Discover the causes and treatments of left pelvic pain, by the hand of experts in the field of medicine. Find relief today!

Discover the causes and treatments of left pelvic pain, by the hand of experts in the field of medicine. Find relief today!

The pain in the left pelvic area can be a worrying symptom that can indicate various underlying conditions both in men and women. The pelvic region covers various structures, such as reproductive organs, urinary bladder and the large intestine. When pain is experienced in this specific area, it is crucial to determine the possible causes and seek medical attention if necessary. In this article, we will explore some of the possible causes of left pelvic pain, the common symptoms that accompany him and when to consult a healthcare professional.

1. Gynecological causes: women can experience left pelvic pain due to gynecological conditions such as ovarian cysts, endometriosis or ectopic pregnancy. Ovarian cysts are bags full of liquid that can be formed on the surface of the ovary. Sometimes they can cause pain or discomfort, especially if they break or become large. Endometriosis is a disease in which the tissue that covers the uterus begins to grow out of it. This abnormal growth of tissue can cause pelvic pain, especially during menstruation. Ectopic pregnancy occurs when a fertilized ovule is implanted outside the uterus, usually in the fallopian tube. This can cause acute pain on one side of the pelvis as pregnancy progresses.

  1. Ovarian cysts
  2. Endometriosis
  3. Ectopic pregnancy

2. Causes of the urinary tract: left pelvic pain can also be attributed to urinary tract conditions, such as renal calculation or an urinary tract infection (ITU). Kidney stones are hard deposits that are formed in the kidneys and that can cause unbearable pain when they cross the urinary tract. This pain can radiate from the back to the left pelvic region. STIs, on the other hand, occur when bacteria penetrate the urinary system and can cause pain or burning sensation when urinating. The left pelvic pain associated with an IU can be accompanied by frequent urination, murky urine or fever.

  • Kidney calculations
  • Urinary tract infection (ITU)

3. Gastrointestinal causes: Gastrointestinal problems can also contribute to left pelvic pain. Conditions such as diverticulitis and irritable bowel syndrome (IBS) can cause discomfort or pain in the lower left abdomen, which can extend to the pelvic area. Diverticulitis occurs when small pouches in the walls of the colon become inflamed or infected. This can cause abdominal pain on the left side and changes in bowel movements. IBS, a disorder that affects the large intestine, can cause abdominal pain, bloating, and changes in bowel habits. These symptoms can also manifest in the left pelvic region.

  • Diverticulitis
  • Irritable bowel syndrome (IBS)

When to seek medical attention
Warning signs Possible causes
Bleeding or spotting Possible gynecological problems
Fever and chills Possible infection
Severe or worsening pain Emergency situation – seek immediate medical help

Common Causes of Left Pelvic Pain

  1. Diverticulitis: Diverticulitis is a condition characterized by inflammation or infection of small pouches (diverticula) that form in the lining of the colon. When these pouches become inflamed or infected, they can cause left pelvic pain, abdominal tenderness, fever, and changes in bowel habits. Treatment usually consists of antibiotics and a temporary modification of the diet.
  2. Ovarian cysts: Ovarian cysts are fluid-filled sacs that develop in the ovaries. These cysts can vary in size and cause left pelvic pain if they enlarge or rupture. Other symptoms may include bloating, pelvic pressure, and changes in menstrual patterns. Most ovarian cysts resolve on their own, but in some cases surgery may be necessary.
  3. Urinary tract infections (UTI): Urinary tract infections occur when bacteria enter the urinary tract and multiply, causing an infection. Left pelvic pain can be a symptom of a UTI, along with frequent urination, a burning sensation when urinating, and cloudy urine. UTIs are usually treated with antibiotics, and drinking plenty of water helps eliminate bacteria.

“Left pelvic pain can be caused by conditions such as diverticulitis, ovarian cysts, and urinary tract infections.”

It is important to note that left pelvic pain should be evaluated by a healthcare professional to accurately diagnose the underlying cause. In some cases, further diagnostic tests, such as imaging studies or laboratory tests, may be necessary to determine the exact cause of the pain. Prompt medical attention can help relieve discomfort and prevent any possible complications associated with the underlying condition causing left pelvic pain.

Gynecological Conditions and Left Pelvic Pain

Ovarian Cysts

Ovarian cysts are fluid-filled sacs that can develop on or inside the ovaries. These cysts can vary in size and often go unnoticed, causing no symptoms. However, larger cysts or those that rupture can cause left pelvic pain, along with other symptoms such as bloating, abdominal discomfort, and irregular menstrual cycles. In some cases, ovarian cysts may require medical intervention, especially if they cause severe pain or complications.

Ovarian cysts can cause left pelvic pain, along with bloating and irregular menstrual cycles. Seek medical attention if the pain becomes severe or if other complications arise.


Endometriosis is a disease in which the tissue that normally lines the uterus grows outside of it, causing inflammation, scar tissue formation, and pain. Left pelvic pain is a common symptom of endometriosis, often accompanied by heavy or irregular menstrual bleeding, pain during intercourse, and fertility problems. The intensity of the pain can vary, and may worsen during menstruation or with certain activities. Early diagnosis and treatment of endometriosis are important to minimize symptoms and preserve reproductive health.

Signs and symptoms: Treatment options:
  • Pain in the left pelvic area
  • Heavy or irregular menstrual bleeding
  • Pain during intercourse
  • Fertility problems
  1. Analgesics
  2. Hormone therapy
  3. Surgery

Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is an infection of the female reproductive organs, mainly caused by sexually transmitted bacteria. Left pelvic pain is a common symptom of PID, which may also be accompanied by fever, abnormal vaginal discharge, and painful urination. If left untreated, PID can lead to serious complications, such as fertility problems and chronic pelvic pain. Prompt medical attention and appropriate antibiotic treatment are crucial to controlling PID and preventing its long-term consequences.

