Pelvic pain is defined as pain occurring in the lower abdomen and pelvic region. If it is present for more than 6 months, it is considered chronic. The pain may be intermittent or recurrent, or it may be constant and severe. Symptoms vary for different women. There are many causes to include ovulation pain, menstrual pain, endometriosis, ovarian cysts, pelvic infections and scar tissue. Diagnosis begins with a medical history and physical examination, including a pelvic exam, laboratory tests and imaging. Surgery may be indicated. The treatment will depend on the diagnosis.