What is Chronic Pelvic Pain?

Chronic pelvic pain (CPP) is a persistent and often debilitating condition characterized by continuous or recurrent pain in the pelvic region lasting for at least six months. It can stem from a variety of sources, including gynecological, gastrointestinal, urological, and musculoskeletal issues. Conditions such as endometriosis, pelvic inflammatory disease, interstitial cystitis, and pelvic floor dysfunction are common contributors to CPP. The pain can be sharp, dull, or cramp-like and may interfere with daily activities, significantly impacting a person’s quality of life.


What are Some Symptoms of Chronic Pelvic Pain?

Chronic pelvic pain (CPP) can manifest with a variety of symptoms, and these can vary depending on the underlying cause. Common symptoms associated with chronic pelvic pain may include:

  1. Persistent Pain: The primary characteristic of CPP is ongoing pain in the pelvic region that lasts for at least six months. The pain may be constant or intermittent and can range from dull and aching to sharp or cramp-like.
  2. Discomfort During Intercourse: Pain or discomfort during sexual activity (dyspareunia) is a common symptom of chronic pelvic pain.
  3. Menstrual Changes: Women with CPP may experience changes in their menstrual cycle, including irregular periods, heavier or lighter flow, or worsening of pain during menstruation.
  4. Painful Urination or Bowel Movements: Pain or discomfort during urination or bowel movements can be associated with CPP, indicating potential involvement of the urinary or gastrointestinal systems.
  5. Pelvic Pressure or Heaviness: Some individuals with CPP describe a sensation of pressure or heaviness in the pelvic area.
  6. Painful Sitting: Discomfort or pain when sitting for extended periods is another symptom that individuals with CPP may experience.
  7. Back Pain: Pain in the lower back may be associated with pelvic pain, especially if musculoskeletal issues or conditions like endometriosis are contributing to the pain.
  8. Pain with Physical Activity: Activities such as exercise or prolonged standing may exacerbate pelvic pain in some cases.
  9. Emotional Impact: Chronic pelvic pain can take a toll on mental health, leading to feelings of frustration, anxiety, or depression.

It is important to note that the specific symptoms can vary widely.


Chronic Pain


Why is Chronic Pelvic Pain Caused?

Chronic pelvic pain (CPP) can have a multitude of causes, and in many cases, it may be the result of a combination of factors. Some common causes and contributing factors to chronic pelvic pain include:

  1. Pelvic Inflammatory Disease (PID): Infections of the reproductive organs, often caused by sexually transmitted infections (STIs) like chlamydia or gonorrhea, can lead to inflammation and scarring, resulting in chronic pelvic pain.
  2. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside the uterus, causing inflammation, adhesions, and pain.
  3. Interstitial Cystitis: A chronic bladder condition that can cause pelvic pain and discomfort, often accompanied by a frequent and urgent need to urinate.
  4. Pelvic Congestion Syndrome: Enlarged veins in the pelvic region can cause a feeling of fullness or pain.
  5. Irritable Bowel Syndrome (IBS): Gastrointestinal disorders, such as IBS, can contribute to pelvic pain, especially if there are disturbances in bowel function.
  6. Musculoskeletal Issues: Problems with the muscles, ligaments, and joints in the pelvic area can lead to persistent pain. Pelvic floor dysfunction is an example of a musculoskeletal issue associated with CPP.
  7. Adhesions or Scar Tissue: Surgical procedures, pelvic infections, or inflammation can lead to the formation of adhesions, causing pain by restricting movement of pelvic organs.
  8. Ovarian Remnants: In some cases, small pieces of ovarian tissue may remain after a hysterectomy, leading to persistent pain.
  9. Psychological Factors: Emotional stress, anxiety, or a history of trauma may contribute to the experience or exacerbation of pelvic pain.
  10. Neurological Causes: Conditions affecting the nerves in the pelvic region, such as pudendal neuralgia, can lead to chronic pain.


Who is at Most Risk for Experiencing Chronic Pelvic Pain?

Chronic pelvic pain (CPP) can affect individuals of any age, gender, or background, but certain factors may increase the risk of experiencing this condition. Some common risk factors for chronic pelvic pain include:

  1. Gender: Women are more commonly affected by chronic pelvic pain than men, particularly due to conditions like endometriosis, pelvic inflammatory disease (PID), and conditions related to the reproductive organs.
  2. Reproductive Age: Many causes of chronic pelvic pain, such as endometriosis and pelvic inflammatory disease, are more prevalent during the reproductive years.
  3. History of Pelvic Infections: Previous pelvic infections, especially those caused by sexually transmitted infections (STIs), can increase the risk of chronic pelvic pain.
  4. Gynecological Conditions: Women with certain gynecological conditions, such as endometriosis, uterine fibroids, or ovarian cysts, may be at a higher risk of developing chronic pelvic pain.
  5. Surgical History: Previous pelvic surgeries, particularly those involving the reproductive organs, can lead to the formation of scar tissue (adhesions) and contribute to chronic pelvic pain.
  6. Chronic Inflammatory Conditions: Conditions characterized by chronic inflammation, such as inflammatory bowel disease (IBD) or chronic bladder conditions like interstitial cystitis, may contribute to pelvic pain.
  7. Psychological Factors: Stress, anxiety, and depression can play a role in the development or exacerbation of chronic pelvic pain.
  8. Pelvic Floor Dysfunction: Dysfunction of the pelvic floor muscles, which support the pelvic organs, can contribute to pelvic pain. This may be more common in individuals with a history of childbirth or chronic constipation.

