Chronic Pelvic Pain
(Pelvic Pain, Chronic)
Pelvic pain is located between the belly button and the hips and groin. If it lasts for 6 months or more it is called chronic pelvic pain. It is often difficult to figure out the source of the pain. Pelvic pain can be caused by problems in the:
- Female reproductive organs
Male Pelvis Organs
Chronic pelvic pain can be caused by a wide variety of conditions.
- Pelvic inflammatory disease
- Pain when ovulating
- Menstrual pain
- Pelvic congestion syndrome
Female Pelvis Organs© Nucleus Medical Media, Inc.
- Gastrointestinal conditions
Having one of the conditions listed above increases your chance of having chronic pelvic pain. Other factors may include:
- Cesarean section
- Alcohol or drug abuse
- Heavy menstrual flow
Symptoms may include:
- Constant pain or dull ache in pelvic area
- Burning, shooting pain
- Rectal urgency
- Pain that comes and goes
- Pain that ranges from mild to severe
- Pain with certain activities
- Pain with prolonged sitting
You will be asked about your symptoms and medical history. A physical exam will be done. You may be asked to keep a pain journal to help your doctor diagnose the pain. You will be asked to write down when your pain occurs, how it feels, and how long it lasts.
Your bodily fluids may be tested. This can be done with:
- Blood and urine tests
- Cultures and swabs
- Tests for sexually transmitted diseases (STDs)
Your bodily structures may need to be viewed. This can be done with:
Talk with your doctor about the best treatment plan for you. Options include:
Chronic pelvic pain is treated based on what caused it:
- Antibiotics if an infection is present or possible
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to treat pain and reduce inflammation
- Prescription pain medication
- Antiseizure medications
- Birth control pills
The following have been used to treat pelvic pain:
- Relaxation therapy
- Transcutaneous electrical stimulation (TENS) therapy
In some cases, interventional approaches, including nerve blocks, may be used.
Managing stress through counseling is a helpful way to cope with chronic pelvic pain.
Preventing chronic pelvic pain depends on the condition causing it. Some causes are not preventable.
STDs cause many conditions that result in chronic pelvic pain. Use latex condoms every time you have sexual intercourse, and minimize the number of sex partners you have.
You may also be able to reduce your risk of chronic pelvic pain through exercise. If allowed by your doctor, do moderate exercise for at least 30 minutes, 4 days a week.
The American Congress of Obstetricians and Gynecologists
The International Pelvic Pain Society
The Society of Obstetricians and Gynaecologists of Canada
Chronic pelvic pain. Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/chronic-pelvic-pain.html. Updated April 2014. Accessed June 4, 2015.
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. Published August 2011. Accessed June 4, 2015.
Chronic pelvic pain. The International Pelvic Pain Society website. Available at: http://www.pelvicpain.org/docs/patients/Patient-Education-Brochure.aspx. Accessed June 18, 2014.
Chronic pelvic pain in women. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 17, 2015. Accessed June 4, 2015.
Chronic prostatitis/chronic pelvic pain syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 12, 2015. Accessed June 4, 2015.
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.
5/18/2015 DynaMed Systematic Surveillance http://www.ebscohost.com/dynamed: Zhang R, Chomistek AK, et al. Physical activity and chronic prostatitis/chronic pelvic pain syndrome. Med Sci Sports Exerc. 2015 Apr;47(4):757-764.
Last reviewed June 2015 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.