Depending on the source, pelvic pain can be sharp or dull, sporadic or constant, mild, moderate and/or severe. It can begin suddenly and occur briefly (acute) or can be long term (chronic). Pelvic pain may radiate to the buttocks, thighs or lower back. Patients may experience pain when urinating, sitting or with sexual activity. Pelvic pain occurs in the lowest part of the abdomen and pelvis. In women, pelvic pain can develop from the urinary, digestive, and reproductive systems or from musculoskeletal sources.
Pelvic Pain Disorders
- Coccydynia: Pain in/around coccyx (tailbone).
- Dyspareunia: Pain during sexual intercourse at penetration or deep pain during shearing.
- Interstitial Cystitis (IC /Painful Bladder Syndrome): Mild or severe discomfort, pressure, tenderness, or pain in bladder, lower abdomen, and pelvic area.
- Levator Ani Spasm: Perineal pain from involuntary muscle spasm of Levator Ani muscle.
- Myalgia (muscle pain) /Myositis (muscle inflammation).
- Scar & Myofascial Conditions: Restrictions from abdominal surgeries, C-sections, vaginal scar, cancer related treatments.
- Prostatitis Pelvic Pain: Chronic nonbacterial prostatitis – common male genitourinary condition characterized by episodic pain/discomfort – comes & goes unpredictably. May include inflammation & urination difficulties.
- Prolapse: One or more pelvic organs descending out of normal position into vaginal canal.
- Pudendal Neuralgia: Pain radiating along distribution of the nerve without demonstrable compromise of nerve structure.
- Sacroiliac Joint Dysfunction: Misalignment/abnormal movement of lower back two large joints on either side of tailbone.
- Vaginismus: Involuntary tightening of vagina – typically during intercourse or inserting tampon. Often from muscle spasms.
- Vulvodynia: Chronic pain/discomfort around opening of vagina (vulva).
Symptoms
- Pain in abdomen between lower ribs & groin.
- Pain in anus or rectum region.
- Pain in back from waist to tailbone – including flanks & buttocks.
- Myalgia (muscle pain) /Myositis (muscle inflammation).
- Pain in groin, genitals or perineum region.
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