Diagnosis of Pelvic Pain

Diagnosis of chronic pelvic pain begins with a thorough patient evaluation. This includes a detailed medical history and physical examination that may happen over several appointments. A detailed history from the patient will give the physician information that he/she can use to determine an accurate diagnosis and treatment plan.

A physical examination will go beyond the usual gynecology exam. The pelvis is a central part of the body's support system. The patient's entire body will be examined including her posture and gait, back and abdomen, thighs and upper legs. Additionally, the patient's skin sensation, any areas of numbness or tenderness may give clues regarding pain. The areas around the vagina and rectum will also be carefully evaluated to look for areas of tenderness. The patient may be asked to tense and relax specific pelvic and abdominal muscles to aid in diagnosis.

Studies such as blood tests, x-rays, ultrasound, CAT scans or MRI exams may also be used. Pain mapping, done by looking into the abdomen with a small diameter scope may also be done. In this procedure, with the patient awake, areas within the pelvis are touched and evaluated for pain.