5 Causes of Chronic Pelvic Pain

If you’re a woman in your childbearing years and are experiencing chronic pelvic pain, it’s important that you get a proper diagnosis for the underlying cause. As experienced gynecologists, Martin Pakideh, DO and Soudabeh Ahadi, MD know how pelvic pain can disrupt your physical health and even lead to a disability.

At Monroe OBGYN, you can get a comprehensive diagnostic evaluation to uncover the root cause of your pain. The providers also offer customized treatment plans to relieve your chronic pelvic pain and reduce your risk for further gynecologic complications.

Understanding pelvic pain

Women who experience persistent pelvic pain often describe their symptoms as a dull ache in their lower abdomen that lasts six months or longer and can worsen over time. You may also experience a sharp pain in your pelvic region during physical activity or after urinating or having sex.

In addition to the pain, you may also develop other symptoms that relate to the underlying cause of your pain, such as:

Whenever you experience chronic pelvic pain that isn’t treatable with over-the-counter medications, you should request a diagnostic evaluation at Monroe OBGYN to reduce your risk for ongoing pain and other possible complications.

5 reasons you may have chronic pelvic pain

Chronic pelvic pain may occur for a variety of underlying medical conditions, including gynecological conditions like:


Endometriosis is a condition that occurs when your uterine lining begins growing beyond your uterus. This tissue continues to function like it would normally by increasing in thickness and breaking down each month during your period.

However, because the tissue is trapped inside your body and has no way to leave, it can lead to chronic pelvic pain.


Adenomyosis is a condition that develops when your uterine lining grows into the muscle wall of your uterus. This tissue continues to thicken and break down each month during your period.

The condition can lead to painful and heavy periods and if left untreated, can result in the enlargement of your uterus.

Uterine fibroids

Uterine fibroids are noncancerous growths that develop on the wall of your uterus. While these growths are typically harmless, they can grow large enough to interfere with fertility and cause you chronic pelvic pain.

Ovarian cysts

Ovarian cysts are fluid-filled sacs that form in your ovaries, the organ that releases an egg each month for fertilization.

While many women have cysts without any issues, some cysts can grow large enough to cause chronic pelvic pain. You may also experience pelvic pain if a cyst ruptures.

Pelvic inflammatory disease (PID)

Pelvic inflammatory disease is an infection that affects your reproductive organs. Many women develop PID from sexually transmitted diseases (STDs) like gonorrhea that results in vaginal discharge, bleeding between your periods, and persistent pelvic pain.

You may also be at risk for pelvic pain due to non-gynecological conditions like irritable bowel syndrome, fibromyalgia, and diverticulitis.

Options for relieving chronic pelvic pain

If chronic pelvic pain makes it impossible for you to stay physically active or even go to work, Dr. Pakideh and Dr. Ahadi can help.

As pelvic pain specialists, the providers customize a treatment plan that addresses your diagnosis. They offer a variety of in-office treatment options, including hormone therapy with low-dose birth control and minimally invasive therapies like NovaSure®, to ease your pain and treat its underlying cause.

Get relief for your chronic pelvic pain today by scheduling a consultation online or by calling Monroe OBGYN.

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