What causes acute and chronic pelvic pain?

Pelvic pain can be mild and sudden, or it can be quite severe. The important thing to remember is that if you are suffering from pelvic pain then you must see your GP. Pelvic pain has many different causes and your GP may refer you to a gynaecologist for further testing and diagnosis. Below we explore some common causes of pelvic pain in women.

Causes of acute pelvic pain

Acute pelvic pain is defined as unexpected and sudden pain. This should always be investigated by your GP and should be done as soon as possible.

Acute pelvic inflammatory disease

This is when a bacterial infection occurs in the fallopian tubes, ovaries or womb. The route cause is often gonorrhoea or chlamydia. Acute PID is treated with antibiotics.

Ovarian cyst

This is a cyst that forms in the ovary. Women experience pain when the cyst becomes twisted or bursts.


Appendicitis can cause acute pelvic pain and pain in the lower right side of your tummy. This occurs when the appendix becomes twisted and inflamed. Immediate treatment is needed as a burst appendix is life-threatening.

UTI – Urinary Tract Infection

When you have a UTI you will also experience a burning pain when you pass water. Urine may also appear cloudy with a foul odour.

Causes of chronic pelvic pain

Chronic pelvic pain affects as many as one in six women and is more painful and long-lasting than period pain. If you have this type of pain for six months or longer, then you should go and see your GP.


Endometriosis is when the lining of the womb forms outside of the womb in the ovaries and fallopian tubes. This can cause long-term lower pelvic pain.


These are benign tumours that grow both inside and outside the womb. These can be incredibly painful if they become twisted.

Irritable bowel syndrome

IBS is a chronic condition affecting the digestive system. It causes pelvic pain alongside bloating and cramps.

If you have pelvic pain and would like a consultation with a female gynaecologist in London, then please do get in touch with Tania Adib today.