The same causes that can bring about pelvic pain during the day can also affect you at night. This can include musculoskeletal causes of pelvic pain such as pelvic-floor muscle or myofascial pain, which may be caused by the position you sleep in. It could also be painful bladder syndrome, which can be associated with urination at night (nocturia), urinary urgency and frequency.
Ovarian cysts, uterine fibroids, endometriosis and other primary gynecologic problems can occur at night, depending where you are at in your cycle. It is really important that first and foremost you get evaluated by your gynecologist. You should also have regular checkups, including a Pap smear. This will rule out any potential cancerous process as being the cause of your symptoms.
As physicians we will ask lots of questions about other symptoms that you may be having, such as night sweats, weight loss, vaginal bleeding, etc. Once the diagnosis is made, there are numerous treatments that can be done to help you with your nighttime pain. Whether it is physical therapy, hormonal management or using pain medication at night, all of these may be options. Please don’t allow this to continue; sleep is critical to your overall health. Get in to see your doctor!