Gynaecology conditions
Pelvic pain
Pelvic pain is common, and it often has more than one contributor (gynaecologic, bladder, bowel, or pelvic floor). Start with the pattern that fits best, then choose the symptom. .
Tip: If pain has been present for 3–6 months or longer, it often needs a broader, “whole system” approach (not just one test).
When to seek urgent care
Seek same-day medical care if you have severe or worsening pain, faintness/dizziness, fever, vomiting, a rigid/tender abdomen, or you might be pregnant (especially with one-sided pain, shoulder-tip pain, or bleeding).
If you are unsure, contact reception or your nearest emergency centre.
Start with the pain pattern
Pick the pattern that fits best, then open the dropdown to choose your topic. (Many people have more than one pattern.)
Pain with periods (dysmenorrhoea)
Crampy pain around menstruation is common. If pain is severe, worsening over time, or not responding to standard treatments, we look for an underlying cause.
Choose a topic
Quick path: If pain is mostly around periods, start with Period pain.
Pain between periods / persistent pelvic pain
Non-cyclic pelvic pain that persists for months often overlaps between organs (uterus/ovaries, bladder, bowel, pelvic floor). The goal is to find treatable causes and avoid missing important diagnoses.
Choose a topic
Quick path: If pain is present most days for 3–6 months, go to Chronic pelvic pain.
Pain with sex (dyspareunia)
Sex-related pain can come from the vulva/vagina (surface pain), pelvic floor muscle spasm, deeper pelvic pain, or menopause-related changes. It is common and treatable, but needs a clear diagnosis.
Possible pregnancy (urgent if in doubt)
Pelvic pain in early pregnancy can be benign, but it can also be urgent. If there is a chance you could be pregnant, that changes the priority and the workup.
Peri- / post-menopause
Pelvic pain after menopause is not automatically “just hormones”. Vaginal dryness and GSM are common, but new or persistent pelvic pain still needs proper assessment.
Other pelvic pain topics
These are common diagnoses and contributors that often overlap. Use these if you already have a label (or you suspect one).
Endometriosis
Common cause of cyclic and deep pelvic pain. Symptoms can involve bowel, bladder, and sex.
Adenomyosis
Often causes heavy and painful periods, and can cause deep pelvic aching.
Pelvic floor / myofascial pain
Muscle and trigger-point pain can refer to the vagina, rectum, bladder, hips, and thighs. Often missed. Often treatable.
Bladder pain syndrome
Pelvic pain with urgency/frequency, pain with bladder filling, or “UTI-like” symptoms without infection.
Bowel causes (IBS/constipation)
Pelvic pain linked to bowel habit change, bloating, constipation/diarrhoea, urgency, or rectal bleeding needs the right workup.
PID / infection-related pain
Pelvic inflammatory disease can cause acute or chronic pain. Risk depends on symptoms and STI exposure.
Need to book or ask admin questions?
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