Pelvic pain is a common concern that can range from mild discomfort to chronic, debilitating symptoms. It may involve the reproductive system, urinary tract, digestive organs, or pelvic floor muscles. An accurate diagnosis is essential for effective treatment and lasting relief.

At MyOBGYN in Las Vegas, we listen carefully, evaluate thoroughly, and create a plan that targets the root cause of your pain.

What Is Pelvic Pain?

Pelvic pain refers to discomfort in the lower abdomen or pelvis. It can be acute or chronic and may be related to menstruation, sexual activity, urination, bowel movements, or no clear trigger. Patients often describe pain as:

  • Cramping or aching
  • Pressure or heaviness
  • Sharp or stabbing
  • Burning or radiating into the back, legs, or groin

The nature, timing, and triggers of your symptoms help guide diagnosis.

Common Causes of Pelvic Pain

Gynecologic causes

  • Endometriosis
  • Uterine fibroids
  • Ovarian cysts
  • Pelvic inflammatory disease (PID)
  • Adenomyosis
  • Painful periods
  • Ectopic pregnancy (emergency)

Urinary causes

  • Urinary tract infection
  • Interstitial cystitis or bladder pain syndrome

Digestive causes

  • Irritable bowel syndrome
  • Constipation or bowel obstruction
  • Inflammatory bowel disease

Pelvic floor and musculoskeletal causes

  • Pelvic floor muscle dysfunction or tightness
  • Scar tissue or adhesions after surgery, including cesarean birth
  • Hernia or nerve compression

Emotional stress or past trauma can also heighten pain perception.

When to See a Provider

Schedule a visit if you:

  • Have persistent or worsening pelvic pain
  • Experience pain with intercourse, periods, or bowel movements
  • Notice abnormal bleeding or changes in discharge
  • Develop pain with fever, nausea, or vomiting
  • Limit daily activities due to discomfort

Seek urgent care if pain is sudden and severe, especially with dizziness, heavy bleeding, or fever.

Diagnosis

We take a stepwise approach to identify the cause of your pain. Your evaluation may include:

  • Pelvic exam to check for tenderness, masses, or infection
  • Urinalysis and blood work to assess infection or inflammation
  • Pelvic ultrasound to evaluate the uterus and ovaries
  • STI testing when appropriate
  • MRI or CT for further detail if needed
  • Laparoscopy to diagnose conditions such as endometriosis or adhesions when not visible on imaging

Treatment Options

Your plan is personalized based on the underlying cause and your goals.

Medical treatment

  • NSAIDs for pain and inflammation
  • Antibiotics for infections
  • Hormonal birth control to manage endometriosis, fibroids, or menstrual pain
  • Bladder therapies or diet changes for interstitial cystitis or IBS

Lifestyle and non-medical support

  • Pelvic floor physical therapy
  • Stress management and mental health support
  • Nutritional counseling when weight or diet contributes to symptoms
  • Heat therapy and gentle exercise such as yoga or stretching

Procedures or surgery

  • Laparoscopic removal of endometriosis, cysts, or fibroids
  • Hysteroscopy for issues inside the uterine cavity
  • Adhesiolysis to address scar tissue when present

We address both physical and emotional impacts of pelvic pain and adjust your plan as symptoms improve.

Do Not Ignore Pelvic Pain

Pelvic pain should not be something you simply tolerate. If it affects your sleep, mood, relationships, or daily life, specialized care can help.

Schedule a consultation today to begin a thorough evaluation and take the first step toward relief.

📞 Call (702) 463-2981 or visit https://myobgynvegas.com/ to schedule your appointment.