The silent struggle: Demystifying pelvic pain in women

All too often, women stay silent about their health challenges, including pelvic pain. Not only does this mean many women don’t understand pelvic pain, but it also means they can’t seek the support that they need to navigate it. The good news is that there are plenty of pelvic health resources at your fingertips, from pelvic floor dysfunction guides to pelvic health physio services. In this blog, we’ll break the silence and demystify pelvic pain in women, covering everything from what it is to how to treat it.

Where is pelvic pain located in the female body?

When you’re searching for answers about what pelvic pain feels like, you may see it described as a dull ache or sudden stabbing pain in the pelvic area. But where exactly is this? 

The pelvic area is like the lower centre of your body, between your belly and thighs. It's made up of the tailbone, bones in your hips, and a big bone in your back called the sacrum. Inside, it holds your uterus, ovaries, bladder, rectum and some of your intestines. Pelvic pain can come from any of these places.

What can cause pain in a woman's pelvic area?

While the causes of pelvic pain in females may vary, each woman's experience is unique and valid. Understanding the reasons for pelvic pain is essential for reclaiming control over your health journey. Pelvic discomfort can stem from various sources, ranging from gynaecological conditions like endometriosis, ovarian cysts or fibroids to musculoskeletal issues such as pelvic floor dysfunction or muscle spasms. Urinary and digestive disorders like interstitial cystitis or irritable bowel syndrome can also contribute to pelvic discomfort. 

Pelvic pain during and after intercourse

Female pelvic pain after intercourse or during intercourse, known as dyspareunia, can be a challenging experience, but it's important to know that you're not alone. Several potential causes exist, including conditions like endometriosis, pelvic inflammatory disease (PID) or muscle tension. Additionally, insufficient lubrication or inadequate arousal can contribute to discomfort during intercourse, also tissue sensitivity or heightened nervous system due to stress and previous pain episodes can cause normal touch to feel like scratching or burning pain. Be sure to communicate openly with your partner about any discomfort you may be feeling. Your body deserves to feel pleasure and comfort, and advocating for your sexual health is an empowering act of self-care. 

Pelvic pain during and after your period - menstrual pain

Is pelvic pain normal during and after your period? While some level of pelvic discomfort or mild cramping, known as dysmenorrhea, is common during and sometimes after menstruation for many women, severe or persistent pelvic pain is not considered normal. Pelvic pain during and after your period could be a sign of an underlying condition such as endometriosis, adenomyosis, fibroids, pelvic inflammatory disease or other gynaecological issues. If pelvic pain significantly interferes with your daily activities, affects your quality of life, or worsens over time, it's essential to visit a women’s pelvic health physio. 

By recognising the potential sources of pelvic pain, you empower yourself to seek the support and guidance needed to address these challenges effectively. And it’s equally important to recognise the signs and symptoms of pelvic pain..

What are common pain symptoms in the pelvic region in women?

Everyone’s unique, so pelvic pain symptoms in women can be diverse and complex. In saying this, there are a few signs of pelvic pain to be aware of. You might experience a dull ache or sharp stabbing sensations in your lower abdomen or pelvic region. Sometimes, it feels like a heavy pressure that won't go away. Pain during intercourse or discomfort during urination and bowel movements are common, too. For some, menstrual cramps may intensify, and pain could radiate to the lower back or thighs. Spotting or abnormal vaginal bleeding may accompany pelvic pain, and the pain may get worse after long periods of sitting or standing.

What are the red flags in women with chronic pelvic pain?

Chronic pelvic pain is persistent or recurrent pain that lasts for six months or longer. Unlike acute pelvic pain, which may be temporary and often has a clear cause, chronic pelvic pain can be more complex and challenging to diagnose. For women experiencing chronic pelvic pain, recognising red flags is essential for proactive care. 

Signs of chronic pelvic pain in women may include sudden, severe pelvic pain that disrupts daily activities, persistent pain that worsens over time, or pain accompanied by fever, chills or unexplained weight loss. Also, pelvic pain combined with symptoms such as abnormal vaginal bleeding, difficulty urinating or defecating or new-onset neurological symptoms shouldn’t be ignored. 

How do you treat pelvic pain in women?

When it comes to how to treat pelvic pain in women, a personalised approach is essential for effective management. That’s why collaborating with pelvic health physiotherapists at a women’s health clinic should be your first step toward unlocking an improved quality of life.

From there, your pelvic pain path and the treatment strategies you employ will vary depending on the underlying cause and your individual needs. Medications such as pain relievers, hormonal therapies and muscle relaxants can help alleviate symptoms. Lifestyle modifications, such as dietary changes and stress management techniques, may also play a significant role in managing pelvic pain.

Pelvic health physiotherapy, including pelvic floor exercises and manual techniques, can strengthen muscles and improve flexibility. Minimally invasive procedures or complementary therapies like acupuncture or massage therapy can provide additional relief. 

When should you see a pelvic pain physio? 

You should consider seeing a pelvic pain physiotherapist if you experience chronic pelvic pain that interferes with your daily life, including activities like walking, sitting or sexual intercourse. If you've been diagnosed with conditions like endometriosis, pelvic floor dysfunction, or pelvic inflammatory disease, a pelvic pain physiotherapist can offer specialised treatments to alleviate symptoms and improve quality of life. 

Symptoms such as urinary urgency, frequency, bowel disturbances, or pain during intercourse may also indicate the need for pelvic physiotherapy. If conservative treatments like medications or lifestyle changes haven't provided sufficient relief, consulting a pelvic pain physiotherapist can be beneficial in addressing underlying musculoskeletal issues contributing to pelvic pain.

Supporting you through pelvic pain

Your body communicates its needs, and acknowledging and addressing pelvic pain is a courageous step towards holistic well-being. Papaya Clinic is home to a team of patient-first health professionals who will work with you to develop a comprehensive, tailored pelvic pain treatment plan. Reach out to our pelvic health physiotherapists in Sydney today to start your pelvic pain relief journey.