Chronic pelvic pain

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Chronic pelvic pain is a condition characterized by persistent discomfort in the pelvic region, particularly the lower abdomen. It can affect both men and women, but is more common in women.

Its causes can be varied, including gynecological, urological, gastrointestinal, musculoskeletal and other disorders.

It can manifest as constant or intermittent pelvic pain, dyspareunia, changes in bowel and/or urinary habits, and even affect quality of life and emotional health.

Diagnosis is based on clinical interview focusing on pain characteristics and may require a complete evaluation including physical examination, laboratory tests, and medical imaging.

Treatment should be tailored to the cause. It may include pain-relieving medications, physical therapy and, in some cases, surgery. Complementary approaches such as acupuncture or cognitive behavioral therapy may be beneficial.

Bibliographic references
  1. J. Moore. Causes of chronic pelvic pain. Bailliere´s Clinical Obstetric and Gynaecology 2000 Vol 14, No.3, 398-402.
  2. Layden EA, et al., eds. Pelvic pain and endometriosis. In: Clinical Obstetrics and Gynaecology. 5th ed. Elsevier; 2023.
  3. Lamvu G, et al. Chronic pelvic pain in women: A review. Journal of the American Medical Association. 2021
  4. Williams RE, Hartmann KE, Sandler RS, Miller WC, Steege JF. Prevalence and characteristics of irritable bowel syndrome among women with chronic pelvic pain. Obstet Gynecol. 2004 Sep;104(3):452-8.
  5. Engeler DS, Baranowski AP, Dinis-Oliveira P, Elneil S, Hughes J, Messelink EJ, van Ophoven A, Williams AC., European Association of Urology. The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 10 years of development. Eur Urol. 2013 Sep;64(3):431-9.
Author
Dra. Maria Eugenia Rodriguez
Copyright
© TeckelMedical 2026

Symptoms

    Pain in pelvic area


    Pain at the slightest touch


    Feeling of pressure in the pelvis


    Lower abdominal pain


    Painful sexual intercourse

Symptoms to watch out for

Severe abdominal pain, which does not allow you to perform activities of daily living
Abdominal pain that increases rapidly
High fever (102.2 ºF or more)

Self-care

Alternate application of cold/heat to the affected area to relieve symptoms.
Do relaxation exercises.
Behavioral therapy, relaxation techniques or stress management training to avoid new episodes.
It is recommended to follow a balanced diet, consume water-soluble fiber (fruits and vegetables), avoid gas-producing foods (beans, cabbage, cauliflower, broccoli), carbonated beverages with preservatives, synthetic sweeteners and refined sugar.