Chronic pelvic pain is mild to severe pain in the lower abdomen (pelvic area) that persists for 6 months or more. This pain can originate from sources other than the female reproductive organs (uterus, ovaries, fallopian tubes), such as the digestive system, urinary tract or musculoskeletal system. Chronic pelvic pain can sometimes be a constant feeling of discomfort or intermittent attacks.

Causes of Chronic Pelvic Pain

Chronic pelvic pain can be caused by many different conditions. Among these causes, the following stand out:

1. Endometriosis (Chocolate Cyst): Occurs when tissue similar to intrauterine tissue is located outside the uterus, usually in the ovaries. This can cause severe pelvic pain.
2. Pelvic Inflammatory Disease (PID): Inflammation and pain in the pelvic area caused by infection.
3. Irritable Bowel Syndrome (IBS): A disorder of the digestive system can lead to pain in the pelvic area.
4. Fibroids (fibroids): Benign masses in the uterus that can cause pain and sometimes infertility.
5. Adenomyosis: A condition similar to endometriosis that causes the presence of endometrial tissue inside the muscles of the uterus and causes pain.
6. Urinary Tract Infections: Pelvic pain can also be caused by an infection in the urinary tract.
7. Muscle and Connective Tissue Problems: Tension or injury to pelvic muscles can lead to musculoskeletal pain.
8. Ovarian Cysts These cysts form when fluid builds up inside the ovaries and can sometimes cause pain.
9. Sexually Transmitted Diseases (STDs): Sexually transmitted infections can also cause pain in the pelvic area.

What Should You Do to Treat Chronic Pelvic Pain?

The steps to treat chronic pelvic pain vary depending on the cause of the pain. However, in general, the following treatment methods can be applied:

1. Doctor Evaluation: If pelvic pain is persistent or interferes with daily life, it is important to consult a gynecologist. The doctor may perform some tests and investigations to determine the source of the pain.
2. Hormone Therapy: For hormone-related conditions such as endometriosis and adenomyosis, birth control pills, hormone therapies or anti-progesterone drugs may be used.
3. Painkillers and Anti-Inflammatories: Medicines such as non-steroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation.
4. Physical Therapy and Pelvic Floor Exercises: In cases of pelvic pain due to muscle tension, exercises recommended by specialist physiotherapists may be useful.
5. Surgical Intervention: If the pain is caused by problems such as large cysts, fibroids or endometriosis, surgical intervention may be necessary. Minimally invasive surgery using laparoscopic methods may be preferred for such cases.
6. Psychological Support: Chronic pain can sometimes lead to psychological stress and depression. Individual or group therapy can help with pain management in such cases.
7. Alternative Methods: Alternative treatment methods such as acupuncture, yoga or massage therapy can provide relief for some patients.

When should I consult a doctor?

It is important to consult a specialist if your pelvic pain is caused by

• The pain has become constant or persists for more than a few months
• Pain interferes with normal daily activities
• If the pain intensifies during sexual intercourse
• Disruption of the menstrual cycle and infertility problems
• The pain is often accompanied by nausea, dizziness or fever

In such cases, it is very important to consult a specialized doctor to make an accurate diagnosis and start the treatment process.

Chronic pelvic pain can be a challenging and disruptive condition for many women. However, with the right diagnosis and treatment methods, pain can be managed and solutions can be found to address the source of the problem. If you suffer from persistent pelvic pain, you can take the right steps towards a healthy life by consulting your doctor.