- General
- Idiopathic in up to 60% of cases
- Women with more than one diagnosis contributing to Pelvic Pain: 40%
- Gastrointestinal and urinary causes are more common than gynecologic causes
- Most common causes
- Endometriosis
- Intraabdominal Adhesions
- Irritable Bowel Syndrome
- Interstitial Cystitis
- Urinary Tract (5% of Chronic Pelvic Pain)
- Urinary Tract Infection (UTI)
- Urethral syndrome (Urethritis)
-
Interstitial Cystitis
- Recent evidence suggests very common cause
- May be responsible for 33% of Chronic Pelvic Pain
- Clemons (2002) Obstet Gynecol 100:337-41 [PubMed]
- Gastrointestinal (20-30% of Chronic Pelvic Pain)
- Irritable Bowel Disease
- Hernia
- Inflammatory Bowel Disease
- Musculoskeletal
- Pelvic Floor Dysfunction
- Abdominal wall Trigger Points
- Responds to local 0.5% Marcaine injection
- Psychological
- Major Depression
- Sexual abuse history
- Gynecologic
- Endometriosis
- Chronic Pelvic Inflammatory Disease
- Pelvic Adhesions
- Mittelschmerz
- Pelvic Relaxation
- Ovarian Remnant Syndrome
- Pelvic Congestion Syndrome
- Cyclic Pelvic or Uterine pain