes and improved quality of life. Remember, you don’t have to suffer in silence—help is available!