Pelvic Pain and Infections

Pelvic pain and gynecological infections are common concerns among women and can have a significant impact on reproductive health and fertility. Pelvic discomfort may stem from hormonal imbalance, structural abnormalities, inflammation, or chronic infection—each requiring accurate diagnosis and tailored treatment.
At Saga Clinic, we evaluate pelvic pain comprehensively using advanced imaging, laboratory testing, and ESHRE-aligned diagnostic protocols to determine the exact underlying cause.

What Is Pelvic Pain?

Pelvic pain refers to discomfort located in the lower abdomen and pelvis. It may be acute, lasting hours or days, or chronic, persisting for more than six months.
Pelvic pain can interfere with daily activities, sexual function, and fertility potential.

Common Causes of Pelvic Pain

1. Endometriosis

A leading cause of chronic pelvic pain and infertility, endometriosis occurs when endometrial-like tissue grows outside the uterus.
Symptoms may include:

• Painful menstruation
• Pain during intercourse
• Chronic pelvic pain
• Bowel or urinary discomfort

Endometriosis may affect ovarian reserve, tubal function, and implantation potential.

→ Read More --> Endometriosis and Infertility

2. Pelvic Inflammatory Disease (PID)

PID is an infection of the uterus, fallopian tubes, or ovaries, often resulting from sexually transmitted infections or untreated bacterial infections.
If not treated promptly, PID can lead to:

• Tubal scarring
• Adhesions
• Chronic pain
• Increased risk of ectopic pregnancy
• Infertility

3. Ovarian Cysts

Functional or pathological cysts can cause unilateral pelvic pain, bloating, or discomfort.

→ Read More --> Ovarian Cysts

4. Fibroids (Myomas)

Uterine fibroids—especially submucosal or large intramural types—may cause pelvic pressure, pain, and infertility.

→ Read More --> Uterine Fibroids

5. Adenomyosis

A condition where endometrial tissue grows into the uterine muscle, leading to heavy bleeding and painful menstruation.

6. Adhesions (Scar Tissue)

Pelvic adhesions may form after:

• PID
• Prior surgery
• Endometriosis
• Cesarean section

They can cause chronic pain and tubal obstruction.

7. Gastrointestinal or Urological Causes

Conditions such as IBS, urinary infections, kidney stones, or hernias may mimic gynecologic pelvic pain and require differential diagnosis.

Gynecological Infections and Fertility

Vaginitis and Cervicitis

Infections of the vagina or cervix may be caused by bacteria, yeast, or sexually transmitted pathogens.
Common symptoms include:

• Burning
• Discharge
• Odor
• Itching
• Pain during intercourse

→ Read More --> Vaginitis and Genital Infections

Sexually Transmitted Infections (STIs)

Chlamydia and gonorrhea are particularly important because they can cause silent damage to the fallopian tubes, resulting in tubal factor infertility.

Chronic Endometritis

Persistent low-grade infection of the endometrium can affect:

• Implantation
• IVF success
• Pregnancy maintenance

Diagnosis may require biopsy, culture, or hysteroscopy.

Diagnostic Evaluation at Saga Clinic

Our evaluation may include:

• Detailed history and symptom review
• Pelvic examination
• Transvaginal ultrasound
• Laboratory testing for infections
• Hormonal analysis when indicated
• Hysteroscopy for chronic or unclear cases
• Imaging for adhesions or deep endometriosis

→ Read More --> Ultrasound & Endometrial Assessment, Hysteroscopy

Treatment Options

Medical Therapy

Depending on the diagnosis, treatment may include:

• Antibiotics for infections
• Hormonal therapy for endometriosis or adenomyosis
• Anti-inflammatory medications
• Pain management strategies

Surgical Treatment

Minimally invasive surgery may be required for:

• Endometriosis
• Adhesions
• Fibroids
• Ovarian cysts

Fertility-Focused Care

Women wishing to conceive may benefit from:

• Ovulation induction
• IUI
• IVF
• Surgical correction of tubal or uterine factors

→ Read More --> Ovulation Induction, IUI Treatment, IVF Treatment

Saga Clinic’s Approach to Pelvic Pain and Infection Management

At Saga Clinic, our priority is identifying the precise cause of pelvic pain or infection to deliver effective, individualized care.
We integrate advanced imaging, laboratory diagnostics, and reproductive expertise to protect fertility and restore quality of life. Each treatment plan is structured around the patient’s symptoms, reproductive goals, and long-term health, ensuring evidence-based management aligned with ESHRE standards.

Saga Clinic’s Approach to Infertility Care

At Saga Clinic, we believe that every couple deserves a precise diagnosis, clear communication, and a structured, personalized treatment plan. Using ESHRE-aligned protocols and advanced reproductive technologies, our team offers a comprehensive, patient-centered approach to infertility. We combine scientific expertise with compassionate care to support couples at every stage of their fertility journey, from initial assessment to treatment and long-term follow-up.

Contact & Appointments

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 69 456 4467
Available outside office hours via WhatsApp Message only.

Update date: 21.04.2026 18:18