A number of internal and reproductive conditions can cause pain in the abdomen or pelvis, and they can be grouped as either ongoing or acute, meaning short-term. Acute pain is being experienced for the first time, and chronic pains are ongoing and last for an extended period. Conditions which can cause pain include:
Diagnosis begins with a patient history and a thorough examination, including a pelvic exam. More extensive examinations and testing may also be performed, including blood tests, ultrasound or CT scans, and hysteroscopy to look inside the uterus. If a gastrointestinal tract problem is suspected, a referral can be made to a doctor who can perform the appropriate testing.
In order to determine the nature of the pelvic pain, the doctor may ask you a series of questions. The doctor will also most likely need to examine you. Based on the finding of the examination and the answers to your questions, the doctor may need to do further investigation or may recommend a variety of treatments. If the pain is caused by an infection of some sort, antibiotics or medications may be prescribed. If there is a concern for a miscarriage or ectopic pregnancy ultrasound may be performed, and you may need to undergo surgery. Laparoscopic surgeries are also commonly employed when the doctor needs to view what is going on inside the pelvic area. This surgical procedure allows the doctor to look inside your abdomen by using a camera which is inserted through small incisions near the belly button. If you are concerned about any pelvic pain, it is best to consult a physician before the condition worsens.
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