Chronic Pelvic Pain Treatment in Delhi-NCR

Chronic pelvic pain is pain in the lower abdomen or pelvis that lasts six months or longer. It can arise from the reproductive organs, bladder, bowel, muscles or nerves, and often from more than one of these together. Treatment usually combines a careful diagnosis with medicines, physiotherapy and, where suitable, targeted pain procedures.

If you have been living with a dull ache, a burning sensation or a constant heaviness in your pelvis for months, you are not imagining it. This page explains what chronic pelvic pain is, why it happens, how it is evaluated and what treatment options exist, so you can walk into a consultation informed and less anxious.

What Is Chronic Pelvic Pain?

Chronic pelvic pain is ongoing pain felt below the belly button, in the area between the hips, that lasts around six months or more.

It is best understood as a symptom, not a single disease. The pain may be constant or may come and go. It may be linked to periods or have no pattern at all. Medical bodies such as the American College of Obstetricians and Gynecologists (ACOG) and the Royal College of Obstetricians and Gynaecologists (RCOG) use the six-month mark as a practical yardstick. In real life, many people seek help much earlier, and that is perfectly reasonable.

It is also more common than most people think. Studies from different countries estimate that roughly 15% to 27% of women are affected at some point. Men can experience it too, often connected to the prostate, pelvic muscles or nerves. Despite this, many patients are told the pain is “normal” or “just stress” and carry on silently for years.

In short, chronic pelvic pain is a real, recognised medical condition, and it deserves a proper evaluation.

What Are the Symptoms of Chronic Pelvic Pain?

Chronic pelvic pain can feel like a dull ache, a sharp stab, burning, pressure or heaviness in the lower abdomen or pelvis. The pattern differs from person to person.

Common ways it shows up include:

• A constant or on-and-off ache in the lower belly
• Sharp, stabbing or burning pain in the pelvis, genital area or around the tailbone
• Pain that spreads to the lower back, buttocks or thighs
• Pain while sitting for long periods
• Pain during or after intercourse
• Pain linked to periods, urination or bowel movements
• A frequent or urgent need to pass urine
• A feeling of pressure or fullness in the pelvis

These symptoms can overlap with other conditions, which is why a proper assessment matters more than self-diagnosis.

If your pain matches several of these descriptions, it is worth getting it checked rather than waiting for it to settle on its own.

What Causes Chronic Pelvic Pain in Women and Men?

Chronic pelvic pain can have many causes across the reproductive, urinary, digestive, muscular and nervous systems, and in many people more than one cause is at work.

Doctors usually think about the possibilities in groups:

• Gynaecological causes: endometriosis, adenomyosis, fibroids, pelvic adhesions, long-standing pelvic infection and pelvic congestion
• Urinary causes: bladder pain syndrome, also called interstitial cystitis
• Bowel causes: irritable bowel syndrome and long-standing constipation
• Muscle and joint causes: a tight or overactive pelvic floor, trigger points in the abdominal or pelvic muscles, hernias and sacroiliac joint problems
• Nerve causes: irritation or entrapment of the pudendal nerve, or nerve injury after surgery or childbirth
• Causes in men: prostate-related pain, pelvic floor muscle tension and nerve irritation

Guidelines from the RCOG point out that doctors should look for contributing factors, not hunt for a single culprit. Research also suggests that in nearly one in three patients no single clear trigger is found. That does not mean there is nothing wrong. It means the pain system itself may need treatment.

Knowing the likely sources of your pain is the first step towards a plan that actually fits you.

Why Does Chronic Pelvic Pain Continue Even When Scans Look Normal?

Pelvic pain can continue after tests look normal because long-standing pain can change how the nervous system works, making it more sensitive and keeping the pain “switched on”.

When pain lasts for months, the nerves in the pelvis and the pain pathways in the spinal cord and brain can become over-responsive. This is often called central sensitisation. The pelvic floor muscles may also stay tense as a protective reflex, which causes more pain in a loop that feeds itself.

This is why a scan or blood test can come back clear while the pain is very real. Pain medicine looks at this nerve and muscle side of the problem, which is where a pain specialist’s approach adds value alongside gynaecology, urology and gastroenterology.

A normal report does not mean the pain is imaginary. It often means the answer lies in how nerves and muscles are behaving.

How Is Chronic Pelvic Pain Diagnosed?

Diagnosis begins with a detailed conversation and physical examination, followed by only those tests that are likely to help.

A typical evaluation may include:

• A detailed history: when the pain began, what makes it better or worse, and how it links with periods, urination, bowel habits, sitting or intercourse
• A pain diary: noting your pain levels over a few weeks often reveals patterns
• A physical examination: checking the abdomen, back, hips and pelvic floor muscles for tender spots
• Basic tests: urine tests, infection screening and an ultrasound scan are commonly used first
• Further tests when needed: MRI, or procedures such as laparoscopy or cystoscopy, which are done by the relevant gynaecology or urology team
• Diagnostic nerve blocks: sometimes a small, targeted injection is used to find out whether a particular nerve is the source of pain

Please bring your earlier reports, scans and a list of medicines to the first visit. It saves time and avoids repeating tests.

