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Pelvic pain may refer to pain in the abdominal region or below the umbilicus and can be caused by a variety of disorders, involving the bowel, the bladder, or the appendix. Pelvic pain can also signal a medical emergency. The following are some (not all) causes of pelvic pain: Ovarian cysts and fibroids IBS (Irritable Bowel Syndrome) Kidney or bladder stones or infection Muscle strain or hernia Pelvic inflammatory disease (PID) Vaginal infections Appendicitis Sexually Transmitted Infections (STIs) Vaginitis A Closer Look: Causes of Pelvic Pain Ovarian cysts – Women with ovarian cysts may experience a sharp pain mid cycle, if the cyst leaks fluid or bleeds a little. If the cyst is particularly large, continuous or sharp pain may