Chronic Pelvic Pain
(Pelvic Pain, Chronic)
- Female reproductive organs
|Male Pelvis Organs|
|Includes bladder, prostate (under bladder), and the colon.|
|© 2011 Nucleus Medical Media, Inc.|
- Pelvic inflammatory disease
- Pain when ovulating
- Menstrual pain
- Pelvic congestion syndrome
Female Pelvis Organs From left to right: the bladder, uterus, and colon. Nerves are shown in yellow. © 2011 Nucleus Medical Media, Inc.
- Gastrointestinal conditions
- Psychological conditions, such as depression, or a history of physical or sexual abuse
- Pudendal neuralgia
- Muscle pain
- Nerve pain
- Lower back pain
- Joint and bone pain
- Muscle strain
- Cesarean section
- Alcohol or drug abuse
- Heavy menstrual flow
- Constant pain or dull ache in pelvic area
- Pain that comes and goes
- Pain that ranges from mild to severe
- Pain with certain activities
- Pelvic heaviness
- Urge to defecate hits suddenly and intensely
- Blood and urine tests
- Cultures and swabs
- Tests for sexually transmitted diseases (STDs)
- Laparoscopy—a thin, lighted tube inserted into the abdomen to look for infection or disease
- Cystoscopy—a thin, lighted tube inserted into the bladder to look for abnormalities
- Sigmoidoscopy—a thin, lighted tube inserted into the rectum to look for abnormalities
- Intravenous pyelography—type of x-ray that uses dye to look at the kidneys; used to look for damage or disease
- Antibiotics if an infection is present or possible
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to treat pain and reduce inflammation
- Opioid pain relievers
- Antiseizure medications
- Birth control pills
- Relaxation therapy
- Transcutaneous electrical stimulation (TENS) therapy
The American Congress of Obstetricians and Gynecologists http://www.acog.org
The International Pelvic Pain Society http://www.pelvicpain.org
Health Canada http://www.hc-sc.gc.ca
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Chronic pelvic pain. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/chronic-pelvic-pain.html. Updated January 2011. Accessed June 11, 2013.
Chronic pelvic pain. The American Congress of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq099.pdf?dmc=1&ts=20130611T1540053024. Accessed June 11, 2013.
Chronic pelvic pain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated June 7, 2012. Accessed June 11, 2013.
Chronic pelvic pain. The International Pelvic Pain Society website. Available at: http://www.pelvicpain.org/pdf/Patients/CPP%5FPt%5FEd%5FBooklet.pdf. Accessed June 11, 2013.
Levy BS. The complex nature of chronic pelvic pain. J Fam Pract. 2007 Mar;56(3 Suppl Diagnosis):S16-17.
Reiter RC. Evidence-based management of chronic pelvic pain. Clin Obstet Gynecol. 1998;41(2):422-435.
- Reviewer: Marcin Chwistek, MD; Brian Randall, MD
- Review Date: 06/2013
- Update Date: 05/11/2013