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Chronic Pelvic Pain Causes

Causes: Urinary Tract (5% of Chronic Pelvic Pain)
1. Urinary Tract Infection (UTI)
2. Urethral syndrome (urethritis)
3. Interstitial Cystitis
  1. Recent evidence suggests very common cause
  2. May be responsible for 33% of Chronic Pelvic Pain
  3. Clemons (2002) Obstet Gynecol 100:337
Causes: Gastrointestinal (20-30% of Chronic Pelvic Pain)
1. Irritable Bowel Disease
2. Inflammatory Bowel Disease
  1. Crohn's Disease
  2. Ulcerative Colitis
3. Hernia
Causes: Musculoskeletal (Abdominal wall Trigger Points)
1. Responds to local 0.5% Marcaine injection
Causes: Psychological
1. Major Depression
2. Sexual abuse history
Causes: Gynecologic
1. Endometriosis
2. Chronic Pelvic Inflammatory Disease
3. Pelvic Adhesions
4. Mittelschmerz
5. Ovarian Remnant Syndrome
6. Pelvic Congestion Syndrome
7. Cyclic Pelvic or Uterine pain
  1. Primary Dysmenorrhea
  2. Secondary Dysmenorrhea

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.