Pelvic Pain: Is It Ovarian or Gastrointestinal Issues? - Obstetrics and Gynecology

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Mild pain in both sides of the abdomen?


Hello Dr.
Lin: I have never seen a gynecologist because I am unmarried.
Recently, I have experienced some pain on both sides of my abdomen (in the pelvic area).
I am unsure if it is an issue with my intestines or my ovaries, as I have not seen a doctor yet...
I feel a bit anxious.

Vivien, 20~29 year old female. Ask Date: 2003/10/08

Dr. Lin Manying reply Obstetrics and Gynecology


Pelvic pain and muscle pain can be associated with 1.
the iliopsoas muscle, and 2.
organs (including the reproductive system, urinary system, digestive system, and vascular lymphatic system).
Please document the timing of pelvic pain episodes (such as before meals, after meals, and any correlation with the menstrual cycle), frequency, and duration.
If there is mild pain during the mid-cycle or a few days before menstruation, it is usually not concerning.
However, if you are worried, please visit an outpatient clinic for a gynecological ultrasound.

Reply Date: 2003/10/08

More Info


Pelvic pain can be a complex issue, especially when it involves the lower abdomen and can originate from various sources, including the reproductive organs, gastrointestinal tract, or even musculoskeletal structures. Given your concerns about whether the pain is related to ovarian issues or gastrointestinal problems, it’s essential to consider several factors that could help clarify the situation.

Firstly, the anatomy of the pelvis includes not only the ovaries and uterus but also the intestines, bladder, and other structures. Pain in the pelvic region can arise from any of these areas. For instance, ovarian issues such as cysts or tumors can cause localized pain, often felt on one side of the abdomen. However, if the pain is more generalized or associated with bowel movements, it may indicate gastrointestinal issues, such as irritable bowel syndrome (IBS), constipation, or even inflammatory bowel disease (IBD).

In your case, since you mentioned that you have not yet consulted a gynecologist, it would be prudent to do so. A healthcare professional can perform a thorough evaluation, including a physical examination and possibly imaging studies like an ultrasound, to assess the ovaries and other pelvic structures. This is particularly important if the pain persists or worsens, as it can help rule out serious conditions.

Additionally, you should consider the nature of the pain. Is it sharp, dull, cramping, or constant? Does it occur during specific activities, such as after eating or during physical exertion? These details can provide valuable clues to your healthcare provider. For example, sharp, sudden pain may suggest an acute issue, while dull, persistent pain might indicate a chronic condition.

It’s also worth noting that hormonal factors can play a role in pelvic pain. For instance, many women experience pain related to their menstrual cycle, which can sometimes be mistaken for other issues. Conditions like endometriosis or fibroids can cause significant discomfort and may require specific treatment.

If gastrointestinal issues are suspected, dietary factors should also be considered. Certain foods can trigger digestive discomfort, and keeping a food diary may help identify patterns related to your symptoms. Additionally, stress and anxiety can exacerbate gastrointestinal symptoms, so it’s essential to consider your overall mental and emotional well-being.

In summary, while it’s understandable to feel anxious about unexplained pelvic pain, the best course of action is to seek medical advice. A gynecologist can help determine whether the pain is related to ovarian issues or gastrointestinal problems through appropriate examinations and tests. Early intervention can lead to better outcomes and alleviate your concerns. Remember, you are not alone in this, and many women experience similar issues. Seeking help is a positive step toward understanding and managing your health.

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