What test (if any) would be capable of identify the source of extreme pelvic agony not associated beside time?
The pain is not associated next to my period, because I have it throughout the month.
I would resembling to know *why* I am having these issues; are there test or such that I can insist on having?
I do have to carry a referral from our primary care physician to see anyone else, so I am 'stuck' with this physician for the time human being (ie: until the paperwork goes through the insurance company to select a new primary protection physician -- for some reason it is taking longer than I had thought).
Any insight would be greatly appreciated.
Answers: Pain within the pelvis could be related to numerous different organ systems. There are gynecological causes, urinary system causes, and gastrointestinal cause. Figuring out what is the root cause should occur contained by a stepwise process that starts with the most common cause to the least common.
In writ to come to a diagnosis you may need to see one or more specialists and to have an imaging study or invasive procedure.
A gynecologist can afford you a pelvic exam. This can allow her to visualize any lesions on your cervix, visualize a discharge, take swabs and cultures for the presence of infection, and do scrapings for impressive cells.
An ultrasound can image the ovaries to check for cysts or nearest masses and also can image the uterus for fibroids.
A urologist can do cystography, place a camera into your bladder to see the mucosal surface. Also they can comfort evaluate your ureters, also with ultrasound.
A gastroenterologist can help determine if you enjoy colitis, which can sometimes cause vague pelvic discomfort, or other undercooked conditions, like chronic appendicitis or abscess, fistulas etc...He/she can do a colonoscopy to look at your colon.
Other tests include an abdominal/pelvic CAT scan, which can portrait your kidneys, ureters, intrabdominal organs, bladder etc. It is not as good as ultrasound for the ovaries. CT also uses a lot of radiation (the alien asbestos) and about 1 in 2500 empire will develop malignant transformation from a single CAT scan. The chance of developing malignancy is greater the younger you are when you get the CT and also rises next to the number of CT's you get.
MRI images freshly as well as CT scan without any radiation but is more expensive.
If you exhaust a full/complete work up and still hold pain, many culture opt to see a surgeon for what is called an exploratory laparotomy. The surgeon basically take you to the O.R. and opens you up to look around and see what can be seen.
Going to the ER may not be the best subsequent step. You will be evaluated for an acute process: ectopic pregnancy, urinary infection, acute appendicitis etc. The tests ordered (if they are ordered) are very focused to answer one specific sound out: ectopic pregnancy yes or no, kidney stone yes or no. MRI is not utilized through the emergency dept except in exceptional circumstances (usually for spinal cord disease). If you are not pregnant you may not have an ultrasound ordered. You may convince the doctor to demand you a CT scan, but is this the best first test? Consider the radiation.
At this point I recommend you speak with your doctor give or take a few your concerns and express your desire to either be referred to someone or have a specific experiment ordered. Unfettered communication with your physician is the best way to win the work up started. He/she may not realize the depth of your concern.
Good luck.
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When I had pelvic pain, they did a sonogram on me as capably as look at me internally with this probe that have a camera on it. I would change dr. asap. What insurance do you have? Most of them are getting rid of the stipulation for a referral.
Do you have pelvic pain during intercourse?
It sounds similar to also that you could either a) have endometris or b) enjoy a retroverted (flipped) uterus. So anytime something is inserted (i.e. a penis) into your vagina, it is hitting your uterus causing you to have pelvic strain..
Thats very stupid that your doctor wont do anything, its like they are waiting to be sued for malpractice. I'm thinking its probably an inflammation of your pelvis or endometriosis. I would move about to the outpatient ER and get it checked out before its too belated. :)
Some tests:
-Pap Smear
-Pelvic Exam
-Ultrasound
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Just see another doctor. It shouldn't take that long to obtain your PCP changed.