Many of the girls and women I see with pelvic pain have a number of different problems contributing to their pain. Troublesome period pains, heavy bleeding, stabbing pains in the side, irritable bowel and bladder, vulval itching or burning, and back pain are all common problems, often co-existing in the same patient. Unsurprisingly, fatigue, poor sleep, anxiety, low mood and sexual difficulties work their way into the mix as well. It might be helpful to consider your symptoms