What is  Chronic pelvic pain ?

Chronic pelvic pain is one of the most common medical problems among women. Twenty-five percent of women with CPP may spend 2 - 3 days in bed each month. More than half of the women with CPP must cut down on their daily activities 1 or more days a month and 90 % have pain with intercourse ( sex).  Almost half of the women with CPP feel sad or depressed some of the time.

CPP is any pelvic pain that lasts more than six months. Usually the problem, which originally caused pain, has lessened or even gone away completely, but the pain continues.

What is the difference between "acute" and "chronic" pain?

Acute pain is the pain that happens when the body is hurt, such as when you break your arm.


There is an obvious cause for the pain. Chronic pain is different. We may not know what the original


cause of the pain was and it may be gone. The reason pain is till there might be because of

changes in the muscles, nerves or other tissues in and near the pelvis. The pain itself has now


become the disease.

What is "Chronic Pelvic Pain Syndrome"?

When  constant, strong pain continues for a long period of time, it can become physically and mentally exhausting. To dealwith the pain, the woman may make emotional and behavioral changes in her daily life. when pain has continued for so long and to such an extent that the person in pain is changing emotionally and behaving differently to cope with it, this is known as "Chronic Pelvic Pain Syndrome". Women with this condition will have the following:

  • Pain present for 6 or more months

  • Usual treatments have not relieved the pain or have given only little relief

  • The pain is stronger than would be expected from the injury/surgery/condition which initially caused pain

  • Difficulty sleeping or sleeping too much, constipation, decreased appetite, "slow motion" body movements and reactions, and others symptoms of depression, including feeling blue or tearfulness.

  • Less and less physical activity

  • Changes in how she relates in her usual roles as wife, mother and employee.


Healthcare Related Questions, Answered for You

What is Pelvic Floor Dysfunction ( PFD)

Dysfunction means that something is not working right. The pelvic floor is a network of muscles, ligaments, and tissues that act like a hammock to support the organs of the pelvis : ( uterus, vagina, bladder, urethra, and rectum.) If the muscles become  sensitive or strained , they may cause pain in the pelvis.


The most common symptom is a feeling of either pain ( sometimes sharp) or a heaviness / pressure in the area of the vagina and lower abdomen.  Symptoms tend to occur when women are upright, straining, or coughing and disappear when they are lying down and relaxing. For some women, sexual intercourse is painful. Dysfunction in the pelvic floor can affect the bladder and rectum. As a result, women with PFD can gave problems with urination ( having to go frequently, trouble starting urinate) or problems having a bowel movement ( difficulty going, constipation).

Main causes of PFD

Pregnancy, delivery, trauma ( fall, car accident), surgery, obesity, other pelvic disease ( endometriosis, interstitial cystitis)

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