Causes of Lower Pelvic Pain

November 12, 2012

Causes of Lower Pelvic Pain

Anyone who has suffered from a kind of lower pelvic pain will know how unpleasant it can be. However, each case varies depending on the cause and this is often reflected in the symptoms.


This is an abnormality of the uterus lining, where it grows outside of the uterus and attaches to areas such as the ovaries, fallopian tubes, intestines or other internal structures in the pelvic region. This condition can lead to lower pelvic pain in particular during menstruation. Bleeding of the endometriosis can lead to tissue scaring and eventually a cyst.

Pelvic Adhesions

Pelvic adhesion is the term used when scar tissue binds organs to one another. This may occur as a result of an infection, pelvic surgery, abdominal surgery or endometriosis. This is a condition that often goes overlooked and can be hard to identify. In some cases it is possible to feel during a pelvic examination if the ovaries and the uterus have bound together. Surgical exploration such as a laparoscopy is often required in order to make a definitive diagnosis. Lower pelvic pain is a symptom of this condition and the pain differs in each case, sometimes occurring in localized areas and sometimes more general around the pelvic area. Surgery is one option for treatment, although even when the scar tissue has been removed it is possible for reformation of the adhesions to occur.


This is a form of lower pelvic pain, which occurs at the opening of the vagina or in the vulva. A possible cause of this condition is that the surrounding nerves, tissues or muscles have become inflamed. Therefore treatment focuses on these factors. Patients experiencing vulvodynia may find inserting a tampon has become painful in addition to sexual intercourse or even wearing tight fitting underwear or trousers. The type of pain varies form case to case but women have reported burning, stabbing, irritation and stinging sensations that may occur constantly or intermittently.

Irritable Bowel Syndrome

The kinds of lower pelvic pain that can occur as a symptom of irritable bowel syndrome include constipations, diarrhea or both in some cases. Bloating and general discomfort are common symptoms that are relieved by a bowel movement. There are a number of triggers of this condition including diet, lifestyle and stress.

Interstitial Cystitis

Lower pelvic pain can also be causes by interstitial cystitis, which is a bladder condition that can become very painful. The most common symptoms of this and other bladder conditions include the urgent and frequent need to urinate.

Musculoskeletal causes

This is one of the more common causes of lower pelvic pain but ironically is one of the most over looked causes. As with the muscles and joints anywhere else in the body, it is perfectly possible to injure or strain those in the pelvic area. Childbirth and surgery for instance are both common causes for an injured or stretched pelvic muscle or nerve.


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