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Causes of On-and-Off Pelvic Pain Intermittent pelvic pain can come from several systems: Gynecologic causes * Ovulation pain (mittelschmerz) * Menstrual cramps * Ovarian cyst * Endometriosis / endometrioma * Adenomyosis * Myoma (uterine fibroids) * Pelvic inflammatory disease (PID) * Endometrial or cervical polyps * Adhesions, especially after pelvic surgery or infection Pregnancy-related * Early pregnancy-related discomfort * Ectopic pregnancy — important to rule out when pregnancy is possible
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Heavy and irregular periods can be caused by hormonal imbalances, such as from PCOS, or structural issues like uterine fibroids, polyps, or adenomyosis. Other causes include certain medications, bleeding disorders, pregnancy complications like a miscarriage, and thyroid conditions. Hormonal and reproductive causes Polycystic Ovary Syndrome (PCOS): A condition where cysts grow on the ovaries, disrupting the hormonal balance needed for regular ovulation. Hormonal imbalances: Can occur during adole
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