Pelvic Pain: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Pelvic Pain

Ovarian Cyst

Acute pelvic pain in women is a common diagnostic dilemma encountered by the gynecologist. We describe a case of acute pelvic pain with an unusual etiology. [ncbi.nlm.nih.gov]

A ruptured cyst will have noticeable symptoms including: An irregular menstrual cycle Pelvic pain that may feel like an ache Pelvic pain before your period begins or before [longstreetclinic.com]

[…] during bowel movements Pain in the pelvis shortly before or after beginning a menstrual period Pain with intercourse or pelvic pain during movement Pelvic pain -- constant [web.archive.org]

Female Pelvic Inflammatory Disease

Acute pelvic pain in reproductive-aged women presents a diagnostic challenge. [ncbi.nlm.nih.gov]

BACKGROUND: Pelvic inflammatory disease (PID) is often responsible for acute pelvic pain, yet its clinical diagnosis is difficult. [ncbi.nlm.nih.gov]

Women with recurrent PID were four times as likely to report chronic pelvic pain, as well as nearly twice as likely to report infertility as women who had only one PID episode [livescience.com]

Chlamydia Infection

Symptoms may include intermenstrual or postcoital bleeding; an odourless, mucoid vaginal discharge; pelvic pain; or dysuria. [bestpractice.bmj.com]

To avoid severe sequelae such as female infertility, ectopic pregnancy, neonatal infection, such as ophthalmitis, and chronic pelvic pain prompt and appropriate antibiotic [ncbi.nlm.nih.gov]

Untreated infections in women can result in pelvic inflammatory disease, infertility, ectopic pregnancy, and chronic pelvic pain. [nejm.org]

Cystocele

Chronic pelvic pain: A self-assessed 80% improvement over the baseline symptom at the 12 month visit. [ncbi.nlm.nih.gov]

pain, and a postoperative dyspareunia rate of 2.8% (1/36). [ncbi.nlm.nih.gov]

Pelvic pain, lower back pain. Stress Incontinence. Difficulty urinating, feeling of incomplete voiding. Frequent bladder infections. Painful sexual intercourse. [kegel8.co.uk]

Chronic Prostatitis

The most common site was prostate (41% chronic pelvic pain syndrome, 5% controls), followed by external and internal pelvic floor (13% and 14% chronic pelvic pain syndrome [doi.org]

Abdominal/pelvic tenderness is present in half of the patients with chronic pelvic pain syndrome but only 7% of controls. [ncbi.nlm.nih.gov]

[…] cases and the 19,138 who completed chronic prostatitis/chronic pelvic pain syndrome questions but did not report chronic prostatitis/chronic pelvic pain syndrome related [ncbi.nlm.nih.gov]

Endometriosis

Focus on primary care: chronic pelvic pain in women. Obstet Gynecol Surv. 2001; 56 (12):757–764. [ PubMed ] [ Google Scholar ] 4. [ncbi.nlm.nih.gov]

Visual presence of endometriosis and decrease in pelvic pain after destruction of lesions. [ncbi.nlm.nih.gov]

pelvic pain ( Propst and Laufer, 1999 ). [humrep.oxfordjournals.org]

Gonorrhea

Advertisement Pelvic pain and pain in the testicles should start to improve quickly but may take up to two weeks to go away. [thebody.com]

[…] periods Lower abdominal and pelvic pain, sometimes mimicking pain of pelvic inflammatory disease (PID) Red, itchy eyes Red, swollen genitals Sore throat (oral sex) Swollen [symptoma.com]

In women, gonorrhea can lead to: pelvic inflammatory disease, a condition that can cause abscesses chronic pelvic pain infertility ectopic pregnancies - pregnancy where the [medicalnewstoday.com]

Uterine Leiomyoma

When fibroids increase in size and number, they can cause problems for women, such as heavy bleeding and pelvic pain. [alatehealth.com]

[…] flow Very heavy, painful periods Lump or mass in your abdomen You should see your doctor immediately if you have uncontrollable bleeding, or sudden sharp pelvic pain. [webmd.com]

Subserosal Develops underneath the outer uterine layer, known as the serosa Generally produces small bumps on the outside wall of the uterus and induces pelvic pain as they [alatehealth.com]

Pelvic Organ Prolapse

pain can attend an Interstitial Cystitis and Pelvic Pain Support Group meeting at South Miami Hospital, 2-4 p.m., August 30 and November 1, in the Victor E. [baptisthealth.net]

Patients present with a sensation of vaginal pressure, discomfort, and/or pain. The protruded pelvic organ is visualized and assessed during inspection. [amboss.com]

Some of the less obvious include pelvic pain, backache, problems going to the bathroom, or painful intercourse. [chihealth.com]

Acute Prostatitis

pain syndrome (ie, discomfort or pain in the pelvic region for at least 3 mo with variable voiding and sexual symptoms and/or no demonstrable infection; by definition, the [emedicine.com]

