5 Signs Your Pelvic Pain Deserves a Closer Look

Chronic pelvic pain affects approximately 25% of women at some point in their lives. Often it’s perfectly normal. Other times, it can indicate an underlying issue that needs medical attention. 

Board-certified OB/GYN Dr. A Michael Coppa, with offices in Providence, Cranston, and Smithfield, RI. explains how to know the differences. 

1. Pain that interferes with daily life

If your pain is so intense that you’re missing work, school, or social events, it’s not something you should just push through. Severe pain that doesn't respond to over-the-counter medication may signal conditions like endometriosis, adenomyosis, or uterine fibroids. Signs and symptoms may include heavy menstrual bleeding and menstrual pain that worsens with age.

Early intervention can prevent these conditions from worsening.

2. Discomfort during intimacy

Pain during or after sexual intercourse, known as dyspareunia, isn’t normal. This symptom can be linked to various issues, such as pelvic inflammatory disease, ovarian cysts, or hormonal changes. Dr. Coppa provides a supportive environment where you can discuss these concerns openly.

3. Changes in bladder or bowel habits

If your pain is accompanied by a frequent urge to urinate, pain while urinating, or sudden constipation, it might involve the pelvic floor muscles or surrounding organs. Pelvic floor dysfunction can cause a variety of symptoms that mimic other conditions. A physical exam is essential to determining if the muscles are the source of your distress.

4. Unusual bleeding or discharge

When pelvic pain occurs alongside heavy periods, bleeding between cycles, or an unusual discharge, seek a medical evaluation. These symptoms together can suggest infections or structural issues within the uterus; roughly 15% of women of reproductive age experience pelvic pain that lasts at least six months. 

5. Sudden and sharp sensations

A sudden, sharp, or stabbing pain in the pelvic region can be an emergency. This type of pain might indicate a ruptured cyst or an ectopic pregnancy. If the pain is accompanied by fever, nausea, or vomiting, don’t wait to seek care. 

Pain that starts during pregnancy or right after pregnancy may point to a condition called peripartum pelvic pain syndrome. Pregnancy can strain ligaments in the pelvis and spine.

Emotional impact of pelvic pain

The impact of pelvic pain extends beyond physical sensations. Approximately 63% of women with chronic pelvic pain also struggle with depression, and 66% report experiencing anxiety related to their condition. 

For an evaluation of pelvic pain, call Dr. Coppa today at 401-946-4022 or request an appointment via the online booking tool.