Common Causes of Chronic Pelvic Pain You Shouldn’t Ignore

 Chronic pelvic pain is a long-lasting discomfort in the lower abdomen or pelvic region that can affect daily life, intimacy, and emotional well-being. It often develops gradually and may have more than one underlying cause, which is why it is frequently misdiagnosed or left untreated.

One common cause is pelvic floor muscle tension, where tight or overactive muscles lead to aching, burning, and pain during intercourse or urination. Gynaecological conditions such as endometriosis, adenomyosis, or painful periods are also major contributors. Bladder-related issues, including recurrent urinary tract infections, painful bladder syndrome, or interstitial cystitis, can cause persistent pelvic discomfort.

Bowel conditions like irritable bowel syndrome (IBS) and chronic constipation often coexist with pelvic pain and worsen symptoms. Nerve sensitisation plays a key role as well—when the nervous system becomes overactive, even mild stimuli can trigger significant pain. Past pelvic surgery, infections, childbirth trauma, or ongoing physical and emotional stress can further fuel the pain cycle.

Because chronic pelvic pain in Cape Town usually involves multiple overlapping factors, successful treatment requires a comprehensive, multidisciplinary approach.