The entire upper body rests on the pelvis. Stresses are radiated through the vertebral column, the abominal musculature, and the abdominal organs. For this reason, the diagnosis of pelvic pain can be elusive. Irritable Bowel Syndrome can cause the same pain as endometriosis. Appendicitis can cause the same

Pain as salpingitis (infection of a fallopian tube). Sacroiliac and coccygeal (tail bone) pain can be similar to the discomfort of uterine descensus ("fallen womb"). Adhesional pain can originate from pelvic adhesions involving the ovary or uterus (womb) or from abdominal adhesions involving bowel stuck to bowel

Causes

Common causes include pelvic inflammatory disease, urinary tract infection, miscarriage, ectopic pregnancy and torsion or rupture of ovarian cysts

* Pregnancy related: miscarriage, ectopic pregnancy, rupture of corpus luteum cyst; causes in later pregnancy include premature labor, placental abruption and uterine rupture.

* Gynaecological: ovulation (mid-cycle, may be severe pain), dysmenorrhoea, pelvic inflammatory disease, rupture or torsion of ovarian cyst, degenerative changes in a fibroid; must also consider possibility of a pelvic tumour or pelvic vein thrombosis

? nterstitial cystitis (bladder inflammation)

? musculoskeletal pain (pain in your joints, muscles, ligaments and bones)

? irritable bowel syndrome (IBS)

? depression, including postnatal depression

? previous or ongoing traumatic experiences such as sexual abuse in some women

? adhesions (areas of scarred tissue that may be a result of a previous infection endometriosis or surgery); although these are common, they do not always cause pain

? trapped or damaged nerves in the pelvic area.

Symptoms

The most common symptoms of gynecologic disorders include vaginal itching, a vaginal discharge, abnormal bleeding from the vagina, pain in the pelvic area, and breast pain and lumps (see Breast Disorders). The significance of gynecologic symptoms often depends on the age of the woman because symptoms may be related to the hormonal changes that occur with aging.

Pelvic Pain have various symptoms such as:

?Cervical motion tenderness

?Adnexal tenderness

?Uterosacral nodules

?Nausea and vomiting

?Fever

?Vaginal fornix pain

?Severe pain with rupture of ovarian cysts, adnexal torsion, or hemorrhage

?Leukocytosis

?Enlarged, bulky uterus

?Cervical discharge

Treatment

Whatever your situation, you may be offered painkillers. If these do not help to control your pain, you may be referred to a pain management team or a specialist pelvic pain clinic. Depending on the type of your pain you may also be offered other treatment.

? You should be use antibiotics to treat Pelvic Pain.

? Nonsteroidal anti-inflammatory drugs

? Hormonal contraceptives

? Surgical removal of fibroids, cysts, or endometrial growths