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Pelvic Pain

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Causes of Pelvic Pain

Gynaecological

  • Endometriosis
  • Ovarian cysts
  • Pelvic infection
  • Pelvic congestion

Gastrointestinal

  • Inflammatory bowel conditions eg Crohn’s or Ulcerative Colitis
  • IBS (irritable bowel syndrome)
  • Diverticulitis
  • Adhesions (scarring)
  • Constipation

Urinary tract/pelvic floor

  • Bladder pain syndromes
  • Pelvic floor muscle spasm
  • Chronic infection

Musculoskeletal

  • Back disease including facet joint or disc problems
  • Pelvic girdle instability
  • Hip disease
Pelvic pain is one of the most common symptoms experienced by women ranging from pain during the period to pain throughout the cycle. It may be associated with other symptoms including pain during intercourse and bowel or urinary dysfunction.

The pelvis contains a number of organs such as the womb, ovaries, small and large bowel as well as muscles, ligaments and nerves which means that it can sometimes be difficult to work out the underlying cause or causes of symptoms.

Assessment is by taking a comprehensive history of all of the symptoms together with careful examination. Investigations would normally include: screening for pelvic infection and a pelvic ultrasound scan. MRI can also be useful. In the right circumstances the gold standard test is to perform a diagnostic laparoscopy (keyhole surgery to examine the pelvis) which allows accurate diagnosis but also treatment of conditions eg endometriosis or adhesions. This also will allow Mr Miskry to assess whether there are implications for future fertility.

Request an appointment

Clinics are three times a week and Gail will help you arrange a time to see Mr Miskry and if necessary a scan on the same day.

If you are pregnant, you can expect to have a number of routine tests and appointments and you can find out more about the schedule of care here.

Appointments can be arranged by phone or email.

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    FAQs

    These are some of our most commonly asked questions, but you can see all of them here

    Do I need a GP referral for private treatment?

    No. However if you have private medical insurance please check with your insurer as they may require a GP referral in order to provide cover.

    Where does Mr Miskry see patients?

    All clinics are held at 148 Harley Street.

    Where does Mr Miskry perform operations?

    The Lindo Wing, St Mary’s Hospital and King Edward VII’s Hospital.

    If I have a private consultation will this alter my care in the NHS?

    No. Your treatment or position on an NHS waiting list will not be affected by having had a private consultation/surgery.

    Are tests included in my consultation fee?

    Any tests Mr Miskry recommends as part of your care are payable directly to the clinic/lab/hospital where they are carried out and are not part of our fees.

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