Pelvic pain is a common condition that many women think they have to live with. Some women may experience pain that resolves over a short period of time, while others experience chronic pain that lasts 6 months or longer. Pain may occur with the menstrual cycle, sexual activity, bowel movements, urination, or exercise or it may be constant, regardless of activity.
Pelvic pain can occur from a variety of causes including gynecologic (infection, endometriosis, fibroids, adenomyosis, pelvic congestion), urologic (infection, painful bladder syndrome/interstitial cystitis, kidney stones), gastrointestinal (irritable bowel syndrome, chronic constipation), musculoskeletal (pelvic floor muscle spasm, hip injury), psychological (depression, anxiety, abuse history), and neurologic (neuralgia, complex regional pain syndrome). Often several of these components contribute to a woman’s pelvic pain.
Depending on the cause of pain, treatment may include dietary changes, physical therapy, hormonal medication, neurologic medication, pain medication, injections, devices, and surgery.