II. Causes: General
- Idiopathic in up to 60% of cases
- Women with more than one diagnosis contributing to Pelvic Pain: 40%
- Gastrointestinal and urinary causes are more common than gynecologic causes
- Most common causes
- Endometriosis
- Intraabdominal Adhesions
- Irritable Bowel Syndrome
- Interstitial Cystitis
III. Causes: Urinary Tract (5% of Chronic Pelvic Pain)
- Urinary Tract Infection (UTI)
- Urethral syndrome (Urethritis)
-
Interstitial Cystitis
- Recent evidence suggests very common cause
- May be responsible for 33% of Chronic Pelvic Pain
- Clemons (2002) Obstet Gynecol 100:337-41 [PubMed]
IV. Causes: Gastrointestinal (20-30% of Chronic Pelvic Pain)
- Irritable Bowel Disease
- Hernia
- Inflammatory Bowel Disease
V. Causes: Musculoskeletal
- Pelvic Floor Dysfunction
- Abdominal wall Trigger Points
- Responds to local 0.5% Marcaine injection
VI. Causes: Psychological
- Major Depression
- Sexual abuse history
VII. Causes: Gynecologic
- Endometriosis
- Chronic Pelvic Inflammatory Disease
- Pelvic Adhesions
- Mittelschmerz
- Pelvic Relaxation
- Ovarian Remnant Syndrome
- Pelvic Congestion Syndrome
- Cyclic Pelvic or Uterine pain
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Related Studies
| Concepts | Sign or Symptom (T184) |
| SnomedCT | 237067000 |
| English | Chronic pain in female pelvis, Chronic pelvic pain of female (disorder), Chronic pain in female pelvis (finding), female chronic pelvic pain, pelvic pain chronic, chronic pelvic pain, chronic female pelvic pain, chronic pain pelvic, Chronic pelvic pain, Chronic pelvic pain of female |
| Spanish | dolor pélvico crónico ginecológico, dolor pélvico crónico en la mujer (trastorno), dolor pélvico crónico en la mujer (hallazgo), dolor pelviano crónico en la mujer, dolor pélvico crónico en la mujer |
