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Introduction

Many women experience pelvic pain at some point in their lives, and finding the cause of the pain can be a long process.

Causes of Pelvic Pain

  • Infection: Infection in the pelvic area can cause sharp, shooting pain or a dull ache. Sexually transmitted diseases can cause infections in the uterus or fallopian tubes. Vaginal infections may cause mild, crampy pain, but the pain is seldom severe. Infection in the pelvic area may not be related to the reproductive organs. The pain may result from infection in the kidneys, bladder, bowel, or appendix. Once the cause of infection is found, appropriate medications can be prescribed.
  • Endometriosis: Endometriosis is a condition in which tissue similar to the lining of the uterus is found outside of the uterus, most often on the ovaries, fallopian tubes, and other pelvic structures. It often makes menstrual cramps more severe, but pain may be felt during other parts of your cycle or during intercourse.
  • Ovarian cysts: The natural process of ovulation produces small cysts in the ovaries. Most cysts resolve after a few days, but some persists. If a cyst is large, it may cause a dull ache or pressure. If a cyst leaks or bleeds, a sharp pain may be felt. Most ovarian cysts resolve without treatment, but some may require surgery. Your physician will monitor the cyst by ultrasound to determine the appropriate treatment needed.
  • Muscular/Skeletal Pain: There are many muscles and ligaments in the back and pelvis that can become strained or spasm and cause pain. A thorough exam by your provider will help determine if your pelvic pain is muscular/skeletal in nature.
  • Ectopic Pregnancy: If you are pregnant or think you could be pregnant, call the office or seek medical care immediately if you have pelvic pain. It may indicate an ectopic pregnancy.