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Diagnosing Chronic Pelvic Pain


The Role of a Urologist

A urologist is another specialist whom you might see if pain is related to your urinary tract. For example, if your symptoms and pelvic exam suggests interstitial cystitis (IC), there are tests that a urologist can do. IC is painful bladder inflammation that isn't caused by an infection.

A cystoscopy is one way to diagnose interstitial cystitis. Using a special scope, the doctor looks inside your bladder for bleeding or ulcers. The potassium sensitivity test is another way to diagnose it. For this, the doctor fills your bladder with a potassium solution and then with water. People with IC feel more pain and a more urgent need to urinate with potassium than with water. But doctors may diagnose interstitial cystitis without these tests if you have symptoms of IC and no other pelvic problems.

The Role of a Gastroenterologist

Some women with pelvic pain may need to see a gastroenterologist, a doctor who specializes in digestive diseases. That's because irritable bowel syndrome (IBS) is a common cause of pelvic pain. It may be the only cause or it may exist with other causes.

Usually doctors diagnose IBS based on symptoms you describe. Tests can rule out other diseases if the doctor thinks that something else may be wrong.

The Role of a Pain Specialist

Pain specialists are usually anesthesiologists who have specialized training in pain management. Some women with chronic pelvic pain can seek out these physicians to complement treatment provided by their primary care or gynecologist. Pain specialists may be necessary for appropriate trials of nerve blocks, the use of transcutaneous electrical nerve stimulation (TENS) units, or management of medications used for chronic pain.

The Role of a Physical Therapist

Physical therapists can help develop an exercise program and relaxation techniques to help strengthen the pelvic floor muscles, reduce pain, and manage stress and anxiety in women who suffer from chronic pelvic pain.

The Role of a Therapist

Psychiatrists and psychologists can help, too -- even if there is a physical source of pelvic pain. The mind plays a powerful role in how pain is perceived. And, depression, stress, and anxiety can make any pain seem worse. 

No matter what specialists you see, it's important to choose a health care provider who knows a lot about chronic pelvic pain. Many different kinds of doctors can have a special interest in helping people with pain. If your regular doctor is not familiar with causes of pelvic pain, ask for an outside referral.


Reviewed on September 28, 2014
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