Pelvic Pain

Pain that is real and worth investigating

Many women spend years managing pain without ever receiving a clear explanation for why it is happening. Dr Rozen takes a thorough approach to identifying the underlying cause, because understanding what is driving the pain is the only way to treat it effectively. Chronic pain affects far more than the body. Dr Rozen takes the emotional and psychological dimensions of living with pelvic pain seriously and factors them into the care she provides.

Causes

Pelvic pain can stem from a range of underlying conditions, including:

Endometriosis – tissue similar to the uterine lining grows outside the uterus, causing pain particularly around menstruation
Ovarian cysts – fluid-filled sacs on the ovary that can cause intermittent or acute pain
Pelvic inflammatory disease (PID) – infection of the reproductive organs that can cause significant pelvic discomfort
Uterine fibroids – noncancerous growths in the uterus that can cause pressure and pain
Adenomyosis – the uterine lining grows into the muscular wall of the uterus, causing chronic pain and heavy periods

Symptoms

Pelvic pain can present in a number of ways, including:

Persistent or intermittent pain in the lower abdomen and pelvic area
Pain during intercourse
Pain during menstruation or ovulation
Heavy or irregular menstrual bleeding
Painful urination or bowel movements

Treatment options

Pain management

NSAIDs and hormonal therapies including the contraceptive pill and GnRH agonists can help manage pain while the underlying cause is being investigated or treated.

Antibiotics

Where pelvic inflammatory disease is identified as the cause, antibiotic treatment is the primary approach.

Surgical options

For conditions such as endometriosis, ovarian cysts, and fibroids, surgical intervention through laparoscopy may be recommended to diagnose and treat the underlying cause. In more severe cases, hysterectomy may be considered.

Lifestyle modifications

Diet, exercise, and stress management can support overall pelvic health and complement medical or surgical treatment.

Physical therapy

Pelvic floor physiotherapy can help strengthen pelvic floor muscles and relieve certain types of pelvic pain.

Counselling and emotional support

Chronic pain takes a real emotional toll. Counselling or support groups can be a valuable part of a comprehensive management plan.

Dr Rozen’s approach

Thorough investigation

Many women live with pelvic pain for years without a clear explanation. Dr Rozen invests in thorough investigation, including laparoscopy where needed, so patients receive an accurate diagnosis rather than ongoing uncertainty.

Treating the whole picture

Chronic pain affects more than the body. Dr Rozen factors in the emotional and psychological impact of living with pelvic pain alongside medical or surgical treatment.

Long-term support

Pelvic pain conditions are frequently chronic and can change over time. Dr Rozen approaches care as an ongoing relationship, adjusting the management plan as a patient’s pain, fertility goals, or circumstances evolve.

Patient testimonial – Dr Genia Rozen fertility specialist

“Pelvic pain is something I see patients struggling with for years before they get answers. I want every patient who comes to see me to feel that their pain is taken seriously from the very first appointment, and that finding the cause is the priority.”

– Dr Genia Rozen, Fertility Specialist, Genea Melbourne City and Frankston

Frequently Asked Questions

How is the cause of pelvic pain diagnosed?

Diagnosis may involve a combination of physical examination, blood tests, ultrasound, and in some cases laparoscopy, which allows direct visualisation of the pelvic organs and is the most accurate way to diagnose conditions such as endometriosis.

Can pelvic pain affect fertility?

Yes, depending on the underlying cause. Conditions such as endometriosis, pelvic inflammatory disease, and fibroids can all affect fertility. Dr Rozen considers fertility implications as part of every management plan for patients who wish to conceive.

Do I need surgery for pelvic pain?

Not necessarily. The treatment recommended depends entirely on the underlying cause. Many cases can be managed with medication, hormonal therapy, or lifestyle changes. Surgery is considered where a structural cause has been identified and where other treatments have not provided adequate relief.

When should I see a specialist about pelvic pain?

If pelvic pain is persistent, recurring, or significantly affecting your daily life, relationships, or ability to work, it is worth seeking a specialist assessment. Dr Rozen can investigate the underlying cause and develop a management plan tailored to your situation.

What are the risks if pelvic pain is left unmanaged?

Chronic pelvic pain that is not properly investigated and treated can lead to:

Reduced mobility and a significant impact on quality of life
Infertility or complications during pregnancy, depending on the underlying cause
Psychological impacts including depression and anxiety