Condition Basics
What is chronic pelvic pain?
Chronic pelvic pain is pain below the belly button that usually lasts more than 6 months. It may or may not have a clear cause. It can range from being mild to being so bad that it gets in the way of your daily activities and sleep.
What causes it?
Sometimes it's clear what is causing chronic pelvic pain. Other times it's not. The pain may come from your reproductive or urinary system, bowels, or muscles and nerves in the pelvis. And there can be more than one cause. Sometimes the brain and nerves become extra sensitive to pain. This makes pain worse.
What are the symptoms?
Chronic pelvic pain may include severe cramping during periods, pain during sex, or pain when you urinate or have a bowel movement. You may have pain in certain postures or positions. Pain may range from mild to severe or dull to sharp.
How is it diagnosed?
Your doctor will ask you about your past illnesses, surgeries, and overall health. You will also be asked about your pain, including whether it disrupts your daily activities, sleep, or mood. Your doctor will do a physical exam. You may need tests, such as imaging tests or blood or urine tests.
How is chronic pelvic pain treated?
You will work with your doctor to make a treatment plan. There are many treatments you can try to manage your pain. These include physical treatments, behavioral health treatments, and medicines. Surgery is sometimes used. It may take several types or combinations of treatments before you find what helps you the most.
