Gynecologic Health

Premier Health providers answer frequently asked questions about prevention and wellness for women.

What are some non-surgical treatments and over-the-counter medicine options for pelvic pain?

Dr. Larry Holland explains treatment options for pelvic pain. Click play to watch the video or read the transcript.

What are some non-surgical treatments and over-the-counter medicine options for pelvic pain?

I think when you look at the treatment options as far as pelvic pain goes, you look at the fact that you want to treat it kind of as fluidity in regards to the woman's reproductive life. And it depends where they are in that reproductive life, as far as what you're going to do. But for endometriosis, it could be treated medically. And initially, you could try to treat it medically from that perspective. If that's not efficient, or controls her pain from that perspective, then you can look at surgical options.

For the painful periods or dysmenorrhea, you would treat that with medications. You can try over-the-counter, non-steroidal medications like Motrin and Advil or Aleve. And then if that doesn't work, you can try other prescriptive medications from that perspective.

And then when you look at pelvic inflammatory disease, you're really trying to treat the infection. And by treating the infection, you're trying to prevent the adhesion formation inside the pelvis. Because once the patient forms adhesions, there's nothing to really treat that, short of surgical intervention.


Treatments depend on where a woman is in her reproductive life. Options will vary for a woman who is planning to have children and a woman in menopause.

For endometriosis, medicine is the first approach. If the body does not respond to the medicine, surgery may be needed.

Pelvic inflammatory disease is an infection of the reproductive organs, so the first step is to treat that infection with antibiotics. This can also prevent scarring and adhesions from forming in the fallopian tubes. If adhesions do form, surgery may be necessary.

For painful periods or dysmenorrhea, we first try over-the-counter, non-steroidal medicines like Motrin or Advil or Aleve. If symptoms don’t improve, we move to prescription pain medicines.

Learn more:

Source: Rashmi Bolinjkar, MD, Upper Valley Womens Center; Jeremy Crouch, MD, Womens Health Specialists and Midwives of Dayton; Heather Hilkowitz, MD, Hilltop Obstetrics and Gynecology; Amanda Fox, CNP, Dulan and Moore Dulan Family Wellness Center; Kathryn Lorenz, MD, Hyatt Family Care; William Rush, MD, Lifestages Samaritan Centers for Women; Jerome Yaklic, MD, Wright State Physicians Obstetrics and Gynecology; Mansi Amin, DO, SureCare Medical Center; Amy Renshaw, MD, Center for Womens Health and Wellness; J. Scott Bembry, Premier OB/GYN; L. William Rettig, III, MD,Lifestages Centers for Women; Elyse Weber, PA, Lifestages Centers for Women; Rhonda Washington, MD, Center for Womens Health and Wellness; Stacy Hudepohl, CNM, Center for Womens Health and Wellness; Larry Holland, DO, Premier Womens Center

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