Chronic Pelvic Pain

Do you experience ongoing pelvic pain that affects your work, relationships, or daily routine? Institute for Gynecology Minimally Invasive and Robotic Surgery in Englewood, New Jersey, offers comprehensive evaluation and advanced treatment for women living with chronic pelvic pain. Yitzhack Asulin, MD, FACS, FACOG, specializes in identifying the root cause of persistent pelvic discomfort and providing minimally invasive solutions designed to restore comfort and quality of life. Call today or schedule your consultation online.

What causes chronic pelvic pain?

Chronic pelvic pain is defined as pain in the lower abdomen or pelvis that lasts six months or longer. It can have many possible causes, and in some cases, more than one condition may be contributing to the discomfort.

Common causes of chronic pelvic pain include:

• Endometriosis
• Adenomyosis
• Uterine fibroids
• Ovarian cysts
• Pelvic inflammatory disease (PID)
• Scar tissue (adhesions) from prior surgery
• Interstitial cystitis (painful bladder syndrome)
• Irritable bowel syndrome (IBS)
• Pelvic floor muscle dysfunction

Because pelvic pain can stem from gynecologic, urinary, gastrointestinal, or musculoskeletal sources, a thorough and thoughtful evaluation is essential to determine the true cause.

What are symptoms of chronic pelvic pain?

Chronic pelvic pain can feel different from person to person. Some women describe it as a dull ache, while others experience sharp, stabbing, or cramping sensations.

Symptoms may include:

• Persistent lower abdominal or pelvic pain
• Pain that worsens during menstruation
• Pain during or after intercourse
• Pain with bowel movements or urination
• A feeling of pressure or heaviness in the pelvis
• Lower back pain associated with pelvic discomfort

The pain may be constant or intermittent, mild or severe, and can significantly impact emotional well-being, sleep, and overall quality of life.

When should you see a doctor?

You should seek medical care if pelvic pain:

• Lasts longer than a few weeks
• Interferes with daily activities or work
• Worsens over time
• Is accompanied by heavy bleeding, irregular cycles, or fever
• Causes pain during intercourse or difficulty conceiving

Chronic pelvic pain is not something you should simply “live with.” Early evaluation can help identify underlying conditions and prevent symptoms from worsening.

What treatment options are available for chronic pelvic pain?

Treatment depends on the underlying cause and the severity of your symptoms. At Institute for Gynecology Minimally Invasive and Robotic Surgery, care is individualized and may include:

• Hormonal therapy to regulate cycles and reduce inflammation
• Anti-inflammatory or pain-relief medications
• Treatment for infections, if present
• Pelvic floor therapy referrals when muscle dysfunction contributes to pain
• Minimally invasive laparoscopic or robotic surgery to diagnose and treat conditions such as endometriosis, adhesions, or fibroids

Dr. Asulin specializes in advanced minimally invasive and robotic techniques that allow for precise treatment with smaller incisions, less postoperative discomfort, and faster recovery times.

If chronic pelvic pain is affecting your life, you deserve answers and relief. Schedule a consultation by phone or online to discuss your symptoms and create a personalized treatment plan.