The goal of diagnosis is not to label you, but to find out which parts of your pain can be treated.

What Are the Treatment Options for Chronic Pelvic Pain?

Treatment depends on the cause and is usually built in steps, starting with the least invasive options. Most people benefit from a combination, not a single treatment.

Medicines: Pain relievers, nerve-pain medicines, muscle relaxants or hormonal treatment may be used depending on the diagnosis. Long-term, unsupervised painkiller use is best avoided.

Pelvic floor physiotherapy: Specially trained physiotherapists teach relaxation and stretching techniques for tight pelvic muscles. For many patients this is a core part of recovery.

Treating the underlying condition: Endometriosis, bladder pain syndrome, bowel problems or infections are managed alongside gynaecology, urology or gastroenterology colleagues.

Pain-coping and psychological support: Pain and the nervous system influence each other. Techniques such as relaxation training and pain-coping strategies can reduce how intensely pain is felt. This does not mean the pain is “in the mind”.

Interventional pain procedures: When pain continues despite the steps above, targeted procedures may be considered, such as:

• Trigger point injections for tender knots in muscles
• Pudendal nerve blocks for pain in the genital, perineal or anal region
• Hypogastric plexus or ganglion impar blocks for deep pelvic and tailbone-area pain
• Pulsed radiofrequency treatment of specific nerves in selected patients

These procedures are image-guided and done as day-care or short-stay treatments. Evidence is still developing and response differs from person to person. For example, one randomised trial in patients with chronic pelvic pain of unclear cause reported greater short-term pain reduction with an inferior hypogastric plexus block than with acupuncture, though the study was small and follow-up was short. A pain specialist will discuss with you whether a procedure is appropriate, what it may or may not achieve, and the risks involved.

Surgery: When a structural problem such as endometriosis or a hernia is identified, surgery may be considered by the relevant surgical team.

No single treatment suits everyone. The right plan is the one built around your cause, your symptoms and your daily life.

When Should You See a Pain Specialist for Pelvic Pain?

You should consider seeing a pain specialist if pelvic pain has lasted more than a few months, interferes with daily life, or has not improved with the treatment you have already tried.

Common situations include:

• Pain persisting despite medicines or earlier treatment
• Repeated tests that show no clear cause
• Pain affecting sitting, walking, work or intimacy
• Medicines giving only limited relief or causing side effects

Seek urgent medical care if you have sudden severe pelvic pain, fever, heavy bleeding, blood in urine or stool, inability to pass urine, unexplained weight loss, or pelvic pain during pregnancy.

Reaching out early often shortens the journey from “I do not know what is wrong” to “I have a plan”.

What Can You Do at Home to Ease Chronic Pelvic Pain?

Simple self-care steps can ease discomfort and support your treatment, though they do not replace a medical evaluation.

• Use a warm compress or warm bath for muscle tension
• Walk or move gently each day, and avoid staying in one position for too long
• Practise slow belly breathing to help the pelvic floor relax
• Use a soft cushion if sitting is painful
• Keep bowel and bladder habits regular, with enough water and fibre
• Pace your activities, balancing effort with rest
• Maintain a pain diary to share with your doctor

Small, consistent habits often help your treatment work better.

How Does Dr. Namrata Dabas Approach Chronic Pelvic Pain?

Dr. Namrata Dabas is a pain management and regenerative medicine specialist who takes a step-by-step, patient-centred approach to chronic pelvic pain.

Her approach focuses on:

• Listening first: understanding your pain story, not just your reports
• Mapping the pain: identifying which nerves, muscles or organs may be contributing
• Working as a team: coordinating with gynaecologists, urologists, physiotherapists and other specialists when needed
• Starting with the least invasive options: moving to procedures only when appropriate
• Setting realistic goals: aiming for better function and manageable pain, with the outcome varying from person to person

Every treatment is discussed with you in advance, including its purpose, benefits and possible risks, so that decisions are made together.

A clear explanation and a plan you understand are as important as the treatment itself.

Where Can You Consult for Chronic Pelvic Pain Treatment in Delhi-NCR?

Dr. Namrata Dabas sees patients across three locations in Delhi-NCR, so you can choose what is most convenient.

• Dwarka, Delhi: Consultation at Manipal Hospital Dwarka
• Sonipat, Haryana: Procedures at Manipal Jivisha Cancer Centre
• Gurugram, Haryana: Consultation at Manipal Hospital Palam Vihar

Patients also travel from Rohtak, Panipat, Karnal and other parts of Haryana and Delhi-NCR for evaluation and treatment.

If pelvic pain has been part of your life for months, an appointment is a practical first step towards understanding it.

Medical Disclaimer: The information on this page is provided for educational purposes only and should not be used as a substitute for medical advice. Treatment recommendations vary  from person to person and should always be based on an individual consultation and clinical evaluation by a qualified healthcare professional.