Causes of pelvic pain

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hilda Mahmoudi M.D., M.P.H.^[2]

Overview

Pelvic pain that persists for more than 6 months is considered chronic whereas pelvic pain that persists for less than this duration is considered acute. Differentiating between acute and chronic pelvic pain is important in understanding chronic pelvic pain syndromes. Common causes of pelvic pain are either gynecological such as midcycle ovulation and dysmenorrhea, gastrointestinal as seen in IBS or genitourinary such as UTI. The pain may indicate the presence of poorly understood conditions that likely represent abnormal psychoneuromuscular function.

Causes

Life Threatening Causes

Life-threatening causes include conditions which result in death or permanent disability within 24 hours if left untreated.

• Abdominal aortic aneurysm
• Appendicitis
• Ectopic pregnancy
• Incomplete abortion
• Intussusception
• Large bowel obstruction
• Mesenteric ischemia
• Septic abortion
• Small bowel obstruction
• Uterine rupture
• Volvulus

Causes of pelvic pain developed by WikiDoc.org

Common Causes

• Appendicitis
• Chronic pelvic pain syndromes
• Chronic prostatitis
• Depression
• Dysmenorrhea
• Irritable bowel syndrome
• Labor
• Midcycle ovulation
• Pelvic floor prolapse
• Urinary tract infection
• Vaginitis

Causes of pelvic pain developed by WikiDoc.org

Causes by Organ System

Cardiovascular	Abdominal aortic aneurysm
Chemical/Poisoning	No underlying causes
Dental	No underlying causes
Dermatologic	No underlying causes
Drug Side Effect	Bicalutamide, Levonorgestrel, Meropenem, nitazoxanide, Pergolide, Tiagabine
Ear Nose Throat	No underlying causes
Endocrine	No underlying causes
Environmental	No underlying causes
Gastroenterologic	Appendicitis, Crohn's disease, diverticulitis, diverticulosis, hernia, IBD, intussusception, irritable bowel syndrome, large bowel obstruction, mesenteric ischemia, small bowel obstruction, volvulus
Genetic	No underlying causes
Hematologic	No underlying causes
Iatrogenic	No underlying causes
Infectious Disease	Abdominal abscess
Musculoskeletal/Orthopedic	No underlying causes
Neurologic	No underlying causes
Nutritional/Metabolic	No underlying causes
Obstetric/Gynecologic	Abruptio placentae, adenomyosis, cervicitis, chronic pelvic pain syndromes, dysmenorrhea, ectopic pregnancy, endometriosis, endometritis, incomplete abortion, intra-uterine device, labor, leiomyoma, midcycle ovulation, ovarian cyst, ovarian hyperstimulation syndrome, ovarian torsion, ovarian vein thrombosis, pelvic floor prolapse, pelvic inflammatory disease, pelvic masses, primary dysmenorrhea, ruptured ovarian cyst, septic abortion, tubo-ovarian abscess, uterine fibroids, uterine rupture, vaginitis
Oncologic	Lymphoma
Ophthalmologic	No underlying causes
Overdose/Toxicity	No underlying causes
Psychiatric	Depression
Pulmonary	No underlying causes
Renal/Electrolyte	Nephrolithiasis
Rheumatology/Immunology/Allergy	No underlying causes
Sexual	No underlying causes
Trauma	Abdominal trauma
Urologic	Chronic prostatitis, cystitis, interstitial cystitis, urinary tract infection
Miscellaneous	Adhesion, sexual abuse

Causes of pelvic pain developed by WikiDoc.org

Causes in Alphabetical Order

• Abdominal abscess
• Abdominal aortic aneurysm
• Abruptio placentae
• Adenomyosis
• Adhesion
• Appendicitis
• Cervicitis
• Chronic pelvic pain syndrome
• Chronic prostatitis
• Crohn's disease
• Cystitis
• Depression
• Diverticulitis
• Diverticulosis
• Dysmenorrhea
• Ectopic pregnancy
• Endometriosis

• Endometritis
• Hernia
• IBD
• Incomplete abortion
• Interstitial cystitis
• Intra-uterine device
• Intussusception
• Irritable bowel syndrome
• Labor
• Large bowel obstruction
• Leiomyoma
• Levonorgestrel
• Lymphoma
• Mesenteric ischemia
• Midcycle ovulation
• Nephrolithiasis
• Ovarian cyst
• Ovarian hyperstimulation syndrome

• Ovarian torsion
• Ovarian vein thrombosis
• Pelvic floor prolapse
• Pelvic inflammatory disease
• Pelvic masses
• Pergolide
• Primary dysmenorrhea
• Ruptured ovarian cyst
• Septic abortion
• Sexual abuse
• Small bowel obstruction
• Tiagabine
• Trauma
• Tubo-ovarian abscess
• Urinary tract infection
• Uterine fibroids
• Uterine rupture
• Vaginitis
• Volvulus

Causes of pelvic pain developed by WikiDoc.org