Top
40
Doctor insights on: Pelvic Pain In Postmenopausal Women

Share
1

1
What would be cause of constant deep pelvic pain, brown discharge and history of HPV in postmenopausal female?

What would be cause of constant deep pelvic pain, brown discharge and history of HPV in postmenopausal female?

See your doctor!: This sounds like some sort of internal infection, probably not related to HPV. However, if you have not been having pap smears over the years, cervical cancer could cause such symptoms. Other cancers also are possible.

Whatever the cause of these symptoms, it is potentially serious. Please see your doctor as soon as you can get an appointment. ...Read more

Dr. Luis Gonzalez
1,131 Doctors shared insights

Pelvic Pain (Definition)

The pelvic region refers to the lowermost portion of the abdomen, below the level of the umbilicus, and most often in the lowermost portions of the abdomen, on the sides and centrally. Discomfort, in various forms (stabbing, cramping, aching, ...Read more


2

2
Whay reason would cause a postmenopausal woman who has dark/bloody discharge night sweats and pelvic pain so. Bad I take a pain killer?

Whay reason would cause a postmenopausal woman who has dark/bloody discharge night sweats and pelvic pain so. Bad I take a pain killer?

New onset: Of vaginal bleeding after onset of menopause is not normal and warrants medical evaluation. It will take full assessment to determine the cause. ...Read more

4

4
Hematometra cervical stenosis postmenopausal Ultrasound no thickening Pelvic pain Should I wait 2C if it resolves w repeatUS 6wks or D & C now Scared?

Hematometra cervical stenosis postmenopausal Ultrasound no thickening Pelvic pain Should I wait 2C if it resolves w repeatUS 6wks or D & C now Scared?

Act Now.: Hi Debra,
If you are in pain, this would push me to recommend acting surgically sooner rather than later. At 60, you should have no accumulation of blood and very little clear fluid or mucous. Even though the Ultrasound said no thickening, I would take the opportunity to sample the lining of the uterus just to make sure. I am sure that everything will turn out fine. ...Read more

5

5
How does chronic female pelvic pain affect my wife's lovemaking?

How does chronic female pelvic pain affect my wife's lovemaking?

It varies: Chronic pelvic pain decreases the feel good hormones and chemicals in your brain. Often sex drive decreases. If pain increases with sexual activity, aversion to sex can develop. The treatment of pelvic pain needs a multidisciplinary approach. The team may include a gynecologist (with expertise in pelvic pain), pelvic floor physical therapists, psychologist, urologist and colorectal specialists. ...Read more

6

6
I have pelvic pain with slight adobinal pain and sharp pain in the rectal area. What could this be? I'm 27 female.

I have pelvic pain with slight adobinal pain and sharp pain in the rectal area. What could this be? I'm 27 female.

Constipated?: When was the last time you went to the bathroom? Are you drinking plenty of water, eating lots of fruits and vegetables? ...Read more

7

7
What is causing left pelvic pain in a woman?

What is causing left pelvic pain in a woman?

More info needed: A woman has many structures in the left pelvis that can be sources of pain. Ovarian cysts, abcesses, or tumors, pelvic infections or endometriosis, bladder or kidney infections or stones, and constipation or other colon conditions can all cause pain in this area. Or you could simply be ovulating, have strained a muscle, or have a hernia. I'd advise you to see your doctor. ...Read more

8

8
What if a woman can't find the cause of her pelvic pain?

What if a woman can't find the cause of her pelvic pain?

Keep looking: There are definitely many causes of pelvic pain and when trying to identify the cause it should be looked at by many doctors: gynecologists, urologists, gastroenterologists, muscle pain or nerve pain. Usually a cause can be found, just takes the right person to figure it out. ...Read more

9

9
Sometimes I have pelvic pain. I am a female. What could be causing this?

Pelvic pain is broad: The possibilities for pelvic pain are numerous. Requires a comprehensive history and physical exam. It's a long list!

but worry not, it's a common problem just requires some work to figure out. ...Read more

11

11
Lower left pelvic pain. Worse with movement. 3 days now. 26 female.?

Lower left pelvic pain. Worse with movement. 3 days now. 26 female.?

Cyst/ectopic: There are many things that could cause this type of pain. It could be an ovarian cyst or even constipation. The most dangerous things would be and ectopic pregnancy (pregnancy in fallopian tube) or appendicitis (usually with pain on right but rarely can be on left). If there is any chance that you are pregnant take a test and if pos. Go to Emergency. If you have fever and vomiting see doctor asap. ...Read more

12

12
How can pelvic pain in women be described to a doctor here?

Use your own words: Pain is best described in your own words. We are concerned about the nature of pain (sharp, dull, stinging, achy, etc.), intensity (1-10 scale), duration and time course (progressive, waxing, intermittent, etc.), location, radiation, associated symptoms, aggravating, provoking and palliating factors. Most importantly functional limitations. You make up your own story and we interpret. ...Read more

13

13
Y do pregnant woman get pelvic pain?

Stretching, for one: As the uterus grows, it's attachments- ligaments, for ex., can stretch and cause some abdominal, pelvic discomfort. Other causes of discomfort include pressure from the enlarging uterus (on the abdominal wall or the bladder or the lower back, for ex.)occasionally the pregnancy could be in the wrong area (ectopic pregnancy), or self limiting (like a miscarriage) - this could be painful as well. ...Read more

14

14
Female left side pelvic pain with cramping what could this be?

Female left side pelvic pain with cramping what could this be?

