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Treatment for chronic pelvic pain

We offer fast access to diagnostic tests and treatment to help alleviate chronic pelvic pain

What is chronic pelvic pain?

Any pain between your hips and belly button is pelvic pain. It becomes chronic or long-term pelvic pain when the pain lasts for six months or longer. 

I have a question about chronic pelvic pain

What are the symptoms of chronic pelvic pain?

The type of pain related to chronic pelvic pain can vary from person to person. Some experience a constant and severe pain, others describe intermittent bursts of pain, and some have a constant, dull ache. Some patients only experience pain when they’re doing something, such as exercising, having sex, or when peeing.

What are the causes of chronic pelvic pain?

Chronic pelvic pain can be caused by a condition impacting one of the organs in the pelvic region, or by an infection.

Common causes of pelvic pain are:

  • Irritable bowel syndrome or constipation
  • Sexually transmitted infections (STIs)
  • Urinary tract infections (UTIs)

In most cases, the causes of pelvic pain aren’t serious. But there are a few conditions that need emergency treatment, like appendicitis and peritonitis.

What causes chronic pelvic pain in females?

Common causes can stem from period pain, endometriosis, or ovarian cysts, and/or pelvic pain during pregnancy. In rarer circumstances, chronic pelvic pain can be related to something more serious, such as an ectopic pregnancy, ovarian cancer, or womb cancer.

What causes chronic pelvic pain in males?

The symptoms of chronic pelvic pain vary. Men often experience pain in and around the penis, testicles, perineum, anus, lower abdomen, or lower back. This pain is often accompanied with an increased need to urinate, burning or painful urination, and/or pain after ejaculation. Some patients report increased pain when sitting.

How is chronic pelvic pain diagnosed?

Finding the underlying cause of chronic pelvic pain may require a series of tests. Your Consultant may recommend one or more of these diagnostic tests:

  • Pelvic exam
  • Laboratory tests
  • Ultrasound
  • Imaging tests
  • Laparoscopy (a thin tube attached to a camera allowing a visual examination of your pelvic organs)

How is chronic pelvic pain treated?

Depending on the cause of your pain, your Consultant may recommend medications such as hormone treatments, pain relievers, antibiotics, or - in some cases - antidepressants to treat your condition.

The Consultant may recommend forms of therapy as part of a part of your treatment plan to alleviate discomfort and allow you to enjoy everyday activities. Forms of therapy include:

  • Physiotherapy
  • Psychotherapy
  • Spinal cord stimulation (neurostimulation)

To correct an underlying problem identified during the diagnosis stage of your treatment plan, your Consultant may recommend a surgical procedure such as laparoscopic surgery or a hysterectomy.

Following a diagnosis of severe endometriosis (Grade 3 or 4) you would need to be treated in a specialist endometriosis centre.

Does chronic pelvic pain ever go away?

In some cases, a clear explanation may never be found, but a good treatment plan will help alleviate discomfort and allow you to enjoy everyday activities.

Benenden Hospital female health hub

Supporting your health, every step of the way

As you move through the different stages of your life – from coping with periods to pregnancy to menopause and beyond - your needs might change.

Taking care of your body and mind at work or in your personal life is important and our female health hub is here to provide you further information and signposting to help.

Our Consultants Gynaecologists

Mr Connell

Rowan James Connell

Consultant Gynaecologist

Mr Connell's specialties include prolapse, incontinence, vaginal reconstruction surgery and MonaLisa Touch.

Mr Gupta

Abhishek Gupta

Consultant Gynaecologist

Mr Gupta's specialties include urinary incontinence, uterine and vaginal prolapse and heavy or painful periods.

Miss Anahit Zakaryan

Anahit Zakaryan

Consultant Gynaecologist

Miss Zakaryan specialises in general gynaecology, including bleeding problems, vulval problems, contraception, HRT, fibroids and vaginal prolapse.

Contact us to arrange treatment for chronic pelvic pain

It's easy to book online or by giving us a call.