Chronic Pelvic Pain
(Pelvic Pain, Chronic)
- Female organs
- Prostate (in men)
- Retroperitoneal space (space between the diaphragm and pelvis)
|Male Pelvis Organs|
|Includes bladder, prostate (under bladder), and the colon.|
|© 2011 Nucleus Medical Media, Inc.|
- Pelvic inflammatory disease
- Pain when ovulating
- Pain during menstrual period ( dysmenorrhea )
- Ectopic pregnancy
- 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
- History of being abused (physically or sexually)
- Pelvic girdle syndrome
- Pelvic inflammatory disease
- History of sexual abuse
- History of pelvic surgery
- History of pelvic radiation therapy
- Constant pain
- Pain that comes and goes
- Dull achiness
- Pelvic heaviness
- Mild pain
- Severe pain
- Pain with certain activities
- Rectal urgency (urge to defecate hits suddenly and intensely)
- X-rays —test that uses radiation to form an image; used to look at for abnormalities in the pelvis
- MRI scan —test that uses magnetic waves to form an image; used to look for abnormalities in the pelvis
- CT scan —type of x-ray that uses computer to form an image; used to look for abnormalities in the pelvis
- 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
- Nonsteroidal anti-inflammatory drugs (NSAIDs)—to treat pain and reduce inflammation
- Opioid pain relievers (morphine-like medications)—used for severe pain
- Antibiotics—given if there is an infection present
- Antidepressant medications—sometimes used to treat chronic pain
- Antiseizure medications—helpful in certain situations (especially when pain is caused by nerve damage)
- Birth control pills—used to treat pain caused by certain gynecological conditions (in some cases of chronic pelvic pain)
- Relaxation therapy
- Transcutaneous electrical stimulation (TENS) therapy
The American College of Obstetricians and Gynecologists http://www.acog.org/
The International Pelvic Pain Society http://www.pelvicpain.org/
National Pain Foundation http://www.nationalpainfoundation.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 Family Physician website. Available at: http://familydoctor.org/online/famdocen/home/women/reproductive/gynecologic/033.html . Accessed November 7, 2008.
Chronic pelvic pain. DynaMed website. Available at: http://www.ebscohost.com/dynamed/ . Accessed November 9, 2008.
Chronic pelvic pain. Mayo Clinic website. Available at: http://www.mayoclinic.com/print/chronic-pelvic-pain/DS00571/DSECTION=all&METHOD=print . Accessed November 7, 2008.
Chronic pelvic pain, getting help. National Pain Foundation website. Available at: http://www.nationalpainfoundation.org/MyTreatment/articles/Pelvic%5FGettingHelp.asp . Accessed November 7, 2008.
Chronic pelvic pain. The International Pelvic Pain Society website. Available at: http://www.pelvicpain.org/pdf/Patients/CPP%5FPt%5FEd%5FBooklet.pdf . Accessed November 7, 2008.
Levy BS. The complex nature of chronic pelvic pain. J Fam Pract . 2007 Mar;56(3 Suppl Diagnosis):S16-7. Review.
Pelvic Pain. The American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/publications/patient%5Feducation/bp099.cfm . Accessed November 7, 2008.
Reiter RC. Evidence-based management of chronic pelvic pain. Clin Obstet Gynecol . 1998;41(2):422-435.
- Reviewer: Marcin Chwistek, MD
- Review Date: 12/2011 -
- Update Date: 12/30/2011 -