Pelvic Pain – Overview
Pelvic pain can have a significant impact on daily life, and one of the most common causes is endometriosis. At Midlands Women’s Health, we specialise in the assessment and management of pelvic pain, offering advanced diagnostic tools and personalised treatment plans.
We are proud to offer Endosure® testing, a cutting-edge, non-invasive screening tool designed to support the early detection of endometriosis. In addition, our consultants provide expert MRI image review, ensuring that every scan is carefully evaluated to give you the clearest understanding of your condition and treatment options.
Pelvic pain can vary significantly. It may only affect a small area or the whole of the pelvis. Pain can include:
- A sharp, burning pain which goes away immediately.
- A gradual pain that does not go away.
- A dull or heavy ache or pressure
- A twisted or knotted feeling
- Cramping or throbbing pain which may come and go
- Pain only when doing something like exercise, sexual intercourse or urination.
There are lots of potential causes of pelvic pain, such as an infection or condition affecting the bladder or bowel. Most causes are not serious, but a few conditions do require emergency treatment, such as appendicitus and peritonitis. Please see a specialist if you are concerned. Other causes include:
- Constipation or irritable bowel syndrome (IBS)
- UTIs (Urinary Tract Infections)
- Sexually Transmitted Diseases (STIs)
Pelvic pain is more common for women and can be caused by more issues:
- Period Pain
- Conditions which effect female reproductive organs, i.e. ovarian cysts or endometriosis
- Pelvic pain during pregnancy
It can, rarely, be something more serious like an ectopic pregnancy, ovarian cancer or womb cancer.
Treatments for Pelvic Pain depend on the cause of the pain. These can include:
- Antibiotics
- Painkillers
- Physiotherapy
- Hormone Treatments
Other specialist treatments will be recommended to you by your specialist if necessary.
Your pelvic muscles can be strengthened with kegel exercises, helping to reduce the extent of your pelvic pain. To perform these exercises, tighten your pelvic muscles as if you are trying to hold back urine. Hold the muscles tight for a few seconds and then release. Repeat this 10 times. You can do this up to four times a day and these exercises can be done anywhere. For more information please click here.
Pelvic Pain – Specialists

Mr Yousri Afifi
PhD, MD, MRCOG
Consultant Gynaecologist & Endometriosis Specialist

Dr Moji Balogun
MBChB, MRCP, FRCR
Consultant Radiologist – Specialist in Gynaecological Imaging

Ms Pallavi Latthe
MD, FRCOG
Consultant Gynaecologist & Subspecialist in Urogynaecology

Dr Ruchira Singh
MBBS, MD, MRCOG
Consultant Gynaecologist – Clinical Director of Gynaecology at Birmingham Women’s Hospital
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