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Chronic pelvic pain lasting more than 6 months can result from multiple causes that often coexist. Common gynecological causes include endometriosis, adenomyosis, fibroids, ovarian cysts, and pelvic inflammatory disease. Non-gynecological causes include irritable bowel syndrome, interstitial cystitis (painful bladder syndrome), musculoskeletal issues, and pelvic floor muscle tension or spasm. Adhesions from previous surgery or infections can also cause chronic pain. A thorough evaluation including detailed history, pelvic examination, ultrasound, and targeted lab tests helps identify the specific cause or combination of causes to guide effective treatment.

PID is treated with a course of antibiotics targeting the bacteria responsible for the infection, typically covering chlamydia and gonorrhea as well as anaerobic organisms. Treatment usually involves a combination of antibiotics taken for 14 days, and sexual partners should also be treated to prevent reinfection. Early treatment is critical because delayed treatment allows infection to cause scarring of the fallopian tubes, leading to chronic pain, increased risk of ectopic pregnancy, and infertility. Severe cases with abscess formation may require hospitalization and intravenous antibiotics. Follow-up testing confirms the infection has cleared completely.

A pelvic exam may cause mild discomfort but should not be painful. If you are experiencing pelvic pain or have had previous traumatic experiences, please let our doctor know before the exam. Our female specialists use gentle technique, explain each step before proceeding, and will stop immediately if you experience significant discomfort. We can use smaller speculums, adjust positioning, and take breaks as needed. For patients with significant anxiety, we can discuss the exam beforehand and proceed at your pace. Your comfort and consent are always our priority throughout any examination.

Yes, urinary incontinence is a common condition affecting many women, particularly after childbirth and during menopause. We assess the type of incontinence (stress, urge, or mixed) through history, examination, and bladder diary analysis. Treatment depends on the type and severity: stress incontinence often responds to pelvic floor physiotherapy (Kegel exercises), lifestyle modifications, and pessary devices. Urge incontinence may be managed with bladder training, anticholinergic medications, or beta-3 agonists. For complex or severe cases, we coordinate referral to uro-gynecology specialists for advanced treatment options including surgical intervention.

Yes, we offer comprehensive and confidential STI screening as part of pelvic health assessments. Testing can include swabs for chlamydia and gonorrhea, blood tests for HIV, syphilis, and hepatitis B/C, and examination for genital warts or herpes lesions. All testing is performed discreetly with strict confidentiality. Results are typically available within a few days, and positive results are communicated privately with clear treatment plans. We provide a non-judgmental environment where you can discuss sexual health concerns openly and receive evidence-based advice on prevention and safe practices.

Yes, same-day consultations are often available for urgent pelvic health concerns, though specialist capacity is limited. Contact us early in the day if you have acute pain, fever with pelvic symptoms, sudden heavy bleeding, or signs of infection requiring prompt evaluation. For chronic or ongoing pelvic concerns, advance booking allows adequate consultation time and coordination of any imaging or lab tests. Call or WhatsApp us to check real-time availability.

Pelvic floor dysfunction occurs when the muscles, ligaments, and connective tissues supporting the pelvic organs (bladder, uterus, rectum) become weakened, tight, or uncoordinated. This can cause urinary incontinence, pelvic organ prolapse (a feeling of heaviness or bulging), pain during intercourse, difficulty emptying the bladder or bowel, and chronic pelvic pain. Common causes include pregnancy and childbirth (especially vaginal delivery), aging, menopause, chronic straining, obesity, and heavy lifting. Treatment typically involves pelvic floor physiotherapy, lifestyle modifications, and in some cases pessary devices or surgical correction. Early intervention provides the best outcomes.

Women are anatomically more prone to UTIs due to the shorter urethra. Recurrent UTIs (3 or more infections per year) can be caused by sexual activity, hormonal changes (especially post-menopause causing vaginal atrophy), incomplete bladder emptying, kidney stones, anatomical variations, or use of certain contraceptives like spermicides. Our approach to recurrent UTIs includes urine culture analysis, ultrasound to rule out structural issues, and development of a prevention plan that may include daily cranberry supplements, post-coital prophylactic antibiotics, vaginal estrogen for postmenopausal women, and hydration and hygiene counseling.