“Neuromuscular causes of pelvic pain are very common,” says Allyson Shrikhande, MD, a board-certified physical medicine and rehabilitation specialist and the Chief Medical Officer of Pelvic Rehabilitation Medicine.
“Other common causes of chronic pelvic pain in women include underlying gynecological issues such as endometriosis, adenomyosis, fibroids and PCOS,” she adds. “Chronic prostatitis, hip impingement and hernias are prevalent in men with pelvic pain. Bladder pain syndrome and interstitial cystitis are also common underlying causes of chronic pelvic pain.”
Many of these conditions cause your pelvic muscles to spasm and your pelvic nerves to be irritated and inflamed, Dr. Shrikhande explains.