DDx

Gynecologic

• Endometriosis, adenomyosis (uterine endometriosis), pelvic adhesions, prior PID or chronic PID, uterine leiomyomas (fibroids), ovarian tumor

• Irritable bowel syndrome, inflammatory bowel disease, diverticulosis, constipation, colon cancer, abdominal hernia

• Detrusor overactivity, interstitial cystitis, urinary calculi, urethral syndrome, bladder cancer

• Myofascial pain, low back pain, disk disease, nerve entrapment, muscle strain or spasm

• Somatization, depression, physical or sexual abuse, anxiety