Epsom and St Helier Hospital
Long term lower Abdominal / pelvic pain

Pain in the lower abdomen or pelvis that lasts for more than 6 months.

Around 1 in 6 women suffer with such pain. This pain is usually caused by a combination of physical, psychological and/or social factors rather than a single underlying condition, although for many women a cause cannot be found.

Our consultants can help you to identify or rule out various causes of this annoying and frustrating condition.

 

Causes of Chronic Pelvic Pain:

 Endometriosis and Adenomyosis can cause pain around the time of a period and during sex

 Pelvic inflammatory disease (PID), which is an infection in the fallopian tubes and/or pelvis

 Adhesions (scarred tissue in side pelvis form previous surgery or infection

 Bladder inflammation or interstitial cystitis

 Irritable bowel syndrome (IBS)

 Trapped nerves in the pelvic area

 Musculoskeletal pain (pain in the joints, muscles, ligaments and bones of the pelvis)

 Pelvic organ prolapse

 Depression and anxiety

 Traumatic experiences, such as sexual and/or physical abuse.

 

Common investigations (depending on your symptoms)

 Screening tests for pelvic infections (including sexually transmitted infections)

 Trans Vaginal ultrasound scan

 An MRI (magnetic resonance imaging) scan of your pelvis.

 Endo Test and some specific blood and Urine test

 

Treatment

Only after careful review of your symptoms and test results:

 Medical Treatment (Hormonal treatment or non-hormonal treatment)

 Surgical treatment (mostly Laparoscopic – keyhole surgery)

Make An Appointment