Manifestations of chronic pelvic pain

Chronic pelvic pain in women is pain in the area below the navel and between the hips, which can last six months or longer. This sign of pelvic pain can be a symptom of some very dangerous disease.

Chronic pelvic pain is a complex disease with many causes. Sometimes, pelvic pain is caused by a disorder. The pain can also be caused by a number of health conditions.
There are several medical causes of pelvic pain such as:
Endometriosis: The most common symptom of endometriosis is chronic pelvic pain, especially right before and during menstruation. In addition, pain also occurs during sex. Musculoskeletal diseases: Common in cases of muscle tension in the abdomen or back, disc herniation. Endometrial myopathy is a condition in which glandular tissue of the endometrium is present within the muscle of the uterine wall. Interstitial cystitis is a chronic inflammation of the bladder. Caused by infection, fungal infection, unprotected sex. Urinary tract infections: Women are more susceptible to UTIs than men. Chronic pelvic inflammatory disease is often the result of tubal effusion, tubal-ovarian cysts, or pelvic adhesions. Pelvic congestion syndrome: The veins in the pelvis become compressed and dilated due to blocked blood, causing the following symptoms: Pelvic pain that gets worse when standing or sitting.

Irritable Bowel Syndrome: This is a chronic digestive and functional disorder that causes abdominal pain, diarrhea, cramps, and bloating. Weak pelvic muscles: When the ligaments and pelvic muscles are weak, it makes it easier for organs like the bladder, uterus or rectum to move out of their normal position and prolapse into the vagina. In addition, psychological factors such as: Depression, chronic stress, history of sexual or physical abuse can increase the risk of chronic pelvic pain. Feeling sad makes pain worse, and chronic pain itself contributes to feelings of sadness. These two factors often become a vicious cycle.

Chronic pelvic pain often presents very differently:
There are cases of severe, continuous, dull, intermittent pain. Sometimes it is only manifested by a feeling of heaviness in the pelvic region. Pain when urinating, frequent urination. Pain during sex, pain when pressing on certain pelvic areas. Pain can be stabbing, tingly, and it may increase with walking, running, jumping, or being active. Some cases of pain only manifest when standing up, sitting down. The pain usually gets better with rest. Pelvic pain makes the patient always uncomfortable, restless, insecure, eats and sleeps poorly, loses concentration at work, gradually leading to other disease states such as physical weakness, depression, difficult to integrate into society.

Treatment of chronic pelvic pain includes treating the symptoms and treating the cause.
Treatment of symptoms:
With common pain relievers such as ibuprofen, acetaminophen. Other drugs can be used together such as antibiotics, anti-inflammatory drugs, anti-edema. If the pain is of psychological origin, antidepressants can be added (amitriptyline, nortriptyline). Treatment of the cause:
When detected such as surgical treatment of endometriosis, treatment of infection, surgical removal of uterine fibroids... Treatment of irritable bowel syndrome by adjusting regimen eat. When you have symptoms of digestive disorders such as abdominal pain, diarrhea, etc., you should avoid eating inappropriate foods and drinks. Should divide into many small meals, avoid eating too full. Reduce or eliminate stress, increase physical activity, practice the habit of defecating once a day, do qigong, yoga...

A number of measures can be used such as injection of pain point pain with lidocaine; Transcutaneous electrical nerve fiber stimulation, psychotherapy, counseling when necessary to help patients regain balance in life.
Chronic pelvic pain in women may not have a physical cause. But in any case of persistent pelvic pain, the patient must immediately go to the nearest medical facility to be examined to rule out potentially dangerous causes.
Periodic health check-ups help to detect diseases early, so that there are treatment plans for optimal results. Currently, Vinmec International General Hospital has general health checkup packages suitable for each age, gender and individual needs of customers with a reasonable price policy.
Results of the patient's examination will be returned to the home. After receiving the results of the general health examination, if you detect diseases that require intensive examination and treatment, you can use services from other specialties at the Hospital with quality treatment and services. outstanding customer service.