- Pelvic pain:
Have a symptom?
See what questions
a doctor would ask.
See what questions
a doctor would ask.
During a consultation, your doctor will use various techniques to assess the symptom: Pelvic pain. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.
It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.
Create your printable checklist by answering questions that your doctor may ask below:
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Why: to determine if acute or chronic. The diagnosis of acute pelvic pain is usually easier than chronic pelvic pain due to accurate pregnancy testing, pelvic ultrasound scan and laparoscopy.
Why: e.g. "Can you point with one finger where the pain is worst.
Why: e.g. sharp sudden pain in the pelvis which becomes more generalized indicates rupture of an ectopic pregnancy or rupture of an ovarian cyst.
Why: e.g. does it interfere with daily activities; does it prevent you going to work; does it confine you to bed.
Why: e.g. disorders of the bladder, rectum, lower uterus, cervix and upper vagina can refer pain to the lower back, buttocks and back of the thigh. Must also remember that disorders of the lumbosacral spine can cause pain to refer to the lower abdomen and groin.
Why: e.g. mittelschmerz tends to be relieved by sitting or supporting the lower abdomen.
Why: will help diagnosis e.g. recurrent mid-cycle pain (i.e. Day 14 of the menstrual cycle) suggests mittelschmerz (pelvic pain occurring at the time of ovulation due to mild bleeding from the ovulation site); recurrent pelvic pain during menstruation would suggest the various causes of dysmenorrhea (painful periods) or endometriosis.
Why: e.g. If pain is in the middle of the menstrual cycle (i.e. Day 14), this suggests mittelschmerz (pelvic pain occurring at the time of ovulation due to mild bleeding from the ovulation site); if pelvic pain occurs during menstruation this would suggest the various causes of dysmenorrhea (painful periods) or endometriosis.
Why: may suggest pelvic bone fracture.
Why: e.g. patients on hemodialysis for chronic renal failure are especially predisposed to osteomyelitis which may occur in the pubic bones and cause pelvic pain.
Why: e.g. previous abdominal or pelvic surgery increases the risk of pelvic adhesions which may be the cause of pelvic pain as well as painful menstrual periods, infertility and intestinal pain; previous termination of pregnancy, dilatation and curettage for miscarriage, insertion of Intra-uterine contraceptive device (IUCD) may introduce bacteria to upper genital tract and increase the risk of pelvic inflammatory disease which may cause pelvic pain; previous fallopian tube surgery increases the risk of ectopic pregnancies; surgical correction of bone fractures and operations on bone and joints increase the risk of osteomyelitis which may occur in the pubic bones and cause pelvic pain.
Why: will increase the risk of pelvic inflammatory disease and consequent ectopic pregnancy.
Why: especially if involved in unsafe sex without condoms when not in a monogamous relationship which will increase the risk of sexually transmitted diseases and pelvic inflammatory disease and may be the cause of pelvic pain.
Why: Past history of Chlamydia and gonorrhea will increase the risk of pelvic inflammatory disease and also ectopic pregnancy.
Why: e.g. intravenous drug abusers are especially prone to osteomyelitis which may occur in the pubic bones and cause pelvic pain.
Why: e.g. endometriosis, ovarian cancer.
Why: would suggest pelvic inflammatory disease, diverticulitis, appendicitis, urinary tract infection or osteomyelitis.
Why: The presence of a pus-like vaginal discharge with pelvic pain would suggest pelvic inflammatory disease.
Why: would suggest ectopic pregnancy, threatened miscarriage, retained placenta, fibroids in the uterus or endometriosis.
Why: can help determine cause.
Why: may suggest endometriosis, pelvic inflammatory disease, ovarian cysts or ovarian tumor.
Why: may suggest endometriosis, pelvic inflammatory disease or pelvic adhesions.
Why: Constipation may cause pelvic pain itself. Constipation may also indicate diverticulitis, irritable bowel disease or endometriosis.
Why: may suggest diverticulitis.
Why: may suggest irritable bowel syndrome.
Why: e.g. missed menstrual periods, tender breasts, enlarged breasts, urinary frequency - would suggest and ectopic pregnancy or a threatened miscarriage.
Why: e.g. recurrent sharp self-limiting pain on one side of the pelvis. Pain is relieved by sitting or supporting the lower abdomen. Pain lasts from a few minutes to hours.
Why: e.g. pelvic pain which may start 1-2 weeks before the menstrual period and then reduces with the onset of the period; pain with intercourse; infertility or subfertility; heavy periods and non-specific pelvic pain.
Why: e.g. fever (if acute infection) , mild to severe pelvic pain, pain with intercourse, painful heavy or irregular periods, bleeding in-between the periods, abnormal and perhaps offensive pus-like vaginal discharge, painful or frequent urination.
Why: e.g. ache or discomfort in lower abdomen or pelvis, sensation of pelvic heaviness, menstrual dysfunction, pain with intercourse and 10-20% of people with a malignant ovarian tumor may have pain with menstruation.
Why: e.g. cysts tend to rupture just before ovulation or after sexual intercourse and cause a sudden onset of pain in one or other sides of the pelvis. May be associated with nausea and vomiting.
Why: e.g. alternating diarrhea and constipation, abdominal bloating, abdominal or pelvic pain that is relieved by opening the bowels or passing wind.
Why: e.g. left lower abdominal pain and fever. May have bloody stool.
Why: e.g. pain and burning with urination, urinary frequency, loin pain, lower pelvic or bladder pain, fever, blood in urine.
The following list of conditions have 'Pelvic pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.
Select from the following alphabetical view of conditions which include a symptom of Pelvic pain or choose View All.
The following list of medical conditions have 'Pelvic pain'
or similar listed as a medical complication in our database.
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