Sharp, deep pain in the pelvis during intercourse or at other times may be caused by endometriosis. This is a condition in which tissue like the inner lining of the uterus is found growing in other areas in the pelvis. Sometimes this tissue is seen on the surface of the tubes, ovaries, uterus, bowel, or on other parts of the body in the lower abdomen. This tissue bleeds at the end of each menstrual cycle, just as if it were in the uterus. Since the fluid cannot be flushed freely out of the body, it can build up inside, causing nearby tissues to become red, swollen, and painful.
Adhesions can also cause pain.
This occurs when, during the healing process, tissues grow together, which can occur with infection, endometriosis, and surgery. Movements of the body will stretch the adhesions, causing discomfort or a sense of binding. If adhesions are found, they can be separated surgically during laparoscopy. Infertility Laparoscopy may be used to determine the cause of infertility. In some women the fallopian tubes are blocked.