Causes of Chronic Pelvic Pain in Women

Chronic pelvic pain can be described as a severe pain in the area below your bellybutton and between your hips that lasts for six months or longer. Several factors can be responsible for chronic pelvic pain.

Numerous reasons could be responsible for prolonged pelvic pain among women whose major symptom could be a noncyclic pain. This pain harmfully affects the normal daily course of one’s life cycle like sleep, work, appetite, physical life and so on.

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The severe pain in the front affects the women, physically and sexually and physical lives of the women which have a great impact on their emotional well-being and relationships.

Dr Rita Bakshi, Senior Gynaecologist and IVF Expert, International Fertility Centre says; “It usually becomes very difficult for the women to track the source and the cause of the pain, therefore, it is very needed for them to consult a doctor as soon as this pain twitches.”

Dr Bakshi lists out few causes of chronic pelvic pain in women. Chronic Pelvic Pain is a condition or there could be several generating factors for this pain like:

Uterine fibroids

The formation of fibroids in the uterus may be the cause of chronic pelvic pain. Uterine fibroids may not necessarily be responsible for pelvic pain. The fibroids are generally non-cancerous but may leave a feeling of pressure or bulkiness in the lower abdomen which may be painful.


The endometrial tissue found in the uterus may outgrow in other parts of the body like bladder, ovaries, pelvis, etc, may be responsible for pelvic pain. The tissue thickens up and begins to bleed during the menstrual cycle as hormone level rise and fall. The whole process takes place outside the uterus, making it difficult for the blood and the tissues to exit the vagina, this can cause the formation of fibrous bands of scar tissue and cysts in your abdomen.

READ ALSO: Endometriosis: Symptoms, Causes and Treatment


This occurs when the endometrial tissue starts growing inside the walls of the uterus which causes the periods to be terribly painful and heavy. This condition usually affects women going through endometriosis and uterine fibroids.

Irritable Bowel Syndrome (IBS)

IBS is a gastrointestinal condition causing chronic abdominal pain and uneven bowel activities like numerous bowel movements in loose stools, numerous bowel movements with the beginning of pain without any exact cause. This problem in intestines causes acute pain in their pelvic areas.

Pelvic floor pain

Pain in the pelvic region while passing out urine or during sexual intercourse could be a cause of lower pelvic pain. This pain usually affects daily life and activities.


There are numerous signs of pelvic pain like:


The objective of treating chronic pelvic pain is to reduce symptoms and improve quality of life. If your doctor can identify a specific cause, treatment will focus on that cause. However, if a cause can’t be identified, treatment will focus on managing your pain and other symptoms.

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Your doctor may recommend a number of medications to treat your condition depending on your cause. They include:

  • Pain relievers:Over-the-counter (OTC) pain remedies, such as ibuprofen, aspirin, (Advil, Motrin IB, others) or acetaminophen (Tylenol, others), may provide partial relief from your pelvic pain.
  • Antibiotics:Antibiotics may be prescribed if the cause of pain is an infection.
  • Hormone treatments:For some women, the days of their pelvic pain may coincide with a particular phase of their menstrual cycle and the hormonal changes that control ovulation and menstruation. Birth control pills or other hormonal drugs may help relieve pelvic pain.
  • Antidepressants:Some types of antidepressants can be helpful for chronic pain. Tricyclic antidepressants seem to have pain-relieving and antidepressant effects.

Other treatments

Your doctor may recommend specific therapies as a part of your treatment for chronic pelvic pain. These may include:

  • Physical therapy.Stretching exercises, massage and other relaxation techniques may improve your chronic pelvic pain. A physical therapist can assist you with these therapies and help you develop coping strategies for the pain.
  • Trigger point injections.Your doctor may be able to locate specific points where you feel pain and inject a numbing medicine into those painful spots (trigger points).


To correct an underlying problem that causes chronic pelvic pain, your doctor may recommend a surgical procedure, such as:

Laparoscopic surgery

Doctors can remove the adhesions or endometrial tissue using laparoscopic surgery for women with endometriosis. During this surgery, a slender viewing instrument called laparoscope is inserted through a small incision near your navel and inserts instruments to remove endometrial tissue through one or more additional small cuts.

READ ALSO: New Drug for Endometriosis Pain Approved by FDA


Your doctors may recommend removal of your uterus in a procedure called hysterectomy. The patient’s fallopian tubes or ovaries can also be removed. Your doctor will discuss the benefits and risks of this procedure before recommending it.


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