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Common Causes of Pelvic Pain in Women

Jul 20, 2015 11:24AM ● By Dia

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By Dr. Josh Prickett, Medical Director, North Tarrant E-Care Emergency Center

Pelvic pain in women can have several causes, and many times can be the result of multiple conditions occurring simultaneously. These are some of the more common reasons that pelvic pain happens and how your doctor can help treat it.


This condition is often characterized by severe cramps that typically occur at the same time as a menstrual cycle. These cramps will often radiate to the legs and the lower back. Treatment typically includes medication, but in some instances a minimally invasive surgical procedure may be needed to address the problem. If the problem is particularly severe, a hysterectomy may be necessary.

Pelvic Floor Tension Myalgia

Pelvic floor tension myalgia is a fairly common cause of pelvic pain in women, and can result from both physical and emotional issues. For instance, a difficult childbirth can lead to the condition, as well as stress that causes tension in the muscles of the pelvic floor. These muscles provide support to the organs in the pelvic region. Symptoms include feelings of achiness or heaviness in the pelvis, or pain, itching and burning in the vagina.

One of the most effective treatments for this problem is physical therapy, including stretching and strengthening of the core muscles to help prevent spasms. In addition, medications may be recommended to help relieve pain.


Researchers believe cystitis is caused by a breakdown of cells on the bladder’s surface that help protect it from acidity. It often leads to substantial discomfort; many women say the stabbing, burning pain is similar to a severe urinary tract infection (UTI). Your doctor will perform a thorough examination to rule out other conditions that could result in the same symptoms. He or she may test your urine, for example, to rule out a UTI, and may take a biopsy to eliminate cancer as a possibility. There are medications available to coat the bladder surface to bring relief, but they can take up to 6-9 months to be completely effective.

If you would like to learn more from doctors near Southlake about the common causes of pelvic pain in women, call E-Care Emergency Centers at 817-281-7277. If you ever need emergency or urgent care, use this convenient form to check in online. 

Josh Prickett, MD, is currently medical director for North Tarrant location of E-Care Emergency Center in North Richland Hills. Dr. Prickett graduated from the University of Oklahoma Medical School and has been practicing emergency care in Oklahoma, Minnesota and Texas since 1989.  He has been married to his wife Carin for 30 years. They have a son Jonathan, a daughter Whitney, and a son-in-law John. Dr. Prickett and his family are active in their church and love being Southlake residents.