Causes of Pelvic Pain

Clinical Evaluation of Pelvic Pain
  • Approach to the Patient
     with pelvic pain

  • History
  • Physical Examination
  • Laboratory Tests
  • Laparoscopy and

Patients review Dr Eric Daiter

Click here for more video reviews

How Can I help You?

Dr Eric Daiter has tremendous experience in the diagnosis and treatment of persistent pelvic pain. If you are not getting effective care for your pelvic pain, Dr Eric Daiter is happy to help you (in the office or on the telephone). It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).


"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."


"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."

Need help or have a question?



Email (Will be kept private):

How can we help?:

Verify code above:

The physical examination attempts to detect anatomic locations of tenderness, determine whether the pain bringing the patient to the office is reproduced when these regions are palpated, and develop a differential diagnosis (or list of possible problems) that includes the cause of the pain

The examination may include observation of how the patient stands and walks since a woman’s posture and gait may reveal abnormal curvature of her spine (lordosis or kyphosis), a limp or a shuffle.

Examination of the patient as she lies down flat can determine dysfunction or spasm of the psoas muscle (patient flexes one thigh against resistence and positive result if pain is elicited), the obturator muscle (patient with leg flexed at hip 90 degrees has ankle immobilized and the knee is gently pulled laterally and then medially with positive result if pain is elicited), the gallbladder (apply deep subcostal palpation during inspiration and positive sign if pain results), the pubic symphysis (palpated for tenderness), or the abdominal viscera (distention, ascites, palpable masses, guarding, rigidity, or abnormal bowel sounds).

The gynecological or lithotomy examination can determine abnormalities of the external genitalia and vaginal vault (redness, ulceration, discharge, trauma, fissures, pelvic floor defects, tenderness of the underlying musculature, or urethral tenderness), the cervix (cervical motion tenderness suggests an infection or trauma), the uterus (tenderness suggests infection, adenomyosis, pelvic congestion syndrome, endometriosis, or degenerating fibroids and if the uterus is fixed in place this suggests massive pelvic adhesions or endometriosis), and the adnexae (excessive ovarian or tubal pain suggests infection, abnormal or hemorrhagic ovarian cysts, pelvic adhesions or endometriosis). If there are significant gastrointestinal symptoms a rectal examination should also be performed to look for underlying muscular tenderness, nodularity suggestive of endometriosis, abscesses, fissures, or masses that may signify colorectal carcinomas.

Bookmark This Site  |   Read More Tutorials

The NJ Center for Fertility and Reproductive Medicine