gynecology and obstetrics
Female Pelvic Pain
Treatment of Pelvic Pain
Treatment for pain during pregnancy is based on maternal and fetal considerations. The underlying disorder is treated when possible. Pelvic pain in nonpregnant patients is initially treated with oral nonsteroidal anti-inflammatory drugs (NSAIDs). Patients who do not respond well to one NSAID may respond to another. Pain related to the menstrual cycle (eg, dysmenorrhea, endometriosis) may be treated with hormonal contraceptives. Musculoskeletal or myofascial pain requires rest, heat, physical therapy, analgesics or other drugs. If patients have intractable pain unresponsive to any of the above measures, hysterectomy may be offered as a last option. 