. 2010 Aug 20;2:263–277. doi: 10.2147/IJWH.S7991

Table 1.

Etiologies of chronic pelvic pain

Gynecological	Physiologic
	Primary dysmenorrhea^a
	Mittelschmerz^a
	Pathologic
	Endometriosis^a
	Adenomyosis^a
	Fibroid (uterine leiomyoma)^a
	Cervical stenosis or obstructive abnormality^a
	Pelvic venous congestion syndrome^a
	Ovarian remnant/residual ovary syndrome
	Pelvic adhesions
	Postpelvic inflammatory disease
	Endosalpingiosis
Gastrointestinal tract	Irritable bowel syndrome^a
	Inflammatory bowel disease
	Chronic constipation
Urinary tract	Interstitial cystitis
Nervous system	Pudendal neuralgia
	Provoked vestibulodynia
Muscloskeletal	Pelvic floor myalgia
	Myofascial pain
Psychosocial	Depression
	Physical/sexual abuse
	Drug seeking behavior

Note: May cause cyclic pelvic pain in relation to menstrual cycle.