Chronic Female Pelvic Pain - When To Call a Doctor
If you have
chronic female pelvic pain that has not yet been
evaluated, call your doctor for an appointment.
you have chronic pelvic pain that has already been evaluated, call a doctor for immediate care if sudden,
severe pelvic pain occurs with or without vaginal bleeding.
- Your periods have changed from relatively
pain-free to painful.
- Pain interferes with your daily
- You begin to have pain during
- You have painful urination, blood in your urine, or an
inability to control the flow of urine.
- You have blood in the stool
or a significant, unexplained change in your bowel movements.
Even if you have existing pain or other symptoms, call your
doctor if you notice new pelvic symptoms.
Watchful waiting is a period of time during
which you and your doctor observe your pelvic pain symptoms
without using additional medical treatment. During this period, you can keep a
daily record of your symptoms, menstrual cycle, and any other life events that
you consider important. A watchful waiting period may vary from a few days to
weeks or possibly months.
Who To See
The following primary health professionals can
generally evaluate and help you manage the symptoms of female pelvic
pelvic pain is to be formally diagnosed or treated with advanced methods,
consult with a
gynecologist or a urologist who specializes in female
Experts have noted a link between abuse and
chronic pelvic pain.1 If you have ever been physically
or sexually abused, the physical and psychological trauma you have suffered may
be playing a part in your pain. For this reason, it's important that you have a
health professional with whom you are comfortable discussing any past or
current abuse, as well as your current symptoms.
If you have had
long-lasting (chronic) pelvic pain that hasn't responded to treatment or seems
to have no physical cause, you may have developed neuropathic pain, which means
your nerves continue to fire pain signals long after an original injury or
disease has healed. If your doctor suspects that you have
neuropathic pain, he or she may refer you to a
pain management clinic for evaluation and treatment.
To prepare for your appointment, see the topic Making the Most of Your Appointment.