Chronic pelvic pain

Low urgency
Common-

Chronic pelvic pain is a condition characterised by persistent discomfort in the pelvic region, specifically the lower abdominal region. It can affect both men and women, being more predominant in the female sex.

Its causes can vary, including gynaecological, urological, gastrointestinal, musculoskeletal and other disorders.

It can manifest with constant or intermittent pain in the pelvic area, discomfort during sexual intercourse, changes in bowel and/or urinary habits, and even affect quality of life and emotional health.

Diagnosis is based on questioning focused 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 relief medication, physical therapy and, in some cases, surgical intervention. Complementary approaches such as acupuncture or cognitive behavioural 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

Intense abdominal pain that unables doing day-to-day life activities
Abdominal pain that increases rapidly
High fever (39 ºC or more)

Self-care

Alternate application of heat/cold to the affected area to relieve symptoms.
Do relaxation exercises.
Behavioural therapy, relaxation techniques or stress management training to prevent further episodes.
It is recommended to maintain a balanced diet, consume hydrosoluble fibers (fruits and vegetables), avoid food that produced gas (beans, cabbage, cauliflower, broccoli), carbonated beverages with preservatives, synthetic sweeteners, and refined sugar.