Pelvic Floor Pain- Causes and Symptoms in Women

Have you been experiencing chronic pain in your pelvic region lately? To ease things a little, we have presented a list of some of the symptoms and causes of pelvic floor pain in women. Have a good read!

Pelvic Floor Pain- Causes and Symptoms in Women

Have you been experiencing chronic pain in your pelvic region lately? Many women face it, especially during pregnancy, and a myriad of causes can be responsible for it. It is possible that you also have one or more of them. The trickiest part about diagnosing the causes of pelvic floor pain on your own is differentiating between the symptoms. All of them can have similar symptoms.

Pain lasting for more than 6 months usually indicates you need to consult your doctor. However, in some cases, the severity of the problem may not let you wait for that long. It is crucial to study your symptoms to diagnose the root cause appropriately and treat them. To ease things a little, we have presented a list of some of the symptoms and causes of pelvic floor pain in women. Have a good read!

Causes and Symptoms for Pelvic Floor Pain

1. Endometriosis

Endometriosis is a condition in which the endometrium tissue that lines the inside of the uterus grows out of it. The outside growth acts as the normal endometrium during your periods. It will shed and need to bleed at the end of a cycle. But being outside the uterus, it has nowhere to go, due to which the surrounding organs may become inflamed. You may also have scar tissue and lesions. The symptoms include:

  • Constant pelvic pain or cramps before or during periods
  • Pain during or after sex
  • Painful ovulation
  • Pain during bowel movements
  • Rectal bleeding during menstruation
  • Painful urination
  • Lower back pain
  • Infertility
  • Spotting between periods
  • Bloated abdomen

2. Adenomyosis

Here, the inner lining of the uterus (endometrium) breaks through the walls of the uterus. It causes menstrual cramps, bloating, and lower abdominal pressure. It also causes heavy periods. Many women do not feel any symptoms at all, and this condition may go unnoticed. It can harm the quality of a woman’s life. You may find it difficult to socialise or feel confident due to the constant pain and heavy bleeding. The common symptoms include:

  • Heavy and prolonged menstrual cycle
  • Severe menstrual cramps
  • Feeling pressure on bladder or rectum
  • Spotting between periods
  • Abdominal bloating

3. Interstitial Cystitis

It is a condition that affects and inflames the painful bladder. Therefore, it is often known as painful bladder syndrome. It is tough to diagnose and cannot be cured. Treatment can help make living with it better. It causes pain and pressure below the belly button. Women in their 30s and 40s often encounter this condition. It causes urgent bathroom trips which are mostly painful. In severe cases, women have to urinate for about 40-60 times a day. It can also keep you up at night. The most common symptoms include:

  • Bladder pain increases as it fills up
  • Need to urinate frequently
  • The need to urinate is also urgent
  • Discomfort during urination
  • Pain during sex
  • Pain in the urethra, pelvis, lower abdomen, or lower back

4. Urinary Tract Infection

Usually, bacteria are the cause of urinary tract infections. It can include any part of the urinary tract such as balder, urethra, or kidneys. More women experience them than men. Proper hygiene and adequate water and food intake can help avoid the infection. The common symptoms include:

  • Feeling pressure in the lower pelvic region
  • Painful or burning sensation when urinating
  • Frequent need to urinate
  • The need to urinate is also urgent
  • Often waking up at night to urinate
  • Urinating in small amounts
  • Urine is cloudy
  • Urine may contain blood
  • Strong and bad-smelling urine
  • Lower back pain

5. Pelvic Inflammatory Disease

This condition is a bacterial infection of the uterus, fallopian tubes, or ovaries that causes inflammation. It is mostly transmitted through sex just like gonorrhoea or chlamydia. The bacteria enter through the vagina and later affect surrounding organs like fallopian tubes and ovaries. This infection also causes scars which in turn cause chronic pain. The common symptoms include:

  • Unusual vaginal discharge with peculiar colour, texture, or odour
  • Abdominal or pelvic pain that may be concentrated or widespread
  • Pain during sex
  • Irregular menstrual cycle or missed periods
  • Worse than usual menstrual cramps
  • Frequent urge to urinate
  • Pain during urination
  • Pain when you ovulate
  • Pressing on certain areas of the pelvis is painful
  • Lower back pain
  • Fatigue
  • Fever
  • Nausea

6. Pelvic Congestion Syndrome

This congestion is the result of vulvar varicosities. Blood tends to pool and gives rise to varicose veins around the in the pelvic region. It is quite similar to varicose veins experienced in legs. Vulvar veins become painful and inflamed due to the excess blood that cannot flow back. Pelvic congestion can cause chronic pain in some women. The common symptoms include:

  • Pain that starts 7-10 days before your period
  • Rise in pain when you sit or stand
  • Decrease in pain when lying down
  • Lower back pain
  • Pain in your legs
  • Pain during sex

7. Pelvic Support Problems

Some women may experience pain due to the weakening of pelvic floor muscles. These muscles are responsible for holding the pelvic organs such as the uterus, bladder, etc. in place. Their weakening not only is painful, but it also gives way to other complications. This weakening of muscles is generally attributed to aging, pregnancy, trauma due to injury to these muscles, etc. Some doctors suggest wearing compression garments such as maternity or postpartum leggings can help provide the necessary support. The common symptoms of pelvic floor weakness include:

  • Urinary incontinence
  • Pelvic organs prolapse
  • Difficult bowel movements
  • Lower back pain
  • Pain during sex


Although each of these conditions might present similar symptoms, expert healthcare practitioners can help you relieve the pain. You must consult your doctor at the encounter of any of the symptoms and stop things before they become distressing. Following through the right advice will make you healthy again.