Pelvic Pain Specialist

Pelvic pain is a common patient complaint covering a very broad group of potential diagnoses. Patients are encouraged to discuss pelvic pain with their medical health care provider at Pali Women’s Health Center in Kailua and Kapolei, Hawaii; sharing is the first step in identifying possible causes and treatments.

Pelvic Pain Q & A

What is pelvic pain?

The broad term, “pelvic pain” is used to describe any variety, frequency, and severity of pain in the lower abdomen. While pelvic pain is a diagnosis, the goal is always to find the cause and alleviate it.

What is the difference between acute and chronic pelvic pain?

Acute pelvic pain is characterized by lower abdominal pain that lasts less than 6 months, while chronic pelvic pain lasts 6 months or more.

When should a patient seek emergency treatment for pelvic pain?

In most cases, pelvic pain can be addressed during a scheduled clinic appointment. Sudden, severe pelvic pain, however, should always be evaluated immediately by a qualified healthcare provider. Pelvic pain that comes on suddenly and is difficult to talk or breathe through may be indication of a serious underlying condition. In addition, pelvic pain accompanied by blood in urine, stool, or emesis should be evaluated immediately in the emergency room.

How can patients alleviate pelvic pain from home?

Patients can try these methods to alleviate pelvic pain at home:

  • Over-the-counter anti-inflammatory medications
  • Heating pads
  • Change in positioning
  • Making healthy lifestyle choices (diet and exercise)

What causes pelvic pain?

Because there are many structures in the lower abdomen, there are dozens of potential causes of pelvic pain. Describing the pain, onset, and other symptoms assists the healthcare provider in narrowing down the list of potential culprits. Some of the most common causes of pelvic pain include:

  • Ovarian cysts
  • Appendicitis
  • Irritable bowel syndrome
  • Ovulation
  • Menstrual cramps
  • Ectopic pregnancy
  • Sexually transmitted infection
  • Pelvic inflammatory disease
  • Uterine fibroids
  • Endometriosis
  • Urinary tract infection
  • Kidney stones
  • Interstitial cystitis

Not all pelvic pain is related to the reproductive system, and in a significant number of cases, no cause is identified.

How is pelvic pain treated?

In most cases, pelvic pain is treated by resolving the underlying condition causing the pain. For example, if pelvic pain is caused by a urinary tract infection, doctors prescribe antibiotics to treat the infection, and the pain resolves as a result of the treatment. When there is no cause identified, the patient and healthcare provider work together to find a treatment that alleviates the pain itself.

Major Insurance Providers Accepted

We accept most insurances. Please call the office for any questions regarding insurance!

Deseret Mutual
Tricare West PPO

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