Persistent pelvic pain, heavy menstrual bleeding, bloating, pelvic pressure, or urinary changes are often brushed off as “just part of being a woman.” But when these symptoms start interfering with work, relationships, sleep, or everyday comfort, they may be signs of an underlying gynecologic condition that deserves attention.
Common causes of ongoing pelvic discomfort include uterine fibroids, endometriosis, adenomyosis, ovarian cysts, and other hormonal or structural concerns. While mild cramping during a period can be normal, pain that worsens over time, becomes intense, or disrupts daily life is not something you have to simply tolerate. Early evaluation can open the door to more conservative, effective treatment options and help prevent symptoms from progressing.
Dr. Leveno, OBGYN, provides comprehensive gynecologic evaluation and personalized treatment at Medical City Plano in Plano, Texas, for women experiencing chronic pelvic symptoms. His approach focuses on identifying the exact cause of discomfort and creating a plan that fits each woman’s symptoms, lifestyle, and future goals.
When Are Pelvic Symptoms a Sign of Something More Serious?
Occasional discomfort during menstruation is common. However, certain warning signs suggest a deeper issue that should not be ignored.
Symptoms that warrant evaluation include:
- Heavy menstrual bleeding that requires frequent pad or tampon changes
- Periods lasting longer than seven days
- Pelvic pain that radiates to the back or legs
- Bloating or abdominal fullness that persists beyond the menstrual cycle
- Pressure symptoms affecting the bladder or bowel
- Pain during intercourse
- Difficulty conceiving
Pain that interferes with daily activities is not something women should simply “push through.” Conditions such as fibroids can enlarge over time, causing increased bleeding and pelvic pressure. Endometriosis can lead to inflammation and scarring that may worsen without treatment. Identifying the cause early can prevent progression and improve long-term quality of life.
What Conditions Commonly Cause Chronic Pelvic Pain?
Uterine fibroids are noncancerous growths of the uterus that can contribute to heavy bleeding, pelvic fullness, and urinary frequency. Depending on size and location, fibroids may affect fertility or pregnancy outcomes.
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. This condition often causes significant menstrual pain, discomfort during intercourse, and sometimes infertility. Symptoms may intensify over time if left untreated.
Adenomyosis involves thickening of the uterine wall and can lead to heavy, painful periods. Ovarian cysts may also contribute to pelvic pressure or sudden pain episodes.
Dr. Leveno emphasizes that getting the right diagnosis comes first. “We need to understand exactly what’s causing the pain before deciding on treatment,” he explains. “Surgery isn’t always the first option. Many women feel much better with less invasive treatments that are tailored to their symptoms and future plans.”
How Are Fibroids and Endometriosis Treated?
Treatment depends on the severity of symptoms, future fertility plans, and overall health. Options may include:
- Hormonal therapy to regulate bleeding and reduce pain
- Anti-inflammatory medications for symptom control
- Minimally invasive surgical procedures when necessary
- Imaging studies such as ultrasound to monitor structural changes
- Fertility-focused planning when pregnancy is desired
In many cases, early medical management can significantly reduce symptoms and delay or prevent the need for more invasive procedures. When surgery is appropriate, minimally invasive techniques may allow for faster recovery and less disruption to daily life.
When to Seek Care for Pelvic Pain
Waiting too long to address persistent pelvic symptoms can allow conditions to worsen and, in some cases, limit treatment options. Early evaluation provides clarity, reassurance, and access to a wider range of solutions. A thorough assessment may include a pelvic exam, ultrasound imaging, hormone testing, and a detailed discussion about your symptoms and cycle patterns.
Many women normalize discomfort for years before seeking help. However, real relief begins with understanding the cause. Addressing pelvic pain and heavy periods early may help preserve fertility, reduce complications, and improve overall quality of life.
Personalized Gynecologic Care in Plano Texas
In Plano, Texas, Dr. Leveno offers comprehensive gynecologic care for women experiencing pelvic pain, heavy menstrual bleeding, and related concerns. His approach centers on accurate diagnosis, individualized treatment planning, and long-term symptom management tailored to each woman’s needs and goals.
You do not have to accept chronic pelvic pain or disruptive periods as normal. If symptoms are affecting your daily life, schedule a consultation with Dr. Leveno in Plano, Texas to explore your options and create a treatment plan designed to help you feel like yourself again.