This content does not have an English version. This content does not have an Arabic version. Overview Chronic pelvic pain is pain in the area below your bellybutton and between your hips that lasts six months or longer. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references As-Sanie S. Causes of chronic pelvic pain in nonpregnant women.
Accessed May 9, Tu FF, et al. Treatment of chronic pelvic pain in women. Pelvic pain. Rochester, Minn. Elkadry E, et al. Clinical manifestations and diagnosis of myofascial pelvic pain syndrome in women. Evaluation of chronic pelvic pain in women. Frequently asked questions. Gynecologic problems FAQ Chronic pelvic pain. American Congress of Obstetricians and Gynecologists.
Accessed April 8, Carinci AJ. Complementary and alternative treatments for chronic pelvic pain. Current Pain and Headache Reports. Or, the pain can start around your bellybutton and migrate to your lower right abdomen. It gets worse when you breathe deeply, cough, or sneeze. Kidney stones form when minerals like calcium or uric acid clump together in your urine and make hard rocks.
Kidney stones are usually more common in men than women. Secondly, the tubes react to the stone by clamping down on the stone trying to squeeze it out which causes a painful spasm. Third, if stone blocks the flow of urine it can back up into the kidney causing pressure and pain. This pain can be severe. The pain usually starts in your side and back, but it can radiate to your lower belly and groin. You can also have pain when you urinate. Kidney stone pain comes in waves that get more intense and then fade.
A kidney infection may develop if bacteria gets into your kidneys. This can also cause pain in your back, side, lower abdomen, and groin. Sometimes people with kidney stones also have a kidney infection. It causes pain or pressure in your pelvis and lower belly. IBS is a condition that causes intestinal symptoms like cramps.
About 12 percent of American adults have been diagnosed with IBS. IBS affects about twice as many women as men, and it usually starts before age The pudendal nerve supplies feeling to your genitals, anus, and urethra. An injury, surgery, or growth can put pressure on this nerve in the area where it enters or leaves the pelvis. Pudendal nerve entrapment causes nerve pain.
This feels like an electric shock or deep aching pain in the genitals, the area between the genitals and rectum perineum , and around the rectum. The pain gets worse when you sit, and improves when you stand up or lie down.
Adhesions are bands of scar-like tissue that make organs and tissues in your abdomen stick together. You can get adhesions after you have surgery to your abdomen. About 93 percent of people who have abdominal surgery develop adhesions afterward. When they do, belly pain is most common.
Sharp pulling sensations and pain are often reported. Most women get cramps in their lower abdomen just before and during their monthly menstrual period. The discomfort comes from hormone changes, and from the uterus contracting as it pushes out the uterine lining. Usually cramps are mild, but sometimes they can be painful. Painful periods are called dysmenorrhea. About 10 percent of women have pain severe enough to disrupt their daily life. An ectopic pregnancy occurs when a fertilized egg grows outside of the uterus — usually in the fallopian tubes.
As the egg grows, it can cause the fallopian tube to burst, which can be life threatening. Between 1 and 2 percent of all pregnancies in the United States are ectopic pregnancies. Pain from an ectopic pregnancy comes on quickly and can feel sharp or stabbing. It may only be on one side of your pelvis. The pain can come in waves. Call your obstetrician-gynecologist if you have these symptoms. Ectopic pregnancy is a medical emergency. A miscarriage refers to the loss of a baby before the 20th week of pregnancy.
About 10 to 15 percent of known pregnancies end in miscarriage. Cramps or severe pain in your belly is one sign of a miscarriage.
You might also have spotting or bleeding. It starts when bacteria get into the vagina and travel to the ovaries, fallopian tubes, or other reproductive organs. The pain from PID is centered in the lower belly. It can feel tender or achy. Other symptoms include:. See your doctor if you have these symptoms. If left untreated, PID can lead to infertility.
Cysts are fluid-filled sacs that can form in your ovaries. However, if a cyst twists or breaks open ruptures , it can cause pain in your lower belly on the same side as the cyst. The pain can be sharp or dull, and it may come and go. Uterine fibroids are growths in the wall of the uterus.
Fibroids can range in size from tiny seeds to large lumps that make your belly grow. Larger fibroids may cause pressure or pain in the pelvis. Chlamydia affects around 2. The CDC also estimate that gonorrhea affects , people every year. Along with pelvic pain, other symptoms of STIs may include painful urination, bleeding between periods, and changes in vaginal discharge. Anyone experiencing these changes should see their doctor who will be able to diagnose an STI and prescribe treatment, usually including antibiotics.
It is also critical to inform sexual partners about the infection to prevent it from spreading. Pelvic inflammatory disease PID is an infection in the womb that can damage the surrounding tissue.
PID can arise if bacteria from the vagina or cervix enter the womb and take hold. It is usually a complication of an STI such as gonorrhea or chlamydia.
Along with pelvic pain, women may experience other symptoms, including abnormal vaginal discharge and bleeding. Treatment typically involves taking antibiotics to treat the bacterial infection.
However, they cannot treat scarring, which is why early treatment is crucial. Endometriosis occurs when endometrium, or tissue that lines the inside of the uterus, grows outside of the womb. Endometriosis may be a source of chronic, long-lasting pelvic pain in some women. Some people may experience mild to severe pain. Endometriosis may make it difficult for some women to become pregnant.
Doctors may recommend various treatments, depending on symptom severity. Irritable bowel syndrome IBS is a gut disorder that causes pain and symptoms, including constipation , diarrhea , and bloating.
The symptoms of IBS tend to flare up and go away over time, especially after a bowel movement. There is no cure for IBS, so treatment focuses on managing symptoms through changes in diet, stress levels, and medications. Appendicitis is inflammation in the appendix, which is a small organ in the lower-right abdomen.
An infection causes this condition, and, although it is common, it can be severe. Anyone experiencing a sharp pain in their lower-right abdomen, along with other symptoms such as vomiting and fever , should seek immediate medical care, as this may be a sign of appendicitis. Stones in the urinary tract consist of salts and minerals, such as calcium , that the body has trouble getting rid of in the urine.
These minerals can build up and form crystals in the bladder or kidneys that often cause pain in the pelvis or lower back. Stones may also cause the urine to change color, often turning it pink or reddish with blood. Some stones do not require treatment, but passing them can be painful. At other times, a doctor may recommend medications to break up stones or surgery to remove them.
An ectopic pregnancy occurs when an embryo implants itself anywhere outside of the uterus and starts growing. A woman may feel very sharp pain, and cramps in her pelvis, which are usually focused on one side. Other symptoms include nausea, vaginal bleeding, and dizziness. Anyone who suspects that they have an ectopic pregnancy should seek immediate medical care, as this is a life-threatening condition. An adhesion is scar tissue that occurs inside the body and connects two tissues that should not be connected.
This may result in pain, as the body struggles to adapt to the adhesion. The scar tissue could form due to an old infection, endometriosis, or other issues in the area. Pelvic adhesions may lead to chronic pelvic pain in some women, and they may cause other symptoms, depending on where the scar tissue appears.
A doctor may recommend some minimally invasive surgeries to help reduce adhesions and relieve symptoms.
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