Variable: It could be so many things ranging from endometriosis to as serious as a malignancy. Need more details and more work up. ...Read more

15

15
8yr/o female has pelvic pain with a little blood and white cells in urine but culture neg what else can cause these symptoms?

8yr/o female has pelvic pain with a little blood and white cells in urine but culture neg what else can cause these symptoms?

Ped. Pelvic pain: Pelvic pain (non-specific) in an 8 year old is can be due to may things but certain etiologies are easily ruled out. Blood in urine is not normal in an 8 year old. Urinary tract infection appears to be ruled out however vaginal causes may be contributing. Certain pathologies or trauma in young females should always be ruled out by a pediatric gynecologist. ...Read more

16

16
Can moderate (32curvature) scoliosis contribute to chronic pelvic pain in a 33 yrr old woman with no other evident gynocological issues?

Can moderate (32curvature) scoliosis contribute to chronic pelvic pain in a 33 yrr old woman with no other evident gynocological issues?

Unlikely: A curvature of this size in the lower back may alter the mechanics of the spine creating back pain, but unlikely pelvic pain unless you are talking about the region of the sacroiliac joints. An issue in the pelvis causing pelvic pain can be a cause of muscular spasm leading to a scoliosis in the lower back as a secondary finding on presentation. ...Read more

17

17
I'm a seventeen year old female, getting my periods for 6 years now, and just started getting pelvic pain with current period. Should I be concerned?

Need evaluation: Ovarian follicle rupture can cause such pelvic pain.
Please have it seen. Ultrasounds are helpful in evaluation.
So let a gynecologist or your pediatrician take a look at this. ...Read more

19

19
I'm a 26yr old female with a mirena (levonorgestrel). Had lower pelvic pain since aug. Had vag. Us today and it said a 2.7 x 3cm cyst. What needs to be done. It hurts?

I'm a 26yr old female with a mirena (levonorgestrel). Had lower pelvic pain since aug. Had vag. Us today and it said a 2.7 x 3cm cyst. What needs to be done. It hurts?

Too long!: Ovarian cysts are normal occurrence. The ultrasound finding may not be the explanation to the pain. A follicular cyst (pre ovulation) will resolve and nsaids like Ibuprofen and Naproxen sodium will help. However, if you've had pain for almost one year you need a complete evaluation by your gynecologist including a laparoscopic examination. ...Read more

20

20
I'm a 23y/o female, sexually active. (+) yellow discharge without any strong odor on underwear. (-) pelvic pain. Is this still normal?

I'm a 23y/o female, sexually active. (+) yellow discharge without any strong odor on underwear. (-) pelvic pain. Is this still normal?

Several causes: Bacterial vaginosis and yeast are the two most common vaginal infections. Both can look yellow. Sexually transmitted diseases like trichomoniasis, chlamydia and gonorrhea are also possibilities. Yellow discharge is not normal and needs to be evaluated. ...Read more

21

21
What could cause a female, 60 years, to have moderate, sharp lower pelvic pain? Urine is clear, no blood, protein, sugar in it, pH 6.5.

Pelvic pain: There are lots of reasons for acute pelvic pain in a woman in the menopause. Since it is not a urinary tract infection, you need to be worked up for ovarian cyst, irritable bowel, kidney stone and many other things. ...Read more

22

22
Do urologist learn female anatomy? My uro treats chronic pelvic pain & giving me a pudandal nerve block I want to make sure he knows what he is doing

Do urologist learn female anatomy? My uro treats chronic pelvic pain & giving me a pudandal nerve block I want to make sure he knows what he is doing

Pudendal block: It is uncommon to give pudendal blocks for pelvic pain in women. First of all, the pain may be coming from ovarian or uterine origin. At 23, you should see an ob/gyn to make sure of the cause, before consenting to have a nerve block which may not be necessary at all. ...Read more

23

23
I've been having pelvic pain for a couple weeks. It's lower right side. No appendix. I'm 39, female and my period is 3 days late. 2 neg pregnant tests.?

I've been having pelvic pain for a couple weeks. It's lower right side. No appendix. I'm 39, female and my period is 3 days late. 2 neg pregnant tests.?

See your doctor: Pelvic pain is a very complex condition as muscles, nerves, reproductive organs, bladder and bowels meet in the same area. Early diagnosis and treatment may prevent the development of chronic pelvic pain which is even harder to treat. ...Read more

24

24
Recently I have had dark urine, im a female, and one sided headaches. I have had some pelvic pain. My nose bled a little bit today also.

Unrelated: This constellation of symptoms doesn't give a good suggestion of a single underlying cause. You may be a little dehydrated, or having some allergy problems. While these could possibly go with pregnancy, they are too vague and non-specific to make an educated guess for a single cause. ...Read more

27

27
I'm 21, female, with left pelvic pain for 8 months, clear abdominal ultrasound, no other tests performed. What tests should I request from my doctor?

