Most likely
- Primary dysmenorrhea
- Mittelschmerz
- Endometriosis
- Adhesions
Serious disorders
- Ruptured ectopic pregnancy
- PID or pelvic abscess
- Cancer (ovary, uterus, other)
- Appendicitis
The evil quintuplet
- Endometriosis
- Irritable Bowel Syndrome
- Bladder Pain Syndrome/Interstitial Cystitis (BPS/IC)
- Pelvic Floor Dysfunction
- Pudendal Nerve Entrapment
Pitfalls
- Ovarian torsion
- Haemorrhage into ovary or cyst
- Pedunculated fibroid
- Endometriosis
- Chronic constipation
- ‘Pelvic congestion syndrome’
- Misplaced IUD