Pelvic Pain Q&A

When should I be concerned about pelvic pain?

Pelvic pain doesn’t always signal a serious medical condition. Issues like ovulation or PMS can cause pelvic pain but are usually manageable with over-the-counter interventions.

Pelvic pain that’s persistent, stabbing, shooting, or regular should be of concern. You may experience a dull ache in the area below your belly button or have more severe pain. 

Even if your pain only occurs with certain activities, such as intercourse or urination, it deserves a medical evaluation.

What are the common causes of pelvic pain?

Pelvic pain can have many causes. Gynecological reasons for pelvic pain include:

  • Endometriosis
  • Ovarian cysts
  • Uterine fibroids
  • Ectopic pregnancy
  • Ovarian cancer
  • Pelvic inflammatory disease 

Though not common, interstitial cystitis is another possible cause of pelvic pain. This condition is characterized by recurring pelvic pain and pressure, discomfort in the bladder, and urinary complaints. 

Dr. Bickman is experienced in identifying interstitial cystitis and providing care to help you find relief.

How is the cause of pelvic pain diagnosed?

You’ll undergo a comprehensive exam when you visit Dr. Bickman at her practice with concerns about pelvic pain. She reviews your family and personal medical history. She also performs a physical exam, with an emphasis on your pelvic exam.

You’ll undergo blood tests, urinalysis, STD testing, and an ultrasound. Dr. Bickman may order an MRI to get a better look at your pelvic region.

How is pelvic pain treated?

Treatment for pelvic pain depends on the underlying cause. If you have an infection — whether it’s a urinary tract infection, certain STDs, or vaginitis — Dr. Bickman will prescribe antibiotics and temporary pain medication.

If you have structural irregularities, uterine fibroids, endometriosis, or ovarian cysts, minimally invasive surgery may be the best course of treatment.

Ultimately, Dr. Bickman wants to help you feel better and learn to manage pelvic pain symptoms. She'll determine the best course of treatment based on your personal health, symptoms, and condition.

If you’re suffering from pelvic pain, schedule an appointment at Tristan E. Bickman, MD, in Santa Monica, California for an evaluation and treatment. Call or book online today.