Pelvic pain is a common yet often overlooked health concern that affects both men and women. If you are experiencing persistent or severe pelvic pain in Singapore, understanding its causes and knowing when to seek medical attention is crucial. In this article, we will provide essential insights into pelvic pain, its potential causes, symptoms, and available treatment options.
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What is Pelvic Pain?
Pelvic pain refers to discomfort or pain in the lower abdomen and pelvic region. It may be acute, lasting for a short period, or chronic, persisting for several months. The pain can range from mild to severe and may be sharp, dull, or cramp-like. Depending on the cause, pelvic pain may also be accompanied by other symptoms such as bloating, urinary issues, or irregular menstrual cycles.
Common Causes of Pelvic Pain
Pelvic pain can arise from various conditions, including:
1. Gynaecological Conditions
- Endometriosis: A condition where tissue similar to the lining of the uterus grows outside the uterus, leading to severe pelvic pain, especially during menstruation.
- Ovarian Cysts: Fluid-filled sacs that form on the ovaries can cause pain, particularly if they rupture or become large.
- Uterine Fibroids: Non-cancerous growths in the uterus that can lead to pressure, pain, and heavy menstrual bleeding.
- Pelvic Inflammatory Disease (PID): A bacterial infection of the female reproductive organs that can result in chronic pelvic pain if left untreated.
2. Urological Issues
- Urinary Tract Infections (UTIs): Infections in the urinary system can cause lower abdominal discomfort, frequent urination, and burning sensations.
- Bladder Disorders: Conditions such as interstitial cystitis (painful bladder syndrome) can cause chronic pelvic pain.
3. Digestive System Disorders
- Irritable Bowel Syndrome (IBS): A common digestive disorder that can cause cramping, bloating, and pelvic discomfort.
- Inflammatory Bowel Disease (IBD): Conditions such as Crohn’s disease and ulcerative colitis can lead to chronic pelvic pain.
4. Musculoskeletal Issues
- Pelvic Floor Dysfunction: Weak or tight pelvic muscles can contribute to pain and discomfort in the pelvic region.
- Hernias: A hernia in the lower abdomen can result in pelvic pain, particularly when lifting heavy objects or standing for long periods.
5. Pregnancy-Related Pelvic Pain
- Round Ligament Pain: Common during pregnancy, caused by the stretching of ligaments supporting the uterus.
- Ectopic Pregnancy: A life-threatening condition where a fertilised egg implants outside the uterus, leading to severe pelvic pain and potential complications.
When Should You See a Doctor for Pelvic Pain in Singapore?
While mild pelvic pain may resolve on its own, medical attention is necessary if you experience:
- Severe or sudden pelvic pain.
- Pain that persists for more than a few weeks.
- Pain accompanied by fever, nausea, or vomiting.
- Unexplained weight loss or changes in bowel or urinary habits.
- Pain during sexual intercourse.
Consulting a doctor early can help identify the cause and prevent complications.
Diagnosis and Treatment Options in Singapore
Diagnosis
Doctors may perform various tests to diagnose the underlying cause of pelvic pain, including:
- Physical examinations.
- Ultrasound or MRI scans.
- Blood and urine tests.
- Laparoscopy for gynaecological evaluations.
Treatment Options
Treatment depends on the cause and severity of the pain. Options include:
- Medications: Pain relievers, antibiotics for infections, or hormone therapy for conditions like endometriosis.
- Physiotherapy: Helps strengthen pelvic floor muscles and relieve discomfort.
- Minimally Invasive Surgery: Laparoscopic surgery may be indicated for certain conditions such as endometriosis or removal of fibroids. In some cases, robotic laparoscopic surgery offers better access and less pain over conventional laparoscopic surgery.
- Lifestyle Changes: Dietary modifications, stress management, and regular exercise can help alleviate symptoms of IBS and musculoskeletal pain.
Finding the Right Specialist for Pelvic Pain in Singapore
Seeking medical attention from a specialist is essential for proper diagnosis and treatment. In Singapore, gynaecologists, urologists, gastroenterologists, and physiotherapists are among the healthcare professionals who can help manage pelvic pain. Public and private healthcare institutions offer a range of diagnostic and treatment services to cater to different needs.
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This article is informative only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.