What are the common causes of gynaecological pelvic pain?

Dysmenorrhoea (pain associated with menstruation) is the commonest type of gynaecological pelvic pain in young women. Pain may occur at the time of ovum (egg) release about 14 days before the next period is due; this pain is called mid-cycle pain or Mittelschmerz. Cysts (fluid filled sacs) within the ovaries occur frequently and indeed naturally throughout the reproductive years; these may be called physiological or functional cysts. Sometimes, bleeding may occur into a physiological cyst resulting in acute pain. Pelvic pain may be an indication of a problem during early pregnancy (Miscarriage;12.23).

Other gynaecological causes of pelvic pain include pelvic inflammatory disease (Q 20. 2), fibroids (Q 23.14) and endometriosis (Q 23.18). Utero- vaginal prolapse (Q30.1) may cause a dragging pelvic ache or pain.

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