In the latest post to our UNC OB-GYN blog, Dr. Janelle Moulder writes about how pelvic floor muscles are often an unexplored contributor to chronic pelvic pain.


In my clinic, I see patients with pelvic pain from a variety of sources — from ovarian cysts and fibroids tumors to endometriosis and pelvic adhesions. With medical therapy, and sometimes surgery, most pelvic pain can be treated.

When pelvic pain returns again and again, despite a medical or surgical resolution, it can be incredibly frustrating. I see many patients who are looking for a definitive resolution to often debilitating pain, including further surgeries. But, sometimes the pain originates from a place many doctors may overlook: the pelvic floor.

This group of interconnected muscles is like a hammock or sling supporting the organs of the pelvis. Involuntary tightening of these can cause spasm and overuse fatigue. This can result in pain that radiates into the vagina, hips, buttocks and legs, and can be experienced during intercourse or bowel movements as well.

If you have recurrent, unresolved pelvic pain, here’s what you need to know:

Keep reading.