Pelvic inflammatory disease usually presents with left pelvic pain, fever, and abnormal vaginal discharge. Seek immediate medical treatment to prevent complications.

Digestive Issues and Left Pelvic Pain

A frequent digestive problem that can contribute to left pelvic pain is diverticulitis. Diverticulitis occurs when the small bulging bags of the digestive tract, known as diverticula, infect or inflame. This disease mainly affects the large intestine and can cause acute pain or cramp type in the lower left of the abdomen and the pelvic area. Other symptoms of diverticulitis can be fever, nausea, vomiting, constipation and changes in intestinal habits.

Important information:

If you experience intense left pelvic pain accompanied by fever, chills, persistent vomiting or blood in the stool, seek immediate medical attention, since it can indicate a more serious condition, such as intestinal obstruction or an infection that requires immediate treatment.

Another possible cause of left pelvic pain related to digestive problems is irritable intestine syndrome (SII). SII is a functional gastrointestinal disorder characterized by abdominal pain, swelling and changes in intestinal habits without any apparent structural anomaly. Although the exact cause of the SII is not clear, it is believed that it implies a combination of abnormal intestinal contractions, hypersensitivity to pain and alterations in communication between the brain and the intestine. The left pelvic pain can be a frequent symptom in people with SII.

Musculoskeletal Problems and Left Pelvic Pain

A common musculoskeletal problem that can contribute to left pelvic pain is a muscular distension or sprain. A distension or sprain of the muscles of the pelvic area, such as hip flexors, can cause localized pain on the left side. This lesion can occur during physical activities that involve sudden movements, overexertion or inappropriate lifting techniques. Some symptoms of a muscular distension or sprain are sensitivity, swelling, limitation of the amplitude of movement and muscle weakness.

Key point: musculoskeletal problems can cause left pelvic pain, which can be a consequence of muscle dishes or sprains in the pelvic area. The symptoms of muscle distensions or sprains include sensitivity, swelling, limitation of the amplitude of movement and muscle weakness.

In addition to muscle distensions or sprains, conditions such as osteoarthritis can also contribute to left pelvic pain. Arthrosis is a degenerative joint disease characterized by cartilage degradation between the joints. When this occurs in pelvic joints, it can cause chronic pain on the left side. Pain can worsen with physical activity and be accompanied by rigidity and reduced mobility.

  • Osteoarthritis: Degenerative joint disease that can cause chronic left pelvic pain, stiffness, and reduced mobility.
  • Muscle strains or sprains: Injuries to the muscles in the pelvic area that cause localized pain on the left side, tenderness, swelling, limited range of motion and muscle weakness.

Left Pelvic Pain: When to Seek Medical Help

One of the key factors to consider when experiencing left pelvic pain is the intensity and duration of the pain. Severe or persistent pain that lasts more than several hours or that intensifies over time may indicate a more serious underlying condition. Additionally, if the pain is accompanied by other worrying symptoms such as fever, vomiting or vaginal bleeding, it is crucial to seek immediate medical help.

Warning signs that indicate the need for a medical evaluation

  • Severe or worsening left pelvic pain
  • Persistent pain that lasts more than a few hours
  • Pain accompanied by fever
  • Vomiting or nausea along with pelvic pain
  • Unexplained vaginal bleeding

The presence of any of these red flags suggests the possibility of a serious underlying condition, such as an ectopic pregnancy, ovarian torsion, or pelvic inflammatory disease. Ignoring these symptoms or delaying medical care can cause complications and worsen the prognosis. It is always best to err on the side of caution when it comes to your health, and seeking prompt medical evaluation for left pelvic pain can help provide a timely diagnosis and appropriate treatment.

Treatment Options for Left Pelvic Pain

Treatment Options for Left Pelvic Pain

  1. Medication: Depending on the underlying cause of the pain, over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may be recommended to relieve discomfort. In cases where the pain is caused by infection or inflammation, antibiotics or anti-inflammatories may be prescribed.
  2. Physical therapy: When left pelvic pain is due to musculoskeletal problems or conditions such as pelvic floor dysfunction, physical therapy may be beneficial. A physical therapist can provide specific exercises and techniques to strengthen muscles, improve flexibility, and reduce pain in the pelvic area.
  3. Lifestyle changes: Making certain lifestyle modifications can help control and prevent left pelvic pain. This may include maintaining a healthy weight, practicing good posture, avoiding heavy lifting, and regularly performing low-impact exercises that promote pelvic stability and strength.

It is essential to consult a healthcare professional to receive an adequate diagnosis and an individualized treatment plan for left pelvic pain. The therapeutic approach will depend on the underlying cause of pain and can imply a combination of different modalities, such as medication, physiotherapy and lifestyle modifications.

In addition, certain alternative therapies such as acupuncture, relaxation techniques and hot/cold compresses can be considered to complement traditional treatment methods. It is essential to comment on these options with a healthcare professional to guarantee their safety and effectiveness in the treatment of left pelvic pain.

Possible causes: Treatment options:
Endometriosis Medication, hormonal therapy, surgery
Urinary infection Antibiotics, fluid increase
Ovarian cyst Watchful waiting, medication, surgery
Diverticulitis Antibiotics, changes in diet
Uterine fibroids Medication, hormonal therapy, surgery

Each case of left pelvic pain is unique, and treatment options can vary accordingly. It is crucial to give priority to the orientation of a healthcare professional to obtain an accurate diagnosis and a personalized treatment plan that addresses the specific cause and the severity of pain.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

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