Pain Symptoms

Pain may indicate an underlying condition that requires further investigation by your physician or another member of your healthcare team. Pain is a subjective assessment and each woman’s pain tolerance or threshold is different. For this reason one definition of pain cannot be generalized to all women. Each woman must recognize what is normal or abnormal for her and inform her healthcare provider accordingly.


For many women, menstrual cramps are part of the monthly cycle. Menstruation is the shedding of the uterine lining. As this process occurs, the lining of the uterus produces a hormone called prostaglandin. This hormone causes the uterus to contract, which can be painful. Common drugs that are available over-the-counter may provide some relief from menstrual pain. Questions about the severity of menstrual cramps are part of the infertility workup. If the pain is so severe that it interrupts your daily routine, an evaluation is warranted.

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Painful Intercourse

Pain is a subjective assessment and may be sharp or dull or chronic or intermittent. If a woman experiences pain during intercourse, a condition called dyspareunia, it may indicate either endometriosis or fibroid tumours.

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Pelvic Pain

Pain is subjective, but pelvic pain refers to any sort of discomfort in the pelvic area that is not the direct result of a physical injury. Actually, even if it is the result of a physical injury a healthcare provider should be consulted.

Any pain combined with a fever can be indicative of infection and should be evaluated promptly.

Pelvic pain may indicate the following infertility diagnoses:

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Sensation Of A Mass

You may notice swelling or discomfort in the pelvic area, and/or have the sensation of a mass in the area. It is possible that intercourse may be uncomfortable and menstrual periods painful. These symptoms may be caused by fibroid tumours  — non-cancerous growths that occur inside or outside the uterus and can affect fertility — or more serious conditions. Contact your healthcare provider if you are experiencing any of these symptoms.

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