Chronic pelvic pain (CPP) is a complex condition with a variety of potential causes, making diagnosis and treatment challenging. Understanding the possible causes of CPP is crucial for effective management and improving quality of life. Gynaecological Causes Many cases of chronic pelvic pain are related to gynaecological issues. Endometriosis, where tissue similar to the lining of the uterus grows outside it, can cause severe pain and inflammation. Uterine fibroids, benign growths in the uterus, can also lead to persistent pelvic pain and heavy menstrual bleeding. Pelvic inflammatory disease (PID), an infection of the reproductive organs, often results in chronic pain and can lead to scarring and infertility if untreated. Ovarian cysts, fluid-filled sacs on the ovaries, can cause sharp or dull pelvic pain, depending on their size and location. Urological Causes Urological issues can also contribute to chronic pelvic pain. Interstitial cystitis, a chronic bladder condition, ca