Pelvic Pain

Pelvic-Pain

What Is Pelvic Pain?

Pelvic pain refers to discomfort or pressure felt in the lower abdomen, below the navel.
It may be acute (sudden and severe) or chronic (lasting more than 6 months), and can significantly affect a woman’s quality of life, sexual health, and fertility.

At Saga Clinic in Tirana, Dr. Eser Agar uses a multidisciplinary and evidence-based approach to identify the root cause of pelvic pain, integrating gynecologic examination, ultrasound imaging, infection screening, and surgery when needed.

Common Causes of Pelvic Pain

1. Gynecological Causes

  • Endometriosis: Endometrial tissue outside the uterus causing inflammation and pain.
  • Ovarian cysts: Especially when ruptured or twisted.
  • Uterine fibroids: Large or degenerating fibroids causing pressure or cramping.
  • Pelvic inflammatory disease (PID): Infection of the uterus, tubes, or ovaries.
  • Adhesions (scar tissue): Often after surgery or infection, leading to chronic pain.
  • Adenomyosis: Endometrial tissue infiltrating the uterine muscle, leading to painful periods.

2. Non-Gynecological Causes

  • Urinary system: Bladder infection, interstitial cystitis, or urinary stones.
  • Gastrointestinal: Irritable bowel syndrome (IBS), constipation, or diverticulitis.
  • Musculoskeletal: Pelvic floor tension, posture-related muscle pain.
  • Neurological: Nerve compression or pudendal neuralgia.

Types of Pelvic Pain

  • Cyclic pain: Associated with menstruation (common in endometriosis or adenomyosis).
  • Non-cyclic pain: Constant or intermittent, unrelated to menstrual cycle.
  • Acute pain: Sudden and severe (e.g., cyst rupture, ectopic pregnancy, infection).
  • Chronic pelvic pain: Ongoing discomfort lasting more than 6 months, often multifactorial.

Diagnostic Approach at Saga Clinic

1. Detailed Medical History and Examination

Evaluation of pain pattern, duration, and associated symptoms such as discharge, fever, or bleeding.

2. Transvaginal and Abdominal Ultrasound

Essential to visualize uterus, ovaries, fallopian tubes, and pelvic structures for cysts, fibroids, or fluid collection.

3. Laboratory Tests

Infection markers, hormonal levels, and urine analysis.

4. Diagnostic Hysteroscopy or Laparoscopy

Direct visualization of the uterine cavity or pelvic cavity when noninvasive tests are inconclusive.
Laparoscopy is especially valuable in diagnosing endometriosis or adhesions.

5. MRI (if needed)

Used to evaluate deep pelvic lesions such as adenomyosis or severe endometriosis.

Treatment Options

Treatment is always based on the identified cause, severity, and patient’s reproductive goals.
At Saga Clinic, Dr. Eser Agar customizes a management plan that may include medical therapy, physiotherapy, or surgery.

1. Medical Management

  • Pain control (NSAIDs, antispasmodics)
  • Hormonal suppression (oral contraceptives, GnRH analogs for endometriosis)
  • Antibiotics for infections (PID or endometritis)
  • Muscle relaxants for pelvic floor dysfunction

2. Invasive Procedures

  • Hysteroscopy or Laparoscopy for diagnosis and treatment of endometriosis, adhesions, or cysts
  • Ultrasound-guided aspiration for ovarian cysts when indicated
  • Surgery for treatment of endometriosis, ovarian cysts, uterine fibroids and pelvic abscess

3. Physical Therapy and Lifestyle Modification

  • Pelvic floor physiotherapy
  • Posture correction and exercise programs
  • Stress reduction and dietary changes for IBS-related pain

Chronic Pelvic Pain (CPP) Management

Chronic pelvic pain often involves more than one system.
At Saga Clinic, treatment combines:

  • Multidisciplinary evaluation (gynecology, urology, gastroenterology)
  • Targeted therapy for underlying pathology
  • Supportive counseling to address emotional and sexual health impact

When to Seek Medical Attention

  • Sudden severe lower abdominal pain
  • Pain associated with fever, vomiting, or fainting
  • Persistent pain for more than 3 months
  • Pain during intercourse or urination
  • Postmenopausal pelvic pain

Prompt evaluation prevents complications and allows for early treatment of potentially serious conditions like endometriosis, ovarian torsion, or infection.

The Saga Clinic Approach

At Saga Clinic Tirana, Dr. Eser Agar focuses on accurate diagnosis, effective pain relief, and preservation of fertility.
Every patient receives individualized care combining advanced diagnostics, minimally invasive surgery, and long-term management strategies.

Core principles:

  • Early detection of underlying pathology
  • Fertility-preserving treatment plans
  • Minimally invasive and evidence-based care
  • Emotional and physical well-being of each patient

Advantages for Patients

  • Comprehensive diagnostic process
  • Noninvasive imaging and targeted therapies
  • Multisystem evaluation for chronic cases
  • Personalized and compassionate care
  • Surgical options for rapid recovery

Appointments and Contact

To schedule a consultation for pelvic pain evaluation and treatment, contact Saga Clinic Tirana online or via WhatsApp.
Dr. Eser Agar and his multidisciplinary team provide expert, individualized care to relieve pain, restore health, and improve quality of life.

For appointment requests or medical inquiries, please contact us using the options below.

📞 Clinic Phone (Office Hours)
+355 69 836 1565
Available Monday–Saturday, 09:00–16:00.

💬 WhatsApp (Outside Office Hours)
+355 69 362 0838
Available outside office hours via WhatsApp Message only.