Pelvic pain

Definition

Pain in the lower abdomen/pelvis area.

Epidemiology

Differential Diagnosis

It's also worth taking a look at abdominal pain. This where I got most of the differentials from.

Gynaecological

• Dysmenorrhoea
• Ectopic pregnancy
• Miscarriage
• STI
• Salpingitis
• PID

Dyspareunia

Pain during or after intercourse

• Superficial dyspareunia - pain of the external genitalia. Causes: genital infection, Bartholin's cyst, surgery
• Deep dyspareunia - chronic PID, endometriosis, retroverted uterus, IBD, IBS, chronic constipation, pelvic mass, vaginismus.

Non-gynae

• Abdominal abscess
• Renal stones
• Mesenteric adenitis
• Meckel's diverticulum
• Crohn's
• Bowel perforation
• Appendicitis
• Strangulated inguinal hernia