Home Doctor: Practical Medicine for Every Household
Pelvic Pain Pelvic pain is one of the most frequent reasons for gynecological consultation. In order to guide the diagnosis, it is important to know the characteristics of the pain and if it is associated with any other symptoms. There are many diseases that manifest themselves with pelvic pain, some in the genitourinary area and others in the gastrointestinal system. In men, pelvic pain is not a challenge since, anatomically, the male pelvis contains only the bladder and the colon. In women, the entire internal genital system must be taken into account, which includes the uterus, uterine tubes, and ovaries in addition to the colon and bladder.
CFCF, Own work, CC BY-SA 3.0
Particularly, the first thing I notice in a patient with pelvic pain is whether she is of reproductive age or not. A woman who has regular periods and has had sex may be pregnant without knowing it. I then look at her general condition and if her face reflects pain or discomfort. In the questioning, I focus on whether it is the first time she has the symptoms and her medical history highlighting STDs. It is important to know if the pain is accompanied by other symptoms, such as discharge through the vagina, pain when urinating, or menstruation. 198
