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What is persistent pelvic pain?

Persistent pelvic pain (PPP) is pain in your pelvis, or lower abdomen, that is felt most days and lasts for more than 6 months.

The pain can be short term, lasting from a few days to a few weeks, or it can become persistent or chronic.

Sometimes the pain is a symptom of other conditions, but it can also become a condition of its own.

This type of pain is complex and can be influenced by many things, for example, physical health conditions, sleep quality, mood and work environment.

On these pages, you’ll find more information about what you may experience with persistent pelvic pain.

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What does persistent pelvic pain feel like?

Persistent pelvic pain affects everyone differently. Your pain may be steady, or it may come and go. And the type of pain can change.

You may experience:

a dull pelvic ache

  • sharp, stabbing pain in the pelvis
  • painful pelvic cramps
  • pain in your pubic bone
  • pain across your pelvis
  • pressure or heaviness in your pelvis
  • tingling or ‘pins and needles’ in your pelvis

sensitivity in your lower abdomen.

When does pelvic pain happen?

You may experience pelvic pain at any time or at specific times, such as:

  • during sex
  • when using tampons
  • during your period
  • when going to the toilet
  • when sitting or standing for long periods of time
  • when you do certain movements or activities.

Why is some pain persistent?

Your first experience of pain may be due to your period, a health condition or an injury. Other factors, such as stress or poor sleep, might affect your pain. Over time, the pain can cause changes to your muscles, nervous system and other tissues, leading to persistent pain.

How can persistent pelvic pain affect you?

Living with persistent pelvic pain can affect your life in many ways. It can cause changes in different organs and muscles, which may lead to other physical problems. For example, changes in certain muscles can lead to bladder and bowel problems.

Persistent pelvic pain can affect your quality of life. You may avoid certain activities or social situations that make your pain worse. Pain can affect your work, sleep, sex life and personal relationships. It can also affect your mental and emotional health.

This con­tent has been reviewed by a group of med­ical sub­ject mat­ter experts, in accor­dance with Jean Hailes pol­i­cy.

1
Grace VM, Zondervan KT. Chronic pelvic pain in New Zealand: prevalence, pain severity, diagnoses and use of the health services. Aust N Z J Public Health 2004;28:369–75.
2
Armour, M., Ferfolja, T., Curry, C., Hyman, M. S., Parry, K., Chalmers, K. J., ... & Holmes, K. (2020). The prevalence and educational impact of pelvic and menstrual pain in Australia: A national online survey of 4202 young women aged 13-25 years. Journal of Pediatric and Adolescent Gynecology, 33(5), 511-518.
3
International Pelvic Pain Society, Chronic Pelvic Pain
4
Van Niekerk, L., Johnstone, L., & Matthewson, M. (2022). Health-related quality of life in endometriosis: The influence of endometriosis-related symptom presence and distress. Journal of health psychology, 27(14), 3121-3135.
5
Privitera, G., O’Brien, K., Misajon, R., & Lin, C. Y. (2023). Endometriosis Symptomatology, Dyspareunia, and Sexual Distress Are Related to Avoidance of Sex and Negative Impacts on the Sex Lives of Women with Endometriosis. International Journal of Environmental Research and Public Health, 20(4), 3362.
Last updated: 
04 July 2025
 | 
Last reviewed: 
01 July 2025

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