What can be causing severe pelvic pain?

I get severe pelvic pain which is so bad that it throws me to the ground in the fetal position. I get it at least 2-3 a month and last around 30 minutes or so. I am not pregnant cause I have my tubes tied. I have had endometreosis and had a cyst removed about 6 years ago. What else could be causing it? Been to 2 different OBGYN's and had ultrasounds done and seem not to have an answer. PLS HELP!!

I have been on birth control for 4 years and it seemed not to help the pain.

Endometriosis doesn't go away, unless you have your ovaries removed or go through menopause.

You need to go on birth control for a couple of months and see if that reduces your symptoms, then you will know if its the endometriosis kicking in again or not.

Bryce, cysts are not infections on the ovaries, who told you that?? They are follicles that have basically over grown.

If you were to have PID, you would have a fever, pain so severe you wouldn't be on the computer and it doesn't go away. PID will end you up in the hospital and not over 2-3 mth time, it will do it in a week.

If the BCP isn't working on the pain, it could be bowel related also. Pelvic pain doesn't necessarily mean female anatomy. I would let the dr know that the BCP isn't working, your having increased pain and keep a diary of your cycle and where it is related to the pain to see if there is any correlation.

It could also be IBS too.

have you discussed Pelvic Inflammatory Disease with them? PID is fairly common among people who have had endo in the past and cysts, since cysts are in essence infections on the overies. have they done a pap smear to check for any kinds of weird cell growth to rule out cancer? endometrosis is known to come back so it could be that, especially if the pain comes around the time of the month that you were/are normally have your period or just before it. endo doesn't go away unless they go in and clean it all out because it can grow on almost any organ in that area. it doesn't stay just on your overies or tubes. i have had clients that have it as far up as on their lower stomach linings. typically if it's endo, they'll put you on a drug induced menopause in an effort to get in under control and also do surgery to remove the majority of it.