The most common form is category III, or Chronic Pelvic Pain Syndrome. [books.google.de]

[…] syndrome becomes chronic after 3 mo) Category IIIA – Inflammatory chronic pelvic pain syndrome (ie, white blood cells in semen and/or expressed prostatic secretions and/or [emedicine.com]

Ovarian Cystadenoma

The section on diagnosis and treatments follows an organ-based appro ach, providing the most efficient, cost-effective way to "rule out" va rious causes of pelvic pain. [books.google.es]

Pelvic pain is one of the main symptoms you can expect. It can be mild or excruciating, and anything in between. [steadyhealth.com]

There was no history of menstrual abnormality, pelvic pain, or urinary frequency. [nejm.org]

Third Degree Uterine Prolapse

The team at The Women’s Centre are experts in well-woman exams, pelvic pain, endometriosis, adhesions, uterine prolapse, incontinence, and more. [womenscentre.net]

The most frequent clinical symptom is vaginal bleeding, but dysuria and pelvic pain are also common. [ncbi.nlm.nih.gov]

Do you have pelvic pain? Do you ever leak urine? Have you had a severe or ongoing cough? Do you do any heavy lifting in your job or daily activities? [mayoclinic.org]

Tubo-Ovarian Abscess

This was a retrospective review of non-pregnant ED patients presenting with pelvic pain who were diagnosed with TOA using bedside transvaginal US. [ncbi.nlm.nih.gov]

We present a case of 19-year-old sexually inactive girl who presented with abdominal pain and pelvic mass resembling ovarian tumor. [ncbi.nlm.nih.gov]

A 24-year-old female with left pelvic pain. [doi.org]

Pelvic Fracture

Patients present with pelvic pain, reduced range of motion, and hematomas. Concomittant injuries such as urethral injury are common. [amboss.com]

Plain x-rays Usually CT Pelvic fractures should be considered if patients have pain in the pelvic region or hip or have had major trauma. [merckmanuals.com]

The treatment for stable fractures is often conservative, with short-term bed rest and subsequent pain‑adapted mobilization. [amboss.com]

Tubal Pregnancy

A previously asymptomatic woman presented with pelvic pain and vaginal bleeding at 4 months' gestation and was found to have a live, 14-week, tubal pregnancy. [ncbi.nlm.nih.gov]

A 36-year-old woman with acute pelvic pain underwent emergency laparoscopy for suspected left ruptured tubal pregnancy. [ncbi.nlm.nih.gov]

The 38 year-old woman presented with gynaecologic haemorrhage, pelvic pain and hypovolemic shock. [ncbi.nlm.nih.gov]

Ectopic Pregnancy

Women with pelvic pain and vaginal bleeding of any severity for > 3 days had a high EP rate of 16% (23/146). [ncbi.nlm.nih.gov]

(aDOR = 3.0; 95% CI [1.3-7.1]) and unilateral pelvic pain (aDOR = 2.7; 95% CI [1.3-5.9]). [ncbi.nlm.nih.gov]

Most patients have pelvic pain (which is sometimes crampy), vaginal bleeding, or both. [merckmanuals.com]

Uterine Prolapse

Vaginal bleeding, abnormal discharge, dyspareunia, urinary retention, and pelvic pain are possible complications of therapy. [bestpractice.bmj.com]

When to Call a Doctor Call a doctor if you develop pelvic pain or discomfort or unusual pelvic protrusion. [healthcommunities.com]

Additionally, she has had a recent worsening of lower back pain. [step2.medbullets.com]

Endometrioma

Oral contraceptive pills improve dysmenorrhea but not dyspareunia or noncyclic pelvic pain. [ncbi.nlm.nih.gov]

The secondary outcomes included dysmenorrhea, CA125 levels, noncyclic pelvic pain, and side effects. [ncbi.nlm.nih.gov]

These included assessing dysmenorrhea, dyspareunia, and nonmenstrual pelvic pain each on a scale from 0 to 3. [ncbi.nlm.nih.gov]

Pelvic Adhesions

METHODS: Pelvic adhesions from 17 patients, ten of whom had a history of pelvic pain, were examined histologically. [ncbi.nlm.nih.gov]

CONCLUSIONS: Pelvic adhesions are present in more than a third of women with a history of Cesarean section and they are associated with chronic pelvic pain. [ncbi.nlm.nih.gov]

We conclude that the use of the Nd:YAG laser is an appropriate method to laparoscopically treat pelvic pain resulting from endometriosis or pelvic adhesions. [ncbi.nlm.nih.gov]

Pelvic Congestion Syndrome

[…] in women in premenopausal age. [ncbi.nlm.nih.gov]

Chronic pelvic pain is defined as “non-cyclic” pain lasting greater than six months. [hopkinsmedicine.org]

Stones RW (2000) Chronic pelvic pain in women: new perspectives on pathophysiology and management. Reprod Med Rev. 8:229–240 CrossRef Google Scholar 14. [link.springer.com]

