II. Causes: General

  1. Idiopathic in up to 60% of cases
  2. Women with more than one diagnosis contributing to Pelvic Pain: 40%
  3. Gastrointestinal and urinary causes are more common than gynecologic causes
  4. Most common causes
    1. Endometriosis
    2. Intraabdominal Adhesions
    3. Irritable Bowel Syndrome
    4. Interstitial Cystitis

III. 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 100:337-41

IV. Causes: Gastrointestinal (20-30% of Chronic Pelvic Pain)

V. Causes: Musculoskeletal (Abdominal wall Trigger Points)

  1. Responds to local 0.5% Marcaine injection

VI. Causes: Psychological

  1. Major Depression
  2. Sexual abuse history

VII. Causes: Gynecologic

  1. Endometriosis
  2. Chronic Pelvic Inflammatory Disease
  3. Pelvic Adhesions
  4. Mittelschmerz
  5. Pelvic Relaxation
  6. Ovarian Remnant Syndrome
  7. Pelvic Congestion Syndrome
  8. Cyclic Pelvic or Uterine pain
    1. Primary Dysmenorrhea
    2. Secondary Dysmenorrhea

Images: Related links to external sites (from Google)

Ontology: Chronic pelvic pain of female (C0404484)

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