Pelvic pain

Acute Pelvic Pain DDx

Gynecologic/Obstetric

1. Pregnancy-related
   1. Ectopic Pregnancy
   2. Abortion, threatened or incomplete
   3. Septic Abortion
2. Acute Infections
   1. Endometritis
   2. Pelvic Inflammatory Disease (PID)
   3. TOA
3. Adnexal Disorders
   1. Hemorrhage/rupture of ovarian cyst
   2. Torsion of Adnexa
   3. Twisted paraovarian cyst
4. Recurrent
   1. Mittelschmerz (midcycle pain)
   2. Primary/Secondary Dysmenorrhea
   3. Endometriosis
5. Vulvovaginitis
   1. ===Vulvovaginitis===

• Bacterial vaginosis
• Candida vaginitis
• Trichomonas vaginalis
• Contact vulvovaginitis
  • Bubble baths and soaps
  • Deodorants, powders, and douches
  • Clothing
• Atrophic vaginitis due to lack of estrogen (AKA Vulvovaginal atrophy)
• Lichen sclerosus
• Tinea cruris
• Chlamydia/Gonorrhea infection
• Pinworms
• Vaginal foreign body
  • Toilet paper
  • Other
• Genitourinary syndrome of menopause
• Foreign body
• Allergic reaction
• Normal physiologic discharge

Genitourinary

1. Cystitis
2. Pyelonephritis
3. Ureteral lithiasis

Gastrointestinal

1. Gastroenteritis
2. Appendicitis
3. Bowel obstruction
4. Perirectal abscess
5. Diverticulitis
6. Inflammatory bowel disease
7. Irritable Bowel Syndrome (IBS)

Musculoskeletal

1. Abdominal wall hematoma
2. Psoas hematoma
3. Hernia

Vascular

1. Pelvic thrombophlebitis
2. Abdominal Aortic Aneurysm (AAA)
3. Ischemic bowel (Mesenteric Ischemia)

Postmenopausal Pelvic Pain DDX

Gynecologic

1. Vulvovaginitis
   1. Atrophic
   2. Infectious
   3. Allergic
2. Uterine prolapse
3. Cervical polyps
4. Uterine fibroids
5. Endometrial hyperplasia
6. Neoplasm
   1. Uterine
   2. Ovarian

Gastrointestinal

1. Rectocele
2. Diverticulitis
3. Neoplasm
4. Appendicitis
5. Ischemic Bowel (Mesenteric Ischemia)

Urologic

1. Infection (UTI)
   1. Cystitis
   2. Urethritis
   3. Pyelonephritis
2. Cystourethrocele

Source

Hardwood-Nuss

See Also

Pelvic Pain Prepubertal