Solving the Puzzle: Identifying the Factors Contributing to Pelvic Pain in Women
- zionsvillept
- Jul 19, 2025
- 3 min read
Updated: Jan 22
Pelvic pain is a complex issue that’s particularly prevalent among women. It can impact your daily life in several frustrating ways–but many women are too embarrassed by their symptoms to discuss them or seek treatment. However, understanding the factors contributing to pelvic pain in women is the first step in demystifying this type of discomfort.
Pelvic pain can have various causes. At Zionsville Physical Therapy, we aim to address these causes through direct, targeted care. Today, we want to explore some of the factors in depth so you can better understand the intricate network of muscles, ligaments, and nerves within the pelvic structure.
Just the Basic: Explaining the Pelvic Floor
To understand pelvic pain, you need to understand the pelvic floor–a group of muscles and connective tissues located at the base of the pelvis. These muscles support organs such as the bladder, uterus, and rectum and play a vital role in controlling bladder and bowel functions. In women, the pelvic floor also supports reproductive health, impacting functions from childbirth to menstruation.
Pelvic pain develops when the pelvic floor muscles weaken, tense up, or become imbalanced. It might also be accompanied by lower back, hips, or thigh discomfort. But what causes these issues in the first place? That’s where understanding the factors contributing to pelvic in women comes into play.
Four Pelvic Pain Factors You Should Know
Here are four factors contributing to pelvic pain in women:
1. Hormonal Fluctuations
Hormones play a significant role in how the pelvic floor muscles function. During menstruation, pregnancy, and menopause, shifts in hormone levels can lead to pelvic discomfort.
For instance, lower estrogen levels during menopause can reduce muscle elasticity and lubrication, leading to pain. Similarly, the hormonal changes associated with pregnancy often cause the pelvic floor muscles to stretch and weaken, sometimes resulting in ongoing discomfort.
2. Physical Injury or Trauma
Direct trauma or injury to the pelvic region, whether from childbirth, accidents, or surgical procedures, can contribute to pelvic pain. This trauma can cause muscles to tense up as a natural response to protect the area.
However, chronic pain can develop if the muscles remain restricted. Additionally, scarring from surgeries or childbirth can restrict movement and create points of pain, disrupting the balance of the pelvic floor muscles.
3. Musculoskeletal Imbalances
Musculoskeletal problems, such as poor posture or muscle imbalances, can create issues in the pelvic floor. The muscles in the hips, lower back, and abdomen are all connected, and when these areas are out of alignment, the pelvic floor may bear extra strain.
For example, individuals with lower back pain or tight hip flexors often experience referred pain in the pelvic area, which can compound existing discomfort.
4. Chronic Health Conditions
Certain health conditions can contribute to pelvic pain. For example, endometriosis, a condition where tissue similar to the lining of the uterus grows outside it, can lead to severe pain in the pelvic area. Furthermore, chronic conditions can make the pelvic muscles tense, leading to more persistent pain.
How Physical Therapy Can Help Address Your Pelvic Pain
Physical therapy at Zionsville Physical Therapy offers several effective strategies for addressing the factors contributing to pelvic pain in women. Through personalized exercises and hands-on treatments, our physical therapists can help relax tense muscles, strengthen weak ones, and restore balance to the pelvic floor.
For example, manual techniques can help release scar tissue or tension points, improving mobility and function. Physical therapy can also teach you how to properly engage your core muscles, easing the strain on the pelvic floor.
With time, these targeted techniques can relieve pain, enhance muscle control, and help you regain comfort in your day-to-day life.
Start Your Journey to Pelvic Pain Relief!
If pelvic pain has been impacting your life, now’s the time to explore the benefits of physical therapy.
Call Zionsville Physical Therapy’s Zionsville, IN clinic today for personalized guidance on how physical therapy could be the solution you need for long-lasting relief.
