Pelvic Pain: When to Seek Help from a Gynecologist - Obstetrics and Gynecology

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Superficial pain


Hello, doctor.
Is it common for someone to see a physician for this? I have pain in my lower region, especially when I have a strong urge to urinate.
It feels dull and achy otherwise.
I would like to schedule an appointment with a doctor.

huanzhe, 40~49 year old female. Ask Date: 2016/05/05

Dr. Lin Wenbin reply Obstetrics and Gynecology


Hello: The condition you described may have various possible causes.
It is necessary for you to visit the clinic in person for an examination to determine the diagnosis and treatment.
Thank you.

Reply Date: 2016/05/05

More Info


Pelvic pain, especially when it involves discomfort in the lower abdomen and genital area, can be a significant concern for many individuals. It is essential to understand that pelvic pain can arise from various causes, and recognizing when to seek help from a gynecologist is crucial for proper diagnosis and treatment.

Firstly, it is important to differentiate between normal menstrual discomfort and pain that may indicate a more serious underlying condition. Many women experience dysmenorrhea, or painful periods, which can manifest as cramping in the lower abdomen. However, if the pain is severe enough to interfere with daily activities, or if it is accompanied by other symptoms such as heavy bleeding, irregular menstrual cycles, or pain during intercourse, it is advisable to consult a gynecologist.

In your case, you mentioned experiencing pain in the genital area, particularly during episodes of urgency to urinate, along with a general feeling of dull pain. This combination of symptoms could suggest several potential issues, including urinary tract infections (UTIs), pelvic inflammatory disease (PID), or even conditions like endometriosis or ovarian cysts. UTIs often present with symptoms such as a burning sensation during urination, frequent urges to urinate, and lower abdominal pain. If these symptoms are present, it is essential to seek medical attention promptly, as untreated UTIs can lead to more severe complications.

Moreover, pelvic pain can also be associated with conditions like ovarian cysts or endometriosis, where tissue similar to the lining inside the uterus grows outside of it, causing pain and discomfort. These conditions may require imaging studies, such as ultrasounds, and possibly blood tests to evaluate hormone levels and rule out other issues.

When considering whether to visit a gynecologist, it is essential to pay attention to the duration and intensity of your symptoms. If the pain is persistent, worsening, or accompanied by other concerning symptoms such as fever, nausea, or vomiting, it is crucial to seek medical help. A gynecologist can perform a thorough evaluation, which may include a pelvic exam, imaging studies, and laboratory tests to identify the underlying cause of your pain.

In addition to seeking medical advice, it is also beneficial to keep a symptom diary. Documenting when the pain occurs, its intensity, and any associated symptoms can provide valuable information to your healthcare provider and aid in diagnosis.

In conclusion, if you are experiencing pelvic pain, especially if it is persistent or accompanied by other symptoms, it is advisable to consult a gynecologist. Early intervention can lead to better management of the condition and improve your quality of life. Remember, your health is paramount, and seeking help is a proactive step towards understanding and addressing your symptoms.

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