Understanding Pelvic Pain
This information is for general education only and is not medical advice. It cannot replace a diagnosis or treatment plan from a qualified healthcare provider who knows your history. Always talk with your own doctor about your symptoms and options.
Chronic pelvic pain is persistent pain in the lower abdomen that lasts 6 months or longer. It can have many causes, including endometriosis, adenomyosis, fibroids, ovarian cysts, and pelvic floor dysfunction.
Because pelvic pain can stem from multiple sources, finding the right diagnosis often requires a specialist who understands the complex interplay of gynecologic, urologic, and musculoskeletal factors.
Do I have pelvic pain?
These conditions are often complex to diagnose and can look different in every patient. If several of these feel familiar, it's worth talking to a specialist.
Persistent lower abdominal pain
Dull, aching, or sharp pain that lasts more than 6 months.
Pain during periods
Pain that intensifies during menstruation but may persist between periods.
Pain with intercourse
Pain during or after sexual activity.
Pain with urination or bowel movements
Discomfort or pain during bladder or bowel function.
2,900+ AAGL member surgeons list pelvic pain as a focus area
These surgeons have identified pelvic pain as an area of focus in their own listing. AAGL does not verify this information. Inclusion is not an endorsement.
How is pelvic pain treated?
Treatment depends on your symptoms, severity, and goals. Here are the most common approaches, with an emphasis on minimally invasive options.
Diagnostic laparoscopy
Minimally invasive surgery to visualize and identify the cause of pelvic pain.
Excision surgery
Surgical removal of endometriosis or adhesions causing pain.
Pelvic floor therapy
Specialized physical therapy to address musculoskeletal contributions to pain.
Multidisciplinary approach
Combining surgical treatment with pain management, physical therapy, and hormonal therapy.
When to seek care urgently
This page is for education, not diagnosis. Some symptoms need prompt medical attention. Seek urgent care or call your local emergency number if you experience:
- Severe or sudden pelvic or abdominal pain
- Heavy vaginal bleeding that soaks through a pad or tampon every hour for two or more hours
- Fever with pelvic pain
- Fainting, dizziness, or a racing heart
- Bleeding during pregnancy, or severe pain during pregnancy
- Sudden, severe, or rapidly worsening pelvic pain, especially with fever, vomiting, or fainting, needs urgent evaluation.
Frequently asked about pelvic pain
When should I see a specialist for pelvic pain?
If your pain lasts more than 6 months, interferes with daily activities, or has not responded to initial treatments, it is time to see a gynecologic specialist.
Is pelvic pain always caused by a gynecologic condition?
Not always. Pelvic pain can involve the reproductive organs, urinary system, bowel, or musculoskeletal system. A thorough evaluation is important.
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Medical Disclaimer
The information on this page is provided by Gynawareness, an educational initiative of the American Association of Gynecologic Laparoscopists (AAGL), for general informational and educational purposes only. It is not intended as, and should not be used as, a substitute for professional medical advice, diagnosis, or treatment.
Every patient is unique. Treatment options, risks, benefits, and outcomes depend on individual medical history, current health status, and clinical findings that can only be evaluated by a qualified healthcare provider. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or treatment.
Do not delay seeking medical care, disregard professional medical advice, or stop a prescribed treatment because of information you have read on this site. If you believe you have a medical emergency, call your physician or 911 immediately.
Gynawareness and the AAGL do not endorse any specific test, product, procedure, opinion, surgeon, or other information that may be mentioned on this site.