Chronic pelvic pain

DDx

Gynecologic

  • Endometriosis, adenomyosis (uterine endometriosis), pelvic adhesions, prior PID or chronic PID, uterine leiomyomas (fibroids), ovarian tumor
Gastrointestinal
  • Irritable bowel syndrome, inflammatory bowel disease, diverticulosis, constipation, colon cancer, abdominal hernia
Urologic
  • Detrusor overactivity, interstitial cystitis, urinary calculi, urethral syndrome, bladder cancer
Musculoskeletal
  • Myofascial pain, low back pain, disk disease, nerve entrapment, muscle strain or spasm
Psychiatric
  • Somatization, depression, physical or sexual abuse, anxiety

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Last updated: December 1, 2014