PCOS Pelvic Pain: What You Need to Know

PCOS Pelvic Pain: What You Need to Know

PCOS Pelvic Pain: What You Need to Know
by Tallene Posted May 6, 2024

Polycystic ovary syndrome (PCOS) is a common condition that affects hormone levels in women of reproductive health. It’s not easy to diagnose PCOS and it usually takes a few doctor visits and a few blood tests to get confirmation. However, you can better advocate for yourself to your healthcare team by getting to know the symptoms of PCOS!

You’re probably familiar with symptoms of PCOS like irregular periods and fertility problems, but there are lots of other symptoms that indicate you may have PCOS. Acne, excess body hair, weight gain, hair loss, skin darkening, mood swings, depression, anxiety, sleeping problems, headaches, fatigue, and pelvic pain! That last one is what I’m going to discuss today. 

If you ever wondered if your pelvic pain could be a result of PCOS, I’ve got the answers for you. Did you know that it is possible to reverse your symptoms and manage PCOS using natural methods? There’s a way to live symptom-free with PCOS!

Here’s what you need to know about PCOS and pelvic pain:

PCOS Pelvic Pain: What You Need to Know

PCOS Pelvic Pain: What You Need to Know

Pelvic pain can be incredibly difficult to live with. Even if it’s something you only experience on your period, that’s still a quarter of the year in pain. (Or ten years over an entire lifetime!) If you’ve investigated your pain and gotten a pelvic exam, you may have heard a lot of potential causes like endometriosis, adenomyosis, fibroids, and PCOS. But you probably didn’t hear many treatment options outside of hormonal birth control or other prescriptions. However, none of these medications get to the root of the issue. 

does pcos cause pelvic pain

Does PCOS Cause Pelvic Pain?

YES! Polycystic ovarian syndrome (PCOS) can cause pelvic pain in a few ways. First of all, as the name suggests, women with PCOS can get ovarian cysts. They’re actually not cysts at all, but actually follicles that develop when your body doesn’t release eggs during your menstrual cycles. (AKA you don’t ovulate.) 

These follicles continue to grow until they become painful fluid-filled sacs commonly called polycystic ovaries. Over time, these cysts can also progress and grow into adhesions. An adhesion is scar tissue that binds your reproductive organs to the pelvic walls. This causes lots of inflammation and can be extremely painful. 

The ovaries can also be irritated and painful due to high levels of androgens (male sex hormones) in the body. Cysters often have high androgens/high testosterone that can be to blame for quite a few symptoms, including pelvic pain. 

The last way PCOS can contribute to pelvic pain is via inflammation. Chronic inflammation is common with PCOS and it’s associated with body aches and pains among other negative symptoms. So, inflammation alone can cause pelvic pain or inflammation can worsen the other driving factors of pelvic pain like cysts and high testosterone. 

But don’t get discouraged, we can fix this! 

natural pcos pelvic pain treatments

Natural PCOS Pelvic Pain Treatments

Practicing a Balanced Diet 

A balanced diet isn’t just to help you lose weight. Eating well can give you full-body healing and relief from even your worst symptoms! I recommend an anti-inflammatory gluten- and dairy-free diet that can help with three primary problems contributing to your PCOS symptoms: insulin resistance, inflammation, and hormonal imbalances. 

By eating the right foods that won’t spike your insulin levels, worsen inflammation, or exacerbate hormonal issues, you can stop masking your pain and difficult symptoms and actually target them. It’s so freeing! Here are more details on my recommended PCOS-diet as a dietitian and for tons of PCOS-friendly meal plans download The Cysterhood app.  

The Cysterhood app

Managing Stress Levels

Stress isn’t just a bad feeling, it’s bad for your body! Stress can contribute to lots of symptoms of PCOS including inflammation and high androgens. Both worsen pelvic pain! So, to keep inflammation and hormones in check, make sure you’re taking time to care for yourself. Don’t overextend yourself, spend time in nature, practice your favorite hobby, start meditating, keep a journal, go to a therapist– whatever you need to de-stress and find peace. You and your body deserve it! 

Need more ideas? Listen to the episode of A Cyster and Her Mister called Mental Health Practices!

Exercising Regularly 

Like eating well, exercise is for a lot more than just weight loss. Exercising can help improve insulin sensitivity and insulin resistance which can contribute to inflammation and hormone imbalances. So, exercise can literally help with all the contributing factors of pelvic pain. However, be mindful of the type of exercise you do. Stay away from anything high intensity that’ll pump your body full of adrenaline and cortisol (AKA stress hormones), which could worsen symptoms. 

Instead, try slow-weighted workouts and other low-impact exercises. They work out your whole body without elevating your heart rate too much! If you’re not sure where to start, I’ve got lots of PCOS workout guides on The Cysterhood app. And, tune into the episode of my podcast called “How to Workout for PCOS Weight Loss.”

workouts for PCOS

Using Beneficial Herbs

Herbs are one of the best things for natural medicine! There are lots of herbs that can potentially help with inflammation, insulin resistance, and hormonal imbalances that contribute to pelvic pain. Here are herbs to try for PCOS healing that you can look for in loose-leaf teas.

Insulin Resistance:


Hormone Imbalance:

Taking the Right Supplements

Intentional diets are great for ensuring you’re getting the right nutrients. However, it’d be almost impossible to get all the necessary vitamins and minerals even from the best meal planning, especially with all the gaps in nutrients we experience from having PCOS. That’s where supplements come in! All natural supplements can help give your body the support it needs to keep pelvic pain at bay without any negative side effects. 

You can get high-quality, NSF-certified, PCOS-specific supplements from Ovafit! It’s my supplement line that’s specifically curated for a Cyster’s body. Ovasitol, omega-3 fatty acids, vitamin D, magnesium, and curcumin are all available from Ovafit and can have a huge impact on your PCOS symptoms including pelvic pain!

PCOS Supplements

Trying Acupuncture

Acupuncture can be AMAZING for PCOS and pain management. Research finds that acupuncture can reduce inflammation, regulate hormones, improve blood flow, relax muscles, and reduce stress to improve body pain. It’s a powerful tool that can double as a self-care activity. If you want more on acupuncture from an expert acupuncturist with PCOS, listen to this episode of my podcast called “How Acupuncture Can Help with PCOS.”

Pelvic pain with PCOS can be managed naturally! 

PCOS can cause a lot of difficult chronic symptoms that make life hard. However, you can naturally heal and live symptom-free with PCOS. Use these tips to change your lifestyle and finally get some relief from pelvic pain and other PCOS symptoms.

For more on naturally healing your PCOS, head to the PCOS Weight Loss blog!

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