Pelvic pain refers to ongoing or recurrent pain in the lower abdomen or pelvis, which may be cyclical, constant, or related to activities such as sex or bowel movements.
Pelvic pain can be exhausting, frustrating, and often hard to explain. It may come and go with your cycle, occur during sex, or be present most days. Many women live with pelvic pain for years without clear answers.
Pain is not something you should have to tolerate. When it persists or affects your quality of life, it deserves careful assessment.
Pelvic Pain
When pain becomes part of everyday life
What causes pelvic pain
Pelvic pain may be caused by:
Ovarian cysts
Pelvic adhesions
Pelvic floor dysfunction
Bowel or bladder involvement related to gynaecological disease
Because symptoms often overlap, specialist imaging and assessment are essential to identify what is actually happening.
How pelvic pain is assessed
Understanding pelvic pain starts with listening to your story — when it began, how it changes through your cycle, and how it affects your daily life.
Assessment usually includes specialist pelvic ultrasound, which can identify:
Endometriosis (superficial and deep)
Adenomyosis
Fibroids
Ovarian cysts
Reduced organ mobility and adhesions
In some cases, further imaging or laparoscopic surgery may be recommended.
My training in advanced pelvic ultrasound and fellowship-trained laparoscopic surgery allows pain to be investigated with far greater precision than standard care.
Treatment options
Treatment depends on what is causing the pain and what matters most to you. This may include:
Pain relief and anti-inflammatory medication
Hormonal treatments
Targeted treatment for conditions such as endometriosis or fibroids
Laparoscopic (keyhole) surgery when appropriate
Physiotherapy to address pelvic floor muscle dysfunction
Dietary changes
Pain specialist input
Some women need only simple management. Others benefit from more specialised care. We will work through your options carefully so you can make informed decisions.
How I can help
I specialise in the diagnosis and treatment of pelvic pain, combining specialist ultrasound with fellowship-trained minimally invasive surgery to understand what is happening and plan care with precision.
For many women, having a clear diagnosis is the first step toward relief.
Related services
Book a pelvic pain consultation in Auckland
If you are living with pelvic pain or discomfort, you can book a consultation online.