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August 27, 2026 |
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What all women should know about pelvic painAs a board-certified gynecologist and expert in pelvic pain, I hear versions of this story every single day in my practice: a patient has been dealing with debilitating pain for years, perhaps horrible periods, or pain with sex. |
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Image by Karen Tang, M.D. x mbg moves |
Some cramping is common, but if you're regularly calling out sick, unable to participate in daily activities, or the pain comes with other red flags like severe bowel problems, that's different.
- Endometriosis is probably the most common cause of severely painful periods, and it often travels with bowel symptoms that get mistaken for irritable bowel syndrome. Other potential causes are uterine fibroids or adenomyosis.
- Painful sex is the other big one people normalize. A little discomfort when you're new to being sexually active, postpartum, or perimenopausal is normal, but excruciating pain is not something to push through. There are causes like endometriosis, vaginismus, or changes of menopause that can be treated to make sex more comfortable.
- Of course, there can be many other causes of pelvic pain too, which is why it’s important to discuss your individual symptoms with a doctor.
Just because pain is common doesn't mean it's normal, and you don't have to spend a quarter of your life in pain to prove it's real.
Find my full article here for a breakdown of what symptoms to look for, possible causes, how to talk to your doctor about it, and possible treatment options, and learn more about all of this and more in my book, It's Not Hysteria —Karen Tang, M.D., minimally invasive gynecologic surgeon +Put an end to pain
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Ailsa Cowell, M.S. |
Health Editor |
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Just a heads-up: Everything in this newsletter is for general info only—not medical advice. We always recommend checking in with a healthcare professional before making any health decisions. Our product picks and reviews reflect our editors’ opinions unless we say otherwise. We sometimes link to other sites, but we’re not responsible for their content.
*These statements haven’t been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.
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