Chronic Pelvic Pain

Chronic pelvic pain (CPP) is a common, long-lasting pain that affects the pelvic area, which includes the lower abdomen, lower back, and the area between the genitals and anus. It is often felt deep in the pelvis, and can be persistent, intermittent, or spasmodic. CPP can have a major impact on a person's quality of life, and can have a significant psychological, emotional, and physical toll. CPP is typically caused by a combination of factors, including chronic inflammation, changes in hormones, and neural sensitization. The most common causes include pelvic inflammatory disease, endometriosis, irritable bowel syndrome, and interstitial cystitis. Other causes include pelvic floor dysfunction, musculoskeletal disorders, and nerve entrapment. CPP can also be caused by chronic stress, depression, anxiety, and physical trauma. When diagnosing CPP, a doctor will typically conduct a physical exam and order imaging tests, such as an MRI or CT scan. They may also perform lab tests to check for underlying conditions, such as infection or endometriosis.