Chronic Pelvic Pain (CPP) in Endometriosis, Adenomyosis, Dysmenorrhoea, and PMS
Chronic pelvic pain is ongoing pain in the lower abdomen or pelvis lasting longer than six months. It can be constant or cyclical, often linked with the menstrual cycle, hormones, or underlying conditions such as endometriosis, adenomyosis, or painful periods. Because chronic pelvic pain often involves muscle tension, inflammation, and nervous system sensitivity, it can affect daily activities, intimacy, and emotional wellbeing.
Common Symptoms
People with chronic pelvic pain may experience:
Persistent pelvic, lower back, or abdominal pain
Pain that worsens before or during menstruation
Discomfort during sex (dyspareunia)
Bladder or bowel pain, urgency, or bloating
Fatigue, irritability, or mood changes
Difficulty sitting or exercising due to pelvic discomfort
Causes and Contributing Factors
Chronic pelvic pain can have multiple overlapping causes, including:
Endometriosis – inflammation and scarring from misplaced uterine tissue
Adenomyosis – thickening of the uterine wall causing heavy, painful periods
Pelvic floor dysfunction – muscle overactivity or tension
Central sensitisation – the nervous system amplifying pain signals
Hormonal fluctuations – linked with PMS or perimenopause
Because chronic pelvic pain can involve several systems, it’s best addressed with a holistic, multidisciplinary approach.
How Pelvic Floor Osteopathy Can Help
Pelvic Floor Osteopathy supports recovery from chronic pelvic pain by:
Releasing tension and improving mobility through gentle internal and external techniques
Reducing nerve irritation and muscle overactivity
Teaching pelvic floor awareness and downtraining strategies
Supporting relaxation and breathing to calm pain sensitivity
Providing education about pain mechanisms and lifestyle strategies to manage flare-ups
Osteopaths often work collaboratively with gynaecologists, psychologists, dietitians, and pain specialists to ensure complete care for chronic pelvic pain.
Key Point
Chronic pelvic pain is complex but manageable. With the right combination of pelvic floor treatment, medical care, and lifestyle support, many people experience meaningful relief and improved quality of life.
