Several types of diseases and conditions can cause pelvic pain. Chronic pelvic pain can result from more than one condition.

Pelvic pain can arise from your digestive, reproductive or urinary system. Recently, doctors have recognized that some pelvic pain, particularly chronic pelvic pain, can also arise from muscles and connective tissue (ligaments) in the structures of the pelvic floor. Occasionally, pelvic pain might be caused by irritation of nerves in the pelvis.

Female reproductive system

Pelvic pain arising from the female reproductive system might be caused by conditions such as:

  1. Adenomyosis
  2. Ectopic pregnancy (or other pregnancy-related conditions)
  3. Endometriosis
  4. Menstrual cramps (dysmenorrhea)
  5. Miscarriage (before the 20th week) or intrauterine fetal death
  6. Mittelschmerz (ovulation pain)
  7. Ovarian cancer
  8. Ovarian cysts
  9. Pelvic inflammatory disease (PID)
  10. Salpingitis (inflammation of the fallopian tubes)
  11. Uterine fibroids
  12. Vulvodynia

Other causes in women or men

Examples of other possible causes of pelvic pain — in women or men — include:

  1. Appendicitis
  2. Crohn's disease
  3. Chronic constipation
  4. Colon cancer
  5. Diverticulitis
  6. Intestinal obstruction
  7. Enlarged spleen (splenomegaly)
  8. Fibromyalgia
  9. Inguinal hernia
  10. Interstitial cystitis (also called painful bladder syndrome)
  11. Kidney stones
  12. Past physical or sexual abuse
  13. Pelvic floor muscle spasms
  14. Prostatitis
  15. Psychological factors
  16. Ulcerative colitis

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

March 31, 2017