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Gynecology (Expert Forum)
PAINT IN PELVIS AREA
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
PAINT IN PELVIS AREA
by mykittie, Jun 18, 2009 12:03PM
I GOT A QUESTION IS SOME ONE CAL HELP ME WITH IT, I've BEEN HAVING PAIN IN MY PELVIS ARE DOWN TO MY TAIL BONE I GUESS YOU CAN SAY, IT COMES AND GO'S . BUT SOME TIMES ITS A SHARP PAIN. I GET IT OFF AND ON. SOME OF THE TIME I CAN'T STAND OR SIT RIGHT. CAN SOME HELP ME WITH THIS PLEASE.
I WOULD THINK ITS MY OVARIES BUT I AM NOT SURE. I AM NOT ON MY PERIOD OR I AM NOT CLOSE TO HAVING IT.
ITS BEEN TWO YEARS SINCE I HAD SEX. SO I KNOW THAT CAN'T BE IT., I DON'T TAKE ANY BIRTH CONTROL PILL, IVE GOT MY TUBES TIED ABOUT 8 YRS.
I WOULD THINK ITS MY OVARIES BUT I AM NOT SURE. I AM NOT ON MY PERIOD OR I AM NOT CLOSE TO HAVING IT.
ITS BEEN TWO YEARS SINCE I HAD SEX. SO I KNOW THAT CAN'T BE IT., I DON'T TAKE ANY BIRTH CONTROL PILL, IVE GOT MY TUBES TIED ABOUT 8 YRS.
Doctor's Answer
by Elaine Brown, MD, Jun 20, 2009 11:33PM
, Jun 20, 2009 11:33PMTo: mykittie
Hi!
Pain that radiates to the tail bone could be any of several things:
It could be a cyst on one ovary. It could be endometriosis. It could be a pelvic infection ( although given your history that is unlikely). It could be a primary bowel problem--irritable bowel syndrome, or finally, it could even be a pinched nerve in your back.
If you were my patient, I would do the rountine exam, and check for infection.
If everything turned out OK there, I would do some blood work and an ultrasound.
If the ovaries looked fine, I would then suggest an MRI to look at your spine. If we determined that it was not spine or ovaries, we could then go on, and treat you as if you had Irritible Bowel Syndrome. If we still had no luck, I would suggest a laparoscopy to rule out endometriosis.
Finally, there are lots of ligaments and muscles in the pelvis, so it could simply be related to a strain or pull of one of those structures. Whatever the case, it would be a good idea to get it checked out! In the meantime, the best pain relievers for pelvic pain are Ibuprofen and Aleve.
Hope this is helpful!
Dr B
Pain that radiates to the tail bone could be any of several things:
It could be a cyst on one ovary. It could be endometriosis. It could be a pelvic infection ( although given your history that is unlikely). It could be a primary bowel problem--irritable bowel syndrome, or finally, it could even be a pinched nerve in your back.
If you were my patient, I would do the rountine exam, and check for infection.
If everything turned out OK there, I would do some blood work and an ultrasound.
If the ovaries looked fine, I would then suggest an MRI to look at your spine. If we determined that it was not spine or ovaries, we could then go on, and treat you as if you had Irritible Bowel Syndrome. If we still had no luck, I would suggest a laparoscopy to rule out endometriosis.
Finally, there are lots of ligaments and muscles in the pelvis, so it could simply be related to a strain or pull of one of those structures. Whatever the case, it would be a good idea to get it checked out! In the meantime, the best pain relievers for pelvic pain are Ibuprofen and Aleve.
Hope this is helpful!
Dr B
