If the cause of pelvic pain is identified, it is treated directly if possible.
Pain related to the menstrual cycle (such as cramps or endometriosis) can be treated with birth control pills or others hormonal contraceptives.
Pain relievers may also be necessary. Initially, pain is treated with non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. Women who do not respond well to one NSAID may respond to another. If NSAIDs are ineffective, other pain relievers or hypnosis may be tried.Pain relievers may also be necessary. Initially, pain is treated with nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. Women who do not respond well to one NSAID may respond to another. If NSAIDs are ineffective, other pain relievers or hypnosis may be tried.
For some women with chronic pelvic pain, serotonin-norepinephrine reuptake inhibitors (SNRIs) and nerve pain relievers, such as gabapentin or pregabalincan be recommended. Opioids are not recommended for chronic pelvic pain except in women with active cancer or for end-of-life palliative care. For some women with chronic pelvic pain, serotonin-norepinephrine reuptake inhibitors (SNRIs) and nerve pain medications, such as gabapentin or pregabalin, may be recommended. Opioids are not recommended for chronic pelvic pain except in women with active cancer or for end-of-life palliative care.
If the pain involves muscles, rest, heat, or physical therapy may help.
In addition, pelvic floor physiotherapy, sex therapy or cognitive behavioral therapy are recommended for women with myofascial pelvic pain or pain associated with psychological disorders.
Rarely, when women have severe pain that persists despite treatment with medication, surgery, such as laparoscopy to treat endometriosis or an ovarian cyst, or hysterectomy (surgery to remove the uterus) or other procedures, may be performed.
