Pelvic pain can be caused by a multitude of reasons. It can be related to the female reproductive organs (vagina, cervix, uterus, ovaries and fallopian tubes), gastrointestinal in nature (appendicitis, constipation, diverticulitis), from the urinary tract (bladder infections, kidney stones), musculoskeletal in origin (hernias, pelvic fractures, nerve injuries) or even referred or psychogenic. A gynecologist is specially trained to evaluate women with this condition, whether it is acute or chronic in nature.
A complete history and physical examination will usually determine the etiology of acute pelvic pain. When the pain is of a chronic duration (mostly described as occurring for 6 months or longer), more intensive evaluation is usually needed. This may include laboratory testing as well as radiographic imaging (such as an ultrasound) and even diagnostic procedures (laparoscopy, colonoscopy, and cystoscopy). Determining the etiology behind chronic pelvic pain can be a very challenging endeavor. Having a good relationship with your gynecologist with allow him / her to develop the best plan of management for you.