Complex Pain + Sexual Wellness Care

Pelvic Pain

A more careful, root-cause approach to pelvic pain — for patients who need a thoughtful evaluation of urinary, gynecologic, musculoskeletal, pelvic floor, and sexual health factors that may all overlap.

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Why It’s Complex The live page describes pelvic pain as a multifactorial condition that may involve gynecologic, urinary, gastrointestinal, or musculoskeletal causes.¹

Who It Affects Pelvic pain can affect women and men, and the cause is not always obvious at first.^{2, 3}

How It’s Evaluated History, exam, lab testing, and imaging often help narrow the cause and shape the next step.^{1, 2, 3}

Treatment Style Medication, physical therapy, lifestyle support, and condition-specific treatment may all play a role.^{1, 2}

A More Intelligent Pelvic Pain Workup

Pelvic pain is rarely simple, and it should not be rushed.

The current Joshua R. Gonzalez page describes pelvic pain as common, complex, and often connected to multiple possible systems at once. That is the right starting point. Pelvic pain may involve urinary issues, pelvic floor dysfunction, gynecologic conditions, bowel symptoms, musculoskeletal strain, nerve irritation, or a combination of several contributors.

The most useful service page therefore does not pretend there is one universal cause. It signals that the consultation is built to sort through overlapping patterns carefully and create a plan based on what the pain is actually doing.

Urinary

Bladder and urinary contributors

Pelvic pain may overlap with urinary urgency, infections, bladder pain, or other lower urinary tract symptoms.^{1, 3}

Gynecologic

Hormonal and reproductive causes

Pelvic pain can be linked to gynecologic conditions, especially when symptoms are cyclical, intercourse-related, or persistent.^{1, 4}

Musculoskeletal

Pelvic floor and body mechanics

Muscle tension, pelvic floor dysfunction, and referred pain can all contribute to ongoing pelvic discomfort.^{2, 4}

Emotional Load

Pain affects more than the body

Chronic pelvic pain often affects sleep, intimacy, concentration, mood, and overall quality of life.^{1, 4}

What Evaluation May Include

A broader diagnostic lens

The live page already describes a strong framework: detailed medical history, physical examination, blood and urine testing, and imaging such as ultrasound, MRI, or CT when appropriate.¹

Evaluation may include

Detailed symptom and pain history
Pelvic and focused physical examination
Urine and blood testing
Imaging when clinically appropriate
Review of urinary, bowel, sexual, and activity triggers
Assessment of pelvic floor and musculoskeletal patterns

Treatment may include

Medication for pain, inflammation, or infection when indicated
Pelvic floor physical therapy
Lifestyle and stress support
Condition-specific medical treatment
Multidisciplinary coordination when needed
Follow-up focused on function and symptom improvement

FAQ

Frequently asked questions

What can cause pelvic pain? +

Pelvic pain can come from urinary, gynecologic, gastrointestinal, musculoskeletal, infectious, nerve-related, or pelvic floor causes, and some patients have more than one contributor at the same time.^{1, 2, 3, 4}

How is pelvic pain diagnosed? +

Evaluation often includes symptom history, physical exam, urine or blood tests, and sometimes imaging such as ultrasound, CT, or MRI depending on the clinical picture.^{1, 2, 3}

Can pelvic pain become chronic? +

Yes. Chronic pelvic pain can persist or recur over time and may affect daily activities, emotional health, and intimacy.^{1, 4}

Is pelvic floor therapy sometimes part of treatment? +

Yes. Pelvic floor physical therapy is often part of multimodal care when muscular or pelvic floor dysfunction contributes to symptoms.^{1, 4}

When should I schedule an evaluation? +

If pelvic pain is persistent, recurring, worsening, interfering with urination, sex, exercise, or daily comfort, it is worth getting a more complete evaluation.

Contact the Office

Ready for a more thorough workup?

If you are experiencing pelvic pain in Los Angeles and want a more thoughtful, root-cause evaluation, request a consultation with Joshua R. Gonzalez, MD.

5757 Wilshire Blvd, Suite 475
Los Angeles, CA 90036
(323) 607-2895
Monday–Friday: 9:00 AM–5:00 PM

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Clinical references

1. Joshua R. Gonzalez, MD — Pelvic Pain 2. Cleveland Clinic — Pelvic Pain 3. MedlinePlus — Pelvic Pain 4. ACOG — Chronic Pelvic Pain