Gynecologic Health

Premier Health providers answer frequently asked questions about prevention and wellness for women.

What are the three most common types of pelvic pain you see in patients? Can any of these cause infertility or miscarriage?

Dr. Larry Holland explains the three types of pelvic pain. Click play to watch the video or read the transcript.

What are the three most common types of pelvic pain you see in patients? Can any of these cause infertility or miscarriage?

The three most common types of pelvic pain ... when you talk about chronic pelvic pain, it's ubiquitous in regards to there's many, many etiologies or causes of pain in general. And typically, chronic pain, you look at, it's usually been present for over six months. It's usually sub-umbilical, and there's usually some reason for treatment, or it affects their [inaudible 00:00:58] day living.

So when you look at the three most common of the chronic pelvic pain issues, I would say endometriosis is probably number one. I think we see a lot of what's called pelvic inflammatory disease. And I would also say that dysmenorrhea, or painful periods, would be another one as well.

Of those three, endometriosis can definitely affect fertility or subfertility, depending on the extent of it affects the pelvis. But dysmenorrhea will probably not affect fertility. That's more of a painful period situation. And the pelvic inflammatory disease could also affect fertility in regards to adhesion formation and affect the tubal function within the pelvis.

 

Chronic pelvic pain is typically present for more than six months and can have many causes. In most cases the pain is felt below the belly button, it affects the patient’s daily living and there is usually a reason for treatment.

The three most common types of chronic pelvic pain are endometriosis, pelvic inflammatory disease and dysmenorrhea, or painful periods. Of those three, endometriosis can definitely affect fertility, depending on the extent of the condition. Pelvic inflammatory disease may also affect fertility if adhesions form or if tubal function is damaged. Dysmenorrhea does not affect fertility.

Learn more:

Source: Rashmi Bolinjkar, MD, Upper Valley Womens Center; Jeremy Crouch, MD, Womens Health Specialists and Midwives of Dayton; Heather Hilkowitz, MD, Hilltop Obstetrics and Gynecology; Amanda Fox, CNP, Dulan and Moore Dulan Family Wellness Center; Kathryn Lorenz, MD, Hyatt Family Care; William Rush, MD, Lifestages Samaritan Centers for Women; Jerome Yaklic, MD, Wright State Physicians Obstetrics and Gynecology; Mansi Amin, DO, SureCare Medical Center; Amy Renshaw, MD, Center for Womens Health and Wellness; J. Scott Bembry, Premier OB/GYN; L. William Rettig, III, MD,Lifestages Centers for Women; Elyse Weber, PA, Lifestages Centers for Women; Rhonda Washington, MD, Center for Womens Health and Wellness; Stacy Hudepohl, CNM, Center for Womens Health and Wellness; Larry Holland, DO, Premier Womens Center

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