Pelvic pain
Pain in the lower abdomen or pelvis: short-term, recurrent, or lasting longer than six months. Always worth investigating.
Understanding
Pelvic pain has many possible causes: endometriosis, ovarian cysts, pelvic inflammatory disease, adhesions, irritable bowel syndrome, bladder conditions or musculoskeletal issues. Often it is a combination.
A specialist review combines a thorough history, examination and targeted imaging. Treatment is built around the most likely cause. Where laparoscopy is needed, Mr Orabi can both diagnose and treat at the same operation, for example excising endometriosis deposits.
Common symptoms
Pelvic pain that lasts more than six months
Pain that worsens around your period
Pain during or after intercourse
Pain with bowel movements or urination
Bloating, fatigue, low mood that goes with the pain
Diagnosis
Approach
A structured workup, often within one appointment, to identify the cause and shape a clear treatment plan.
Detailed history of the pain pattern
Pelvic examination
Transvaginal pelvic ultrasound
MRI scan in selected cases
Laparoscopy where investigations point to endometriosis or adhesions
Treatment
Treatment is built around your symptoms, preferences and any other conditions. Options often combine medication, hormonal treatments and where appropriate, surgery.
Analgesia and anti-inflammatory medication
Hormonal treatments to suppress periods where helpful
Laparoscopic surgery to treat endometriosis or release adhesions
Pelvic physiotherapy and pain-clinic referral when appropriate
Multidisciplinary care where pain has bowel, bladder or musculoskeletal components
Related procedures
Diagnostic & operative
Keyhole investigation of the pelvic and abdominal organs through a small camera. Used to diagnose and often treat conditions such as endometriosis, cysts and adhesions in the same operation.
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Laparoscopic surgery
Specialist keyhole surgery to fully remove endometriosis lesions: the gold standard for long-term pain relief and improved fertility outcomes.
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Imaging
A detailed scan of the womb, ovaries and pelvic structures, performed and interpreted in clinic by Mr Orabi. Available abdominally, transvaginally, or both.
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Your consultation
A first appointment is unhurried. We work through your history, your symptoms and your priorities, and where helpful arrange examination, imaging or further tests at the same visit. You leave with a clear plan and time to ask any question you bring.