Chronic Pelvic Pain

Chronic pelvic pain occurs in your pelvic region (below your bellybutton and between your hips) and can last up to six months or longer. Chronic pelvic pain can be two things: a symptom of another cause, or the cause itself.

Due to the fact that some women never receive an official or specific diagnosis by a doctor explaining their pain, this doesn’t mean your pain isn’t real and treatable. If no cause can be found – and even if one is – treatment often focuses on managing the pain.
Physician Partners of America pain specialists are experienced in treating chronic pelvic pain in both women and men. At our Texas and Florida pain clinic locations, you will find an expert with the experience you need.

Symptoms of Chronic Pelvic Pain

  • Constant pain in part, or all, of the pelvic region
  • Intermittent pain
  • Dull aching pain
  • Sharp pains
  • Cramping
  • Pressure within your pelvis
  • Pain and/or discomfort during intercourse
  • Pain and/or discomfort while having a bowel movement or urinating

Causes of Chronic Pelvic Pain

Chronic pelvic pain may occur for a variety of reasons, or no apparent reason at all. Additionally, psychological factors may also play a role by exacerbating the condition. The emotional toll it takes on the person dealing with the pain may actually cause the pain to increase.
Other potential causes include:


This is a condition where endometrial tissue grows outside the uterus and causes pelvic pain.


These are benign tumors of muscular and fibrous tissues that usually grow in the wall of the uterus.

Pelvic floor muscle tension

When the pelvic floor muscles become tense it can lead to pelvic pain.

Irritable bowel syndrome (IBS)

Bloating, constipation or diarrhea and other symptoms of IBS can bring about pelvic pain and discomfort.

Chronic pelvic inflammatory disease

This is a STI (sexually transmitted infection) of the female reproductive organs that occurs when bacteria spread from your vagina to your uterus, fallopian tubes or ovaries.

Psychological factors

If the person is severely distraught, the mind can increase the amount of pain felt, imagined or otherwise, due to the depression and emotional distress experienced. Add to this that stress weakens the body’s natural defenses and this can cause the pain to multiply.

Ovarian Remnant Syndrome (ORS)

This disorder can occur when any ovarian tissue is left after surgery to remove both ovaries and fallopian tubes, and may cause chronic pelvic pain.

Pelvic congestion syndrome

This medical condition in women is caused by varicose veins in the lower abdomen that can cause chronic pain.

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