CHRONIC PELVIC PAIN
What is Chronic Pelvic Pain?
Chronic pelvic pain (CPP) is defined as pain in the lower abdominal or pelvic region that lasts for six months or longer and is not exclusively related to menstruation, intercourse, or pregnancy. It can be a symptom of various medical conditions or stand alone as a condition of its own. Chronic pelvic pain may be intermittent or constant, and it can significantly affect a person’s physical, emotional, and social well-being.
Chronic Pelvic Pain Treatment In Kenya
Chronic Pelvic Pain Treatment
Treatment for chronic pelvic pain depends on the underlying cause. Management often involves a multidisciplinary approach, including:
Pain relievers – NSAIDs or neuropathic pain medications
Hormonal therapies – for conditions like endometriosis or ovarian cysts
Antibiotics – if infection is suspected
Physical therapy – pelvic floor rehabilitation
Psychological counseling – especially for associated anxiety or depression
Minimally invasive surgery (e.g., laparoscopy) – to diagnose or treat underlying conditions like endometriosis
Nerve blocks or neuromodulation therapies
Symptoms of Chronic Pelvic Pain
Persistent or recurrent pain in the lower abdomen or pelvis
Sharp or dull aching pain
Pain during intercourse (dyspareunia)
Pain during urination or bowel movements
Menstrual irregularities or worsening cramps
Lower back pain
Fatigue and emotional distress
Safe. Precise. Trusted Chronic Pelvic Pain
Conditions Associated with Chronic Pelvic Pain
Endometriosis
Pelvic Inflammatory Disease (PID)
Ovarian cysts or adhesions
Irritable Bowel Syndrome (IBS)
Interstitial Cystitis (Painful Bladder Syndrome)
Pelvic Congestion Syndrome
Fibroids
Musculoskeletal problems or pelvic floor dysfunction
Sexual trauma or psychological factors
How Chronic Pelvic Pain is Diagnosed
Diagnosis may involve several steps to identify the cause, including:
Detailed medical history and symptom discussion
Pelvic examination
Ultrasound or MRI scans – to visualize reproductive organs
Laparoscopy – to directly examine internal structures
Urine and blood tests – to check for infections or inflammation
Psychological assessment – if emotional or stress-related factors are involved
Risks of Not Treating Chronic Pelvic Pain
If left untreated, chronic pelvic pain can result in:
Worsening of underlying conditions (like endometriosis or PID)
Reduced fertility
Persistent or worsening pain
Emotional and mental health issues such as depression and anxiety
Impaired sexual function and relationships
Reduced quality of life and work productivity
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