Pelvic Pain: which doctor should you see?
Short answer: most cases of pelvic pain are handled by a OB-GYN. Read on for the exceptions.
What this symptom means
Pelvic pain is felt below the navel and between the hips. It may be cyclical and tied to menstruation, or constant and unrelated. The pelvis contains reproductive, urinary, and digestive organs, so identifying the source is the main task of the first appointment.
Common causes
- Menstrual cramps and endometriosis
- Ovarian cysts
- Uterine fibroids
- Pelvic inflammatory disease
- Urinary tract infections
- Irritable bowel syndrome and constipation
Which doctor treats pelvic pain?
In women, pelvic pain is most often evaluated by an OB-GYN, particularly when it follows a menstrual pattern. Pain with urinary symptoms points toward a urologist, and pain with bowel changes toward a gastroenterologist. In men, pelvic pain is usually handled by a urologist.
When it may be urgent
- Sudden severe pelvic pain
- Pelvic pain with fever and chills
- Pain with fainting or dizziness
- Heavy vaginal bleeding
- Pelvic pain during pregnancy
- Pain with vomiting and an inability to keep fluids down
Frequently asked questions
- Which doctor treats pelvic pain?
- An OB-GYN evaluates most pelvic pain in women. A urologist or gastroenterologist may be appropriate when urinary or bowel symptoms dominate.
- Is severe period pain normal?
- Pain that regularly stops you from working, studying, or sleeping is not something to accept. It can indicate endometriosis or fibroids and should be evaluated.
- When is pelvic pain an emergency?
- Sudden severe pain, pain with fever, fainting, heavy bleeding, or any significant pelvic pain during pregnancy requires immediate care.
Related symptom guides
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Sources
- MedlinePlus, U.S. National Library of Medicine (medlineplus.gov)
- Centers for Disease Control and Prevention (cdc.gov)
- Relevant national medical specialty association guidance