It’s essential to recognize that while these factors may increase the risk, chronic pelvic pain is a complex condition, and its causes can be multifactorial.


What are Some Natural Remedy Measures for Chronic Pelvic Pain?

Here are some natural remedy measures that some individuals find helpful for managing chronic pelvic pain:

  1. Warm Compresses or Heating Pads: Applying a warm compress or heating pad to the pelvic area may help relax muscles and alleviate pain.
  2. Pelvic Floor Physical Therapy: Pelvic floor physical therapy involves exercises and techniques to address muscle imbalances, tension, or weakness in the pelvic floor, which can contribute to pelvic pain.
  3. Yoga and Stretching: Gentle stretching and yoga may help improve flexibility, reduce muscle tension, and promote relaxation. Certain yoga poses may be particularly beneficial for pelvic pain.
  4. Mind-Body Techniques: Practices such as deep breathing, meditation, and mindfulness can help manage stress and anxiety, which may contribute to pelvic pain.
  5. Dietary Changes: Some individuals find relief by making dietary modifications. For example, avoiding certain foods that can trigger inflammation or exacerbate gastrointestinal symptoms may be beneficial. Consulting with a dietitian or healthcare provider can help identify potential dietary triggers.
  6. Hydration: Staying adequately hydrated is essential for overall health and may be beneficial for individuals with chronic pelvic pain.
  7. Acupuncture: Acupuncture involves the insertion of thin needles into specific points on the body to promote balance and alleviate pain. Some people with chronic pelvic pain report relief with acupuncture.
  8. Biofeedback: Biofeedback involves using sensors to monitor and provide feedback about physiological processes, such as muscle tension. It can be used to help individuals gain better control over pelvic floor muscles.
  9. Herbal Supplements: Some individuals explore the use of herbal supplements, such as turmeric or ginger, which have anti-inflammatory properties. However, it’s crucial to consult with a healthcare provider before using supplements, as they can interact with medications or have side effects.
  10. Stress Management: Since stress can exacerbate pelvic pain, finding effective stress management techniques, such as regular exercise, counseling, or hobbies, may be beneficial.


The ten modern lifestyle root causes for hormonal imbalance related to PCOS that may on some level lead to problems with Chronic Pelvic Pain are:

  • Food Related Causes– Inflammation, toxicity, acidity, excess male hormones, insulin resistance.
  • Exercise Related Causes: Sedentary lifestyle, lack of muscle strength, excess ovarian fat.
  • Sleep Related Causes: Poor sleep quality (Lack of Deep Sleep).
  • Stress Related Causes: Chronic Stress.  Addressing these triggers through an integrated approach can naturally restore hormonal balance.



How can the Five Pillars Integrated Lifestyle Approach Help You to Have Hormonal Balance and Help With Taking Care of Pelvic Chronic Pain?


  • Eat Right: Embrace living, water-rich, whole, plant-based foods that nurture our genetic potential. By opting for local and seasonal choices, we honor nature’s wisdom. Eliminating packaged and processed foods liberates us from epigenetic imprints, elevating our hormonal health.


  • Move More: Embark on a journey of holistic lifestyle changes, where staying active transcends mere exercise. Embracing constant movement throughout the day optimizes epigenetic expression, igniting hormonal balance. Engage in pleasurable physical activities, dance, or even mindful walks to unlock the power of epigenetic triggers.


  • Breathe Aware: As we deepen our understanding of Pranayama, the science of breath, we access a profound gateway to support gland function and harmonize hormones. Harnessing the breath’s epigenetic influence, we transcend the ordinary and elevate our hormonal well-being.


  • Sleep Better: Unlock the secrets of deep sleep, a transformative practice for healing and regeneration. With the art of Yog Nidra to avoid being sleep deprived, we embrace epigenetic potential, unearthing hormonal harmony in the realm of dreams. Rejuvenate your entire being through this exquisite dance with the epigenetic clock to stop feeling sleep deprived.


  • Mind Free: Journey into the realm of emotions, thoughts, and stress resilience, where journaling, gratitude, and emotional practices become our guiding compass. Embracing epigenetic intelligence, we shift our narrative from stress to serenity, empowering our hormonal landscape.


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