Doctor to Consult for Pelvic Pain

Pelvic pain is a common concern among women and can arise from various causes—ranging from menstrual cramps and infections to more serious conditions involving the reproductive organs. Many women delay seeking help, assuming pelvic pain is normal or temporary. However, persistent or severe pelvic discomfort can be a sign of an underlying medical condition that needs attention.

If you’re wondering which doctor to consult for pelvic pain, understanding the possible causes and the right specialist to approach can help you get timely diagnosis and treatment.

What Is Pelvic Pain?

Pelvic pain refers to discomfort felt in the lower abdomen or pelvic area — the region below the belly button and between the hips. The pain can be dull, sharp, constant, or intermittent. It may occur suddenly or develop gradually over time.

Depending on the cause, pelvic pain can be related to the female reproductive system, the urinary tract, or the digestive system.

Common Causes of Pelvic Pain in Women

1. Menstrual Disorders – Painful periods (dysmenorrhea) can cause cramping and discomfort before or during menstruation.
2. Endometriosis – A condition where tissue similar to the uterine lining grows outside the uterus, leading to chronic pelvic pain.
3. Ovarian Cysts – Fluid-filled sacs in the ovaries can cause pain or pressure, especially if they rupture or twist.
4. Pelvic Inflammatory Disease (PID) – Infection of the reproductive organs due to bacteria, often resulting from untreated STIs.
5. Fibroids – Noncancerous growths in the uterus can cause heavy bleeding, back pain, and pelvic pressure.
6. Urinary Tract Infections (UTIs) – Burning sensation, frequent urination, and lower abdominal pain are common symptoms.
7. Irritable Bowel Syndrome (IBS) – Digestive disturbances can also mimic pelvic discomfort.
8. Pelvic Floor Dysfunction – Weak or tight pelvic muscles can lead to pain, pressure, or difficulty with urination and bowel movements.

Because pelvic pain can stem from multiple causes, it’s essential to consult the right medical specialist for accurate diagnosis and management.

Which Doctor to Consult for Pelvic Pain?

The best doctor to consult for pelvic pain depends on the suspected cause. Here’s a breakdown to guide you:

• Gynecologist:
  For most women, the first point of contact should be a gynecologist. Gynecologists specialize in the female reproductive system and are best equipped to diagnose and treat conditions such as endometriosis, fibroids, ovarian cysts, and pelvic infections.
• Obstetrician-Gynecologist (OB-GYN):
  If your pain is related to pregnancy or postpartum complications, an OB-GYN can provide comprehensive evaluation and care.
• Urologist:
  If your pelvic pain is accompanied by urinary symptoms like burning, frequency, or blood in urine, a urologist may be consulted to check for urinary tract infections or bladder disorders.
• Gastroenterologist:
  When pain is associated with bowel issues—constipation, diarrhea, or bloating—a gastroenterologist can rule out digestive causes like IBS or inflammatory bowel disease.
• Physiotherapist (Pelvic Floor Specialist):
  For muscle-related or post-surgical pelvic discomfort, a pelvic floor physiotherapist can help with strengthening and relaxation exercises.

For women experiencing chronic or unexplained pelvic pain, consulting a gynecologist first is usually the most effective starting point. The gynecologist can perform an initial evaluation, order necessary tests, and refer you to other specialists if needed.

Diagnosis and Tests for Pelvic Pain

Your doctor may recommend:

• Pelvic examination to check for tenderness, swelling, or masses
• Ultrasound scan to visualize reproductive organs
• Blood and urine tests to identify infections or hormonal imbalances
• Laparoscopy in cases of unexplained pain to directly inspect pelvic organs

Early diagnosis is key to preventing complications and improving quality of life.

Treatment Options for Pelvic Pain

Treatment depends on the underlying cause and severity of symptoms. It may include:

• Medication: Pain relievers, antibiotics for infections, or hormonal therapy for endometriosis or fibroids.
• Lifestyle Changes: Regular exercise, stress management, and balanced nutrition can reduce symptoms.
• Physical Therapy: Strengthening the pelvic muscles can relieve chronic discomfort.
• Minimally Invasive Procedures or Surgery: For severe cases like large fibroids, ovarian cysts, or endometriosis.

A personalized treatment plan guided by an experienced gynecologist ensures the most effective results and long-term relief.

When to See a Doctor

Seek immediate medical attention if you experience:

• Severe or sudden pelvic pain
• Pain with fever, vomiting, or dizziness
• Abnormal vaginal bleeding or discharge
• Pain during intercourse or urination
• Persistent pelvic discomfort lasting more than a few weeks

Ignoring pelvic pain can lead to complications such as infections spreading or chronic pain syndromes developing.

Why Consult Dr. Preeti Rastogi

Dr. Preeti Rastogi is a leading gynecologist and obstetrician specializing in women’s health and advanced gynecological care. With years of experience in diagnosing and treating pelvic pain, she provides comprehensive evaluations, advanced imaging, and evidence-based treatment options to help women find lasting relief.

Her patient-centered approach ensures comfort, privacy, and compassionate care for every woman seeking help for pelvic pain or related gynecological issues.

Conclusion

Pelvic pain should never be ignored. Whether it’s due to hormonal imbalance, infection, or structural causes, timely consultation with a qualified gynecologist can make a significant difference in your diagnosis and recovery.

If you are experiencing pelvic discomfort or unexplained lower abdominal pain, schedule a consultation with Dr. Preeti Rastogi for expert evaluation and treatment tailored to your needs.

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