OB-GYN (Obstetrician-Gynecologist) Questions Abdominal Pain

What causes pelvic pain at night?

My pelvis is aching at night when I'm trying to sleep, but it's usually gone by the morning. What could possibly cause this? I'm also 43 years old.

5 Answers

It is uncertain, based on your narration, the possible cause of your nocturnal pelvic pain - which sounds atypical. I would recommend a visit with your physician to initiate a thorough work-up of the underlying cause.
It could be your sleep position.
It could be ovulatory, after intercourse, or need to see a gynecologist to r/out some more serious problem.
Very difficult if not impossible to know without physical examination and possible ultrasound imaging of your pelvis. 1st step would be to determine if the pain is indeed gynecologic or some other cause such as bowels or bladder or other pelvic issues. If pain tends to cycle with your menstrual cycles (if uterus still present and still having regular cycles) then could be a uterine cause such as fibroids or polyps or adenomyosis or endometriosis. If pain cycling between her menstrual periods could then be ovarian such as endometriosis. Pelvic ultrasound would probably be helpful as as well as a thorough pelvic exam. Uncertain how long this is been going but highly recommend be seen for evaluation.
Make sure you have check up done by gynecologist rule out any prolapse