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What Causes Chronic Pelvic Pain?

Do you suffer from chronic pelvic pain? This condition can be hard to diagnose. Medically, it’s often described simply as chronic, non-cyclic pain in the pelvic region, meaning it’s not tied to the menstrual cycle. Finding a doctor who will take your pain seriously and work with you to find the root cause is the first step towards pain-free living.

At Texas Urogynecology and Laser Surgery Center in El Paso, Texas, Dr. Richard Farnam can help diagnose the cause of your chronic pelvic pain and provide a personalized plan to treat your underlying condition.

What causes chronic pelvic pain?

Chronic pain in the pelvis can happen at any age. If it isn’t tied to the cycle of ovulation and menstruation, one or more of the following conditions could be the cause: 

Sexually transmitted diseases

STDs like chlamydia and gonorrhea are a common cause of pelvic pain, but they can also be the easiest to rule out with testing. If you think there is even the slightest chance you may have an STD, get tested right away so you can set your mind at ease.

Interstitial Cystitis 

If you have ongoing issues with UTIs or bladder infections, you may have cystitis. Cystitis can cause pelvic pain that is intermittent and chronic, even if you aren’t having trouble urinating. A urologist can help you find ways to manage cystitis.


Every month, your uterus grows endometrial cells in preparation for possible pregnancy then sheds them during your period. If these cells grow outside the uterus, the body will try to shed them, but they can get stuck and start binding tissues together elsewhere in the pelvis. This causes pain and scarring. 

Dr. Farnam can remove errant endometrial tissue using a laparoscopic laser treatment.

Uterine fibroids

Fibroid tumors grow in the uterus and can cause both pelvic pain and infertility. This condition can lead many women to get a hysterectomy, but there are alternative solutions. 

Dr. Farnam can remove fibroids with a non-invasive procedure using Acessa, a method that sends radiofrequency energy to eliminate fibroids without damaging healthy uterine tissue.

Ovarian cysts

Cysts can grow on your ovaries, then burst, which causes intense pain on one side or the other. Dr. Farnam uses the robotics-assisted da Vinci® Surgical System to remove ovarian cysts with laparoscopic surgery, using only a tiny incision to access your ovaries.

Pelvic organ prolapse

Your pelvic floor is supposed to support all the pelvic organs, including the uterus, bladder, and rectum. If it fails, your organs prolapse and may cause extreme pressure and pain in the pelvic cradle. Dr. Farnam can repair your pelvic floor quickly using the da Vinci® sacrocolpopexy procedure.

Let us help you

Our team at Texas Urogynecology and Laser Surgery Center is here to help you and other clients in the El Paso, Texas, area find the right solution for your needs. If you’re ready to get answers about the cause of your chronic pelvic pain, call us at 915-533-5600 today.