What's Pelvic Pain?
Pelvic pain is one of those symptoms that can feel confusing because it can come from different places: your digestive system, reproductive organs, or urinary system. If you're dealing with pelvic pain, you're definitely not alone, and there are lots of reasons it might be happening (most of them treatable).
What Is Pelvic Pain?
Anyone can experience pelvic pain, but if you have ovaries, it's often related to your reproductive system. The good news? Most causes of pelvic pain are common and manageable.
Common Causes of Pelvic Pain
Period-related pain
This is probably the most common cause. Cramps, bloating, and achiness around your period are totally normal for a lot of people. If your cramps are severe or getting worse, though, it's worth checking in with a doctor.
Ovarian cysts
These are fluid-filled sacs that form in or on your ovaries. Most cysts are benign (not cancerous) and go away on their own. Sometimes they can cause sharp pain or a dull ache, especially if they rupture or twist.
Endometriosis
This is when tissue similar to your uterine lining grows outside the uterus. It can cause chronic pelvic pain, especially during your period, and it's more common than you might think.
Adenomyosis
This happens when the tissue that lines the inside of your uterus starts growing into the uterine wall. It can cause heavy periods and pelvic pain.
Pelvic inflammatory disease (PID)
PID is an infection of the reproductive organs, usually caused by untreated STIs. It can cause pelvic pain, fever, and unusual discharge. The good news is it's treatable with antibiotics, especially when caught early.
Uterine fibroids
Fibroids are non-cancerous growths in the uterus. They're super common and can cause pelvic pain, heavy periods, or pressure in your lower abdomen.
STIs
Some sexually transmitted infections can cause pelvic pain along with other symptoms like unusual discharge or pain during sex. Getting tested and treated early is key.
Other causes
Sometimes pelvic pain can be related to digestive issues (like IBS or constipation) or urinary tract infections (UTIs).
How Is Pelvic Pain Treated?
Treatment depends on what's causing the pain, but options include:
- Medication — pain relievers, antibiotics (for infections), or hormonal treatments (for conditions like endometriosis)
- Physical therapy — especially helpful for chronic pelvic pain
- Surgery — in some cases, if there are cysts, fibroids, or severe endometriosis
The most important thing is figuring out what's causing your pain so you can get the right treatment.
When to See a Doctor
Most pelvic pain isn't an emergency, but you should definitely check in with a healthcare provider if:
- Your pain is so severe that it's disrupting your daily life
- The pain is sharp, severe, or sudden
- You're unable to stand up straight
- There's blood in your pee or poop
- You're running a fever
- You're pregnant or have been pregnant in the last six months
- The pain is new, getting worse, or not going away
The Bottom Line
Pelvic pain can be uncomfortable and frustrating, but in most cases, it's treatable. Whether it's period cramps, a cyst, endometriosis, or something else, there are options to help you feel better. Don't ignore pain that's affecting your life. Talk to a doctor so you can figure out what's going on and get relief!
You know your body best, and if something feels off, it's always okay to get it checked out. 🫶