1. Definition: CPP is defined as intermittent or constant pain in the lower abdomen or pelvis that lasts for at least six months.

2. Not exclusively related to: Menstruation, intercourse, or pregnancy.

3. Area of pain: The pain is located in the area below the belly button and between the hips.

Gynecological Issues:

1. Endometriosis: A condition where tissue similar to the lining of the uterus grows outside of it.

2. Adenomyosis: When tissue that lines the inside of the uterus grows into the wall of the uterus.

3. Uterine fibroids: Abnormal growths on or in the uterine wall.

4. Pelvic inflammatory disease (PID): An infection of the reproductive organs.

5. Menstrual cramps:

6. Scar tissue between internal organs:

7. Endometrial polyps:

Digestive System Problems:

1. Irritable bowel syndrome (IBS):

2. Inflammatory bowel disease (IBD):

3. Diverticulitis: Inflammation of pouches bulging from the wall of the colon.

Urinary System Issues:

1. Urinary tract infections (UTIs):

2. Interstitial cystitis: A chronic condition causing inflamed or irritated bladder walls.

Pelvic Floor Dysfunction:

1. Pelvic floor muscle spasms:

2. Pelvic floor muscle weakness:

Other Potential Causes:

1. Nerve irritation:

2. Varicose veins in the pelvis:

3. Psychological factors: Depression, long-term stress, or a history of sexual or physical abuse may raise the risk.

4. Musculoskeletal problems:

Pain: Intermittent or constant pain in the lower abdomen or pelvis.

Other symptoms:

1. Difficulty with bowel movements or urination.

2. Pain during intercourse.

3. Pain with sitting.

4. Pain with menstruation.

5. Pain with urination.

6. Pain with bowel movements.

Diagnosis: A thorough medical history, physical examination, and potentially imaging tests (like MRI or ultrasound) may be needed to determine the cause of the pain.

Treatment: Treatment approaches vary depending on the underlying cause and may include:

1. Pain relievers: Over-the-counter or prescription pain medications.

2. Hormone treatments: For conditions like endometriosis.

3. Physical therapy: To strengthen or relax pelvic floor muscles.

4. Pelvic floor relaxation techniques: PFMT

5. Manual therapy:

6. Surgery: In some cases, surgery may be necessary to address the underlying cause.

7. Antidepressants:

8. Muscle relaxants:

9. Antibiotics:

10. Lifestyle changes: Exercise, stress management, and dietary changes.

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