Interstitial Cystitis

[…] not for those with pelvic pain symptoms only (p=0.507). [ncbi.nlm.nih.gov]

A diagnosis of interstitial cystitis should be considered in patients with irritative voiding symptoms and/or pelvic pain complaints. [ncbi.nlm.nih.gov]

As pelvic organs are innervated through shared circuitry, perceived pelvic pain might occur when spatial summation of individual pelvic inputs exceeds a threshold. [ncbi.nlm.nih.gov]

Oophoritis

Causes · Bacteria, During abortion · Tuberculosis, Pelvic infection Signs and symptoms · Pelvic pain, Vaginal discharge · Fever, Headache · Nausea and vomiting · Irregular [disease-1.blogspot.com]

After 3 years of embolisation, the patient started having chronic pelvic pain, dysmenorrhoea and polymenorrhagia along with inability to conceive. [ncbi.nlm.nih.gov]

This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems. [icdlist.com]

Pelvic Vein Thrombophlebitis

A pelvic vein obstruction can cause unexplained leg pain or swelling, pelvic pain, or leg ulcers which are difficult to heal. [tennesseeveincare.com]

This, in turn, leads to pelvic varicose veins and clinical symptoms of heaviness and pain. [vein.stonybrookmedicine.edu]

Pelvic / abdominal vein obstruction This causes unexplained pain in the legs and swelling, pelvic pain or leg ulcers that are difficult to heal. [varicosevascular.com]

Pelvic Neoplasm

Besides pelvic pain, women with endometriosis may experience difficulty getting pregnant. [verywell.com]

pain Abdominal or adnexal tenderness CBC Transvaginal ultrasonography Pelvic inflammatory disease Fever; lower abdominal or pelvic pain; nausea; vaginal discharge; vomiting [aafp.org]

In the case of cancer as a cause of pelvic or S.I. pain, a past history of cancer is usually present. [si2012.weebly.com]

Acute Endometritis

We recruited 115 women who had presented to a clinic for sexually transmitted diseases in Nairobi, Kenya with pelvic pain that had persisted for 14 days or less, to look for [ncbi.nlm.nih.gov]

Pelvic pain is the most common symptom (80%). [drservy.com]

Pelvic pain may occur, but pain and fever are usually more typical of acute endometritis. Treatment of chronic endometritis depends on the cause. [sharecare.com]

Neoplasm of the Ovary

pain Abdominal or adnexal tenderness CBC Transvaginal ultrasonography Pelvic inflammatory disease Fever; lower abdominal or pelvic pain; nausea; vaginal discharge; vomiting [aafp.org]

Symptoms of ovarian cysts, masses or tumors may include: Pelvic pain Nausea or vomiting Pain shortly before or after the start of your period Pressure, swelling or pain in [cancercenter.com]

She also had lower pelvic pain, but nothing extreme. “It was more of a niggle,” Sandra says. “I didn’t realise it was a symptom.” [health.qld.gov.au]

Ovarian Cyst Torsion

At 14 years of age, she received salpingo-oophorectomy because of ovarian cyst torsion presenting as acute pelvic pain. [ncbi.nlm.nih.gov]

The etiology of pelvic and abdominal pain in any female patient from the age of 10 to 60 years is vast and overlapping. [emdocs.net]

Ultrasound is a commonly used imaging modality in evaluating acute pelvic pain; cystic etiologies of torsion are easily visualized [ 3, 4 ]. [link.springer.com]

Puerperal Infection

Fever, dyspareunia and chronic pelvic pain and a poor overall condition of the mother are main complaints. [symptoma.com]

One of pelvic pain, abnormal vaginal discharge, abnormal odour or discharge, or a delay in the reduction of uterine size must also be present. [sharinginhealth.ca]

Symptoms are uterine tenderness, abdominal or pelvic pain, fever, malaise, and sometimes discharge. Diagnosis is clinical, rarely aided by culture. [merckmanuals.com]

Cervicitis

‘Chlamydial infection can cause urethritis, cervicitis, pelvic inflammatory disease, and result in ectopic pregnancy, infertility, and chronic pelvic pain in women.’ [en.oxforddictionaries.com]

A 24-year-old woman presented with pelvic pain, vulvodynia, abnormal vaginal discharge, burning with urination, fatigue, fever, vomiting and diarrhoea. [ncbi.nlm.nih.gov]

‘In women, gonorrhea is a major cause of cervicitis and pelvic inflammatory disease.’ [en.oxforddictionaries.com]

Chlamydial Pelvic Inflammatory Disease

Women of reproductive age who present with pelvic pain require a pregnancy test. [cdemcurriculum.com]

SLIDESHOW Pelvic Pain: What's Causing Your Pelvic Pain? [medicinenet.com]

Chronic pelvic pain. Pelvic inflammatory disease can cause pelvic pain that might last for months or years. [mayoclinic.org]