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. 2018 Nov 4;64(4):291–299. doi: 10.5606/tftrd.2018.3616

Table 1. Common causes of chronic pelvic pain.

Urological causes of chronic pelvic pain
Bladder pain syndrome (interstitial cystitis)
Testicular pain syndrome
Epididymal pain syndrome
Scrotal pain syndrome
Penile pain syndrome
Urethral pain syndrome
Prostatic pain syndrome
Urethral diverticulum
Recurrent urinary tract infection
Radiation cystitis
Neoplasia
Urogynecological causes of chronic pelvic pain
Endometriosis
Adenomyosis and uterine fibroids
Chronic pelvic inflammatory disease
Pelvic adhesions
Pelvic congestion syndrome
Residual ovary syndrome
Leiomyoma
Infectious salpingitis
Benign cystic mesothelioma
Postoperative peritoneal cysts
Neoplasia
Gastrointestinal causes of chronic pelvic pain
Irritable bowel syndrome
Inflammatory bowel disease and other causes of colitis
Diverticular disease
Chronic intermittent bowel obstruction
Neoplasia
Chronic constipation
Celiac disease
Functional abdominal pain syndrome
Opioid-induced bowel dysfunction
Hemorrhoids
Anal fissures
Perineal pain syndrome
Musculoskeletal disorders
Myofascial pain syndrome (Piriformis, levator ani, iliopsoas, obturator internus and quadratus lumborum muscles)
Coccydynia
Piriformis syndrome
Hip osteoarthritis
Sacroiliac joint dysfunction
Pelvic insufficiency fractures
Osteitis pubis
Fibromyalgia
Spinal lesions (Degenerative disk disease, herniated nucleus pulposus, facet joint disorders, infections and neoplasia)
Neurological disorders
Plexopathy
Radiculopathy
Nerve entrapment syndrome (Pudendal, obturator, iliohypogastric, ilioinguinal, genitofemoral and lateral femoral cutaneous and anterior abdominal cutaneous nerves)
Chronic pain syndrome
Abdominal epilepsy
Abdominal migraine
Psychosocial causes of chronic pelvic pain
Somatization
Depression
Anxiety
Substance and alcohol abuse
Physical and sexual abuse
Sexual dysfunction
Family or relationship problems