Sudden onset Pelvic Pain

By Joseph Hazan,M.D.,FACOG

Sudden onset pelvic pain is usually severe and can be associated with

nausea, vomiting, fever or backache. It is an emergency and urgent

management is required.

 The most common causes are gynecologic in origin such as ectopic

pregnancy, ovarian cyst, ruptured ovarian cyst, torsion of tube and ovary,

fibroid degeneration or pelvic inflammatory disease.

Other causes are bladder infection (cystitis), kidney infection also known

as pyelonephritis, kidney stones, irritable bowel, ischemic bowel, other

bowel diseases such as inflammatory bowel disease, diverticulosis,

diverticulitis, appendicitis and constipation.

Pelvic ultrasound is helpful in diagnosing pelvic causes.

Treatment is based on the diagnosis.

Sudden onset pelvic pain requires urgent management.