Lack of exercise. Use of caffeine. Pelvic inflammatory disease. Prevention Treatment of the underlying cause. Long term goals of treatment involve treating any underlying cause with medication, counseling or possibly surgery.
Heat helps relieve pain.
Use a heating pad or hot-water bottle on the abdomen or back, or take hot baths. Sit in a tub of hot water for 10-15 minutes as often as necessary. Hypnosis therapy may help. Adequate rest and sleep and exercise may be beneficial. For extreme and very severe cases, surgical excision of the uterine nerves may be considered.