What causes chronic pelvic pain and heavy bleeding in women?
1. Introduction and Direct Answer Chronic pelvic pain accompanied by heavy menstrual bleeding is most frequently caused by structural uterine pathologies, including uterine fibroids and adenomyosis, which significantly increase the endometrial surface area and mechanically impair normal uterine contractility. Endometriosis is another primary etiology, wherein ectopic endometrial tissue bleeds internally during the menstrual cycle, generating … Read more