I'm 21, female, with left pelvic pain for 8 months, clear abdominal ultrasound, no other tests performed. What tests should I request from my doctor?

Pelvic pain: Complete history and ohysical exam including pelvic, abdominal, musculoskeletal, rectal exam, neurologic and sensory. Consider trial of pain medications, oral contraceptives or other hormonal therapies. If pain persists then consider minimally invasive surgery like laparosocopy. ...Read more

28

28
Sacro illiacal hyperdens bone 150 mm 120 mm possible hemangioom severe pelvic pain- seen on CT after I fell off stair - cancer? 30 female

No cancer: Common to have bone or even muscle pain if one suffers a fall probably landing on the sacroiliac region. Often one has disruption of a tendon from its pelvic attachment such as the hamstrings from ischial tuberosity with hematoma, not hemangioma of bone. Warm baths will help subside the condition. Cancer is never the result of such trauma. ...Read more

29

29
28 yr female, would ic cause severe pelvic pain w tenderness anf swelling, lower right side? Also previous CIN iii, dr says its my bladder hurting. ..

28 yr female, would ic cause severe pelvic pain w tenderness anf swelling, lower right side? Also previous CIN iii, dr says its my bladder hurting. ..

Need evaluation: Even if your bladder hurts, this is just a symptom and not a diagnosis. You need a complete evaluation for pelvic pain with includes a laparoscopic examination to rule endometriosis. ...Read more

30

30
I have pelvic pain and pressure with lower back pain and vaginal discharge. I've also been having shoulder and underarm pain on both sides. I am a 30 year old female. What can it be?

I have pelvic pain and pressure with lower back pain and vaginal discharge. I've also been having shoulder and underarm pain on both sides. I am a 30 year old female. What can it be?

Those symptom: Should NOT be ignored and a COMPLETE GYNECOLOGIC evaluation as soon as practicable is indicated. It may be nothing more than a simple GYN infection but P.I.D. (Pelvic Inflammatory Disease) should be ruled out!
Hope this helps!
Dr Z ...Read more

31

31
I have temp of 35.6 degrees. Lower right pelvic pain and pain around belly button pain is sharp cramping my back hurts. Not pregnant 18 years female?

Poss ruptured cyst: With a normal temp, it may just be a ruptured cyst. But even with a normal temp, you could have a pelvic infection. Appendicitis is less likely, but should also be considered with right sided pain. You should get checked ASAP. ...Read more

34

34
What can cause pelvic pain?

Many reasons: Your pelvis has many organs in it;s vicinity. Uterus, tubes, ovaries, bowel, bladder and spine. Pathology in any of these can cause pain. Pelvic varicosities leading to pelvic congestion can cause pain too. ...Read more

35

35
What does it mean if I have pelvic pain?

What does it mean if I have pelvic pain?

Multiple causes: Pelvic pain is certainly not uncommon. Episodic pelvic pain associated with ovulation and/or menstruation is exceedingly common. Less common is chronic pelvic pain associated with endometriosis, pelvic adhesions, or persistent ovarian cysts. Progressive pelvic pain that worsens with time and occurs with the period, with sex, and / or with bowel movements is frequently due to endometriosis. ...Read more

36

36
Pelvic pain, will it resolve on it's own?

Impossible to say: It if is a recent onset - then very likely. If it has gone on for many years, then probably not. If it persists, then an evaluation with doctor and exam, imaging, lab testing may be helpful to determine cause and treat it. ...Read more

37

37
I have constant pelvic pain is that normal?

Probably not: It looks like you are young on your profile. Common sources of chronic pelvic pain might be uti, std, endometriosis, hernia, other things. If you were older, organ prolapse. If more acute, ovarian torsion, ectopic pregnancy, etc. See your gynecologist or pcp for exam and workup. A pregnancy test also probably good idea. ...Read more

38

38
Why would a man have pelvic pain that comes and goes?

Why would a man have pelvic pain that comes and goes?

Many Possibilites: Pelvic pain can be caused by a number of areas. Some of the possibilites are just gas in the colon, diverticulitis, urinary problems, prostate issues, etc. These could be be benign conditions or they could be cancerous. The intermitent nature suggests gas but regardless you need a workup by a doctor including a good physical exam and history which will help tell what else you need to have checked. ...Read more

39

39
What is the definition or description of: pelvic pain?

Lower abdomen: The pelvic region refers to the lowermost portion of the abdomen, below the level of the umbilicus, and most often in the lowermost portions of the abdomen, on the sides and centrally. Discomfort, in various forms (stabbing, cramping, aching, heaviness, pressure, wringing sensations). ...Read more

40

40
I have pelvic pain kind of frequently, what could be the cause?

Many things: Pleas see your gyn for a work up could be gyn or non gyn problems, could be infection, endometriosis, pelvic adhesions, ovarian cyst, fibroid, bladder problems since the bladder is located in front of your uterus, could be bowel problems, so time to get a diagnosis and treatment. ...Read more