Pelvic pain?

[ForFairMoose]

Good evening everyone :)
I’m wondering if anyone has ever had anything similar to this. I’ve had mild on and off pelvic pain next to my left hipbone for a full year now. More like twinges than anything. Had a pelvic ultrasound and it was completely clear- just pcos. Has anyone else had pain like this before? Feel bad going back and bothering the doctors again but im going to have to.

thank you

Can you be more specific about your symptoms? It may not be a gyne thing and may be more orthopedic or rheumatology perhaps.

What has your GP done so far? The pain isn't severe as you said and ultrasounds rule out fibroids or cyst, and it doesn't sound like adenomyosis or endo. I'd be focusing more on the intermittent hip pain and go back to GP and focus on other causes like I said orthopedic or rheumatology over gyne. Have you used any medication at all? Both OTC or from GP.

How is your PCOS managed? What symptoms do you have, the follicles or more issues with male hormones or irregular periods etc? A great thing can be the mirena coil for PCOS, it thins the uterus lining, can help to regulate periods, and also progesterone increases, there's also more specific treatments if it's the excessive hair or acne you are struggling with more.

Thank you. It’s not in the bone itself. It’s ‘floating’ to the left of it, where I’d imagine my left ovary is. It’s more like twinges than anything, they come and go so I’ll get odd twinges throughout the day. I notice them more when im anxious.

I’ve had bloods and a pelvic ultrasound. I had nothing of concern on the ultrasound except for the pcos. Pcos isn’t too troubling, I’ve always had incredibly irregular periods but the doctors do not think PCOS is the cause of pain. No I haven’t used any medication, it’s very mild- only worrying because it’s been going on so long.

Its just the periods really :) I hadn’t thought about the coil so that might be worth looking into- thank you for the suggestion!

Your ovaries are very small, so depending on when your last ultrasound was, if it wasn't flagged as being enlarged or having a cyst, I'd also be focusing on the range of other organs it could be. Just that across the abdomen symptoms are often very similar but for loads of conditions, so that's why in the diagnostic process, as much as it makes sense, we should be broad first, to try and not miss anything, rather than very narrow quickly.

If it's just twinges and nothing else, e.g vomiting, nauesa, severe pain, constipation, diarrhoea, etc, then it's likely nothing or not needing extra unnecessary treatment unless you feel its getting worse, impacting your life with the frequency of the pain? I mean push for maybe one more scan like a CT (going to he unlikely as your symptoms don't necessarily sound severe enough but worth a try) or more likely a transvaginal and abdominal ultrasound as well.

So for your PCOS all your bloods like cholesterol etc are fine? That's good then, keep on with that as much as possible, and then the coil or vaginal progesterone is a very good option for your periods if the irregularity is the main issue and it also will help with cramps and less bleeding as well. Are your symptoms just on your period or elsewhere during the month? What symptoms do you have during your period? And if you have symptoms not on your period - is the pain worse on or off period?

For the mirena coil insertion, make sure you take paracetamol and ibuprofen 1h before, then make sure they insert licodaine into your cervix, have numbing gel etc. That way it will be more comfortable for you.

Thanks for your help :) the pain isn’t nearly bad enough to be impacting my life but I have anxiety and have been hyper fixated on this being something terrible even as unlikely and irrational as that sounds. It’s localised pain, mild and it’s been going on for a long time with no change! My ultrasound was in February.

periods have no impact on it whatsoever, don’t notice any changes. I think it is triggered by anxiety but I have no idea if that can cause long term pelvic pain.

thank you for your detailed responses.

With health anxiety, I think asking for clear communication from your GP will help, be specific on what the issue is and ask as many questions as you want to, it's important to rule anything more serious or a condition out, but on its own shouldn't be too seriois.

Especially as you said it coincides with your anxiety, try to not focus on it at all, use heat gels or patches as well to help with any pain, and try to not hyperfixate on it as often then you are feeling more pain the more you think there is something wrong. The nocebo effect is a real thing?

The region your describing is likely more middle abdominal pain over the pelvic region, as it should be more widespread in that area. That's why I think maybe make another appointment with your GP but focus more on the potential for a ortho perspective and abdominal issue - ask them and focus on a potential abdominal issue in the upper and kiddle abdominal region. Also ask for perhaps an x-ray, due to the pain being in the bone region, and an abdominal ultrasound - definitely push for the abdominal ultrasound at the very least. Mention how the pain whilst intermittent is still continuing.

Also in general dealing with your anxiety will be helpful, either trying some good talk therapy separately to inquiring on this pain with your GP or think about meds as well, depending on much that us impacting your life, but therapy will never hurt and could help, as it's natural to be anxious about health issues but important to be pragmatic about it, and not hyperfixate on something unlikely to be anything unless it is repeatdly causing problems.

Labral tear?

I paid to see a pelvic physio and she was brilliant - I'd had pelvic pain for about 18 months, gp couldn't find a reason, tried all sorts. Pelvic physio found that some muscles just weren't firing up like they should and gave me some exercises to activate and strengthen them and it made a huge difference - hardly get the pain now.

Thank you. Im doing talking therapy but the waiting list is a few months so just trying to better myself in the meantime :)

Never heard of this! I will mention it thank you x

Honestly im inclined to think this is what it is especially because it’s been triggered by stress. Sounds like you can tense all kinds of muscles without realising it- it feels like it’s a muscle thing but then again I have no idea 🤣. Happy you’re doing better now, thanks for sharing your experience- it helps to hear other people have had chronic pelvic pain and found an explanation.