Pelvic Pain: Causes, Symptoms, and Prevention Tips - Obstetrics and Gynecology

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Hello, I would like to know why I experience sharp pain in my lower abdomen near the bladder, and it feels like I can't fully empty my bladder or that there's a burning sensation when I urinate.
Sometimes it resolves quickly, but occasionally during intercourse, I feel a slight warmth and pain in the vagina.
Could this be inflammation? How can I maintain my health to prevent inflammation?

Xuan, 20~29 year old female. Ask Date: 2001/04/05

Dr. Zhan Deqin reply Obstetrics and Gynecology


As you mentioned, there seems to be a phenomenon of cystitis.
Please go to the hospital for a check-up with a physician.

Reply Date: 2001/04/05

More Info


Pelvic pain can be a complex issue, often stemming from various causes that can affect both the urinary and reproductive systems. Your symptoms, which include sharp pain in the lower abdomen near the bladder, a sensation of incomplete urination, and discomfort during intercourse, may suggest a few potential underlying conditions.

One common cause of pelvic pain, particularly in the context of urinary symptoms, is a urinary tract infection (UTI). UTIs can lead to inflammation of the bladder (cystitis), resulting in pain during urination, a burning sensation, and the feeling of needing to urinate frequently, even if little urine is produced. The sharp pain you describe could also be associated with bladder spasms, which can occur during a UTI.

Another possibility is pelvic inflammatory disease (PID), which is an infection of the reproductive organs. PID can cause pain during intercourse, as well as lower abdominal pain, and may be accompanied by abnormal discharge or fever. However, it’s important to note that not all cases of PID present with these symptoms, and some women may experience only mild discomfort.

Endometriosis is another condition that can lead to pelvic pain. This occurs when tissue similar to the lining of the uterus grows outside of it, often causing pain during menstruation, intercourse, and sometimes even during urination or bowel movements. The pain can be sharp and may vary in intensity.

Given your symptoms, it is crucial to consult a healthcare professional for a thorough evaluation. They may recommend a pelvic exam, urine tests, or imaging studies to determine the exact cause of your pain. It’s essential to rule out infections or other serious conditions that may require treatment.

In terms of prevention and self-care, here are some tips that may help reduce the risk of pelvic pain and inflammation:
1. Stay Hydrated: Drinking plenty of water can help flush out bacteria from the urinary tract, reducing the risk of infections.

2. Practice Good Hygiene: Always wipe from front to back after using the toilet, and consider urinating after intercourse to help clear any bacteria that may have entered the urethra.

3. Wear Breathable Fabrics: Opt for cotton underwear and avoid tight-fitting clothing to reduce moisture and irritation in the genital area.

4. Manage Stress: Stress can exacerbate pain and discomfort. Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises.

5. Monitor Your Diet: Some women find that certain foods can irritate their bladder or exacerbate pelvic pain. Keeping a food diary may help identify any triggers.

6. Regular Check-ups: Regular gynecological exams can help catch any potential issues early on, especially if you have a history of pelvic pain or infections.

7. Avoid Irritants: Limit the use of products that can irritate the genital area, such as douches, scented soaps, and bubble baths.

8. Consider Birth Control Options: If you experience pain related to your menstrual cycle, discussing hormonal birth control options with your healthcare provider may help alleviate symptoms.

In conclusion, while your symptoms may suggest a potential infection or other pelvic condition, a proper diagnosis from a healthcare professional is essential. They can provide tailored advice and treatment options based on your specific situation. Taking proactive steps in your daily routine can also help maintain pelvic health and reduce the risk of inflammation and pain.

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