Chronic pelvic pain is usually diagnosed via a discussion with and testing by your physician. A pelvic examination is often followed by an ultrasound, magnetic resonance imaging (MRI) scan, computerized tomography (CT) scan, or the like. Your doctor may choose to take a sample of tissue from your cervix or vagina or use a laparoscope to get a better picture of what is going on internally.Treatment for chronic pelvic pain varies based on the individual situation. If a particular condition is found to be the source of pelvic pain, that condition will be treated first. Depending on severity, over the counter pain relievers like aspirin, ibuprofen and acetaminophen may help. Other common treatments include:
Hormonal treatments such as the birth control pill. If pelvic pain is tied to the menstrual cycle at all, adjusting hormone levels can ease or quell discomfort.
Antibiotics. They work if bacterial infection is the root of pelvic pain.
Antidepressants. Some treat physical as well as emotional pain.
Physical therapy and/or relaxation exercises.
Counseling. Therapists can help work through any emotional issues that may be contributing to the chronic pain.
Surgery. Certain conditions like endometriosis may improve after surgical intervention.
