Chronic Pelvic Pain

Chronic pelvic pain describes pain affecting the lower abdomen and pelvis that has persisted for 6 months or more.

Chronic pelvic pain differs from acute pelvic pain in that the causes are often more complex and can be difficult to diagnose and treat. Symptoms can be related to pre-existing or underlying conditions such as vulvodynia, interstitial cystitis, endometriosis, pelvic floor muscle spasms, Irritable Bowel Syndrome, fibromyalgia, and infection.  In addition, symptoms are often unique to each person; pain levels can range from mild to severe. The pain can be constant or intermittent and can be localized to one area or spread to other areas of the body.  Pain can also be accompanied by symptoms such as blood in urine or stool, bleeding after sexual intercourse, and heavy or irregular menstrual bleeding.

Our physicians have developed a multi-modal, therapeutic approach for treating chronic pelvic pain, including pelvic floor therapy, bladder instillations, medications, and therapeutic pain injections.  Some women never receive a specific diagnosis that pinpoints the cause of their pain. This does not mean that the pain isn’t real or treatable. If no cause can be found, our urogynecology specialists will focus on long-term pain management.