I've been experiencing pelvic pain for nearly 3 months now. It started as what I thought was a standard UTI and was treated for such. The pain persisted so I was then treated for a bacterial infection. That was before the holidays. I keep waiting for the symptoms to subside with no luck. I've never had anything really like this, so I'm starting to worry. The main symptom is pelvic/lower abdominal pain. It sometimes radiates to my lower back. I also get nauseous. I feel a pressure where the pain is, and it sometimes feels like it's pressing on my bladder or bowels especially upon waking in the mornings. There also appears to be some discharge sometimes and rarely somewhat painful urination. Minor changes in menstruation as well. I've had a cough that has waxed an waned for about the same amount of time. I don't imagine it's related but figured I'd throw it in there just in case. I've reached out to my doctor who's not gotten back to me yet. As I mentioned, I've never really had symptoms like this, so I'm looking for advice on what the next best steps might be to get to the bottom of it. Please advise. Thank you!
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What could be causing my pelvic pain? What are the next steps/tests needed to get to the bottom of it?
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Featured Answer
9 UpVoted this answer
There can many reasons for pelvic pain. Without your exact history and age, I will have to speculate. Yes you can can have an UTI that was resistant to the antibiotic and you would need an urine culture to confirm. Sometimes discomfort from an UTI can persists long after the treatment (a month or so). Other reasons for the discomfort are an ovarian cyst, endometriosis, diverticulosis, Interstitial cystitis, urethral syndrome, constipation and a pelvic/vaginal/uterine infection. With a recent cough possibly pulled abdominal muscles?? Tuberculosis (very uncommon)?? I suggest you revisit your physician to at least have a urine culture, vaginal culture and a possible pelvic ultrasound.
7 UpVoted this answer
Pelvic pain is very complex. This pelvic pain will need another gyn appointment to followup with a pelvic Exam with culture, a urine analysis, urine culture & ultrasound is needed. Since the urinary tract infection was treated previously a followup urine culture would make sure the antibiotics taken was effective. Pelvic exam & cultures needs to be done to rule out a pelvic inflammatory disease. An ultrasound may be needed to rule out any cysts.
7 UpVoted this answer
It is imperative that you go to the doctor, and get a full work up. You likely need a gynecological exam and they will be able to determine what further tests you may need including pregnancy tests, as well as ultrasound and possible CT scan to make sure there are no space occupying lesions in your abdomen. Coughing could be a result of pressure pushing on a nerve. In addition, any backflow of urine from a potential pressure from a cyst or tumor could cause an infection in your urinary tract.
This is not something to wait on.
It could be something small now that may grow later on. Getting something while it is small is definitely easier.
Go, now, and get it checked out!
This is not something to wait on.
It could be something small now that may grow later on. Getting something while it is small is definitely easier.
Go, now, and get it checked out!
5 UpVoted this answer
Hello, I think you may have an ovarian cyst and I recommend you come see an obgyn at the office for a visit/ultrasound and/or some testing for std's and other infections as well!
Pelvic pain can have many causes, even ibs, other gi problems or urological issues as interstitial cystitis could play a role.
These things are hard to diagnose per email so don't wait but see your doc. Please avoid the er if you can and if you don't have insurance.
Sincerely,
Rixt Luikenaar MD FACOG
Pelvic pain can have many causes, even ibs, other gi problems or urological issues as interstitial cystitis could play a role.
These things are hard to diagnose per email so don't wait but see your doc. Please avoid the er if you can and if you don't have insurance.
Sincerely,
Rixt Luikenaar MD FACOG
4 UpVoted this answer
The most common reason:
Infection-difficult to diagnose
fibroids
ovarian cysts
endometriosis-also difficult to diagnose
you would need an ultrasound and PAP smear and blood test
Infection-difficult to diagnose
fibroids
ovarian cysts
endometriosis-also difficult to diagnose
you would need an ultrasound and PAP smear and blood test
4 UpVoted this answer
Your symptoms sound much like those of sacroiliac joint disorder. The additional data I need to know is your age and the number of children you have born. Please go to Brighton Criteria for a rating of your joint stability. If you have Joint Hypermobility Syndrome (JHS) via this evaluation, then contact me at laurencebadgley.com and review my posts at Quora.com under my name and on my Pain Syndrome Board. I have also posted my writings about these matters, and numbered more than 750 essays, at twitter as @doctorbadgley.
3 UpVoted this answer
Without more history, I think you should schedule a visit to see a Gyn and get cultures and possible an ultrasound. Bring all your records of recent tests when you go for that visit.
2 UpVoted this answer
You need a thorough exam and I cannot officially give you an answer but I would check for pelvic muscle and back problems, check a path advantage vaginal infection panel to make sure no rare vaginal infections and check a urine culture and labs. Hope it helps!
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