Pelvic pain is no laughing matter, but understanding the neuroscience behind it might make things a little easier.
First things first, let’s talk stats. According to the American College of Obstetricians and Gynecologists, 1 in 7 women experience chronic pelvic pain, and according to the British Medical Journal, that prevalence ranges from 2.1% to 24% of the female population worldwide That’s a lot of ladies walking around with a constant ache in their nether regions. But why exactly does it hurt so much?
Well, turns out it’s all thanks to our lovely friend, the nervous system. The pelvis is home to a complex network of nerves, including the pudendal nerve (which controls sensation in the genitals and anus) and the sympathetic and parasympathetic nerves (which control the muscles in the pelvis).
When something goes wrong in this delicate dance of nerves, it can lead to pain. For example, issues with the pudendal nerve can cause vulvodynia (pain in the vulva) or proctalgia fugax (pain in the anus). Meanwhile, problems with the sympathetic and parasympathetic nerves can lead to conditions like interstitial cystitis (bladder pain) or endometriosis (painful periods).
But it’s not just problems with the nerves themselves that can cause pelvic pain. Sometimes, the brain gets involved too. Studies have shown that chronic pelvic pain can actually change the way the brain processes pain signals, leading to a cycle of increased pain sensitivity.
Now, you might be wondering, “Okay, so my brain is messing with me. Great. How do I fix it?” Unfortunately, the answer isn’t always straightforward. Pelvic pain can be caused by a variety of factors, and finding the right treatment that suits you can take some trial and error. Pelvic physical therapy, nerve blocks, and medication are all options, but it really depends on the individual case.
If you’re navigating pelvic pain, taking charge of your well-being can begin right at home. Holistic, evidence-informed approaches are emerging as powerful tools, and one of the most accessible options is an at-home program designed by qualified Pelvic Physical Therapists.
These programs go beyond physical exercises. They offer a whole-body approach, including guided movement, breathwork, and meditations that help calm your central nervous system and gently retrain your pelvic muscles. By creating a sense of safety in your body and mind, you can empower your brain to release more feel-good neurochemicals, lowering pelvic tension and supporting a pathway toward sustainable relief.
Pelvic pain is a serious issue that affects a lot of women, and it’s caused by a complex interplay of nerves and the brain. But don’t lose hope! With the right treatment and some patience, you can get relief from that pesky pelvic pain. Just Remember: the journey to managing pelvic pain is personal — and healing starts with understanding and support.
About Peli Health
Peli Health is about whole-body health. Your pelvic floor plays a critical role in your daily function, and like any other part of your body, it needs care as we age. Tending to it now is key to preventing or reducing leaks, painful sex, prolapse, and more. But knowing what to do starts with having the right information. That’s why we built Peli Health, for you, and for all women.
Peli Health is powered by an incredible team of women, including pelvic PTs, nutritionists, and holistic coaches, here to help you feel strong, informed, and connected to your body. If you’d like to know more, come join us on the platform!
Source:
- A Future Without Chronic Pain: Neuroscience and Clinical Research
- The Neuroscience of Pain
- Current Challenges in the Management of Chronic Pelvic Pain in Women: From Bench to Bedside
- BMJ 2010;341:c4834 doi: 10.1136/bmj.c4834
Disclaimer: Pelvic issues are serious conditions and should be treated accordingly. Peli health’s attempt at making the tone funny is to lighten the mood and help the reader feel more relaxed when reading about this subject. We are not medical doctors. We do not diagnose illness. The information on this site is provided for educational and informational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. nor does it constitute providing medical advice or professional services. Always seek the advice of your doctor or other qualified health provider regarding a medical condition.
