Which gynecological condition can cause pain in the left hip bone?

Nov 11, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Gynecological conditions that may cause left hip pain include left adnexitis, left ovarian cyst, endometriosis, pelvic inflammatory disease, and left tubal effusion. The pain is often related to inflammatory irritation, tissue compression, or lesions affecting surrounding tissues. If left hip pain persists or is accompanied by abnormal bleeding or fever, prompt medical evaluation is recommended.

Gynecological conditions that may cause left hip pain include left adnexitis, left ovarian cysts, endometriosis, pelvic inflammatory disease, and left tubal hydrosalpinx. The pain is often related to inflammatory irritation, tissue compression, or lesions affecting surrounding tissues. If left hip pain persists or is accompanied by abnormal bleeding or fever, prompt medical evaluation is recommended.

1. Left adnexitis: Inflammation of the left fallopian tube and ovary can irritate surrounding tissues, causing pain that radiates to the left hip. It is commonly associated with increased vaginal discharge and a sensation of heaviness in the lower abdomen. Pain may worsen after physical exertion or sexual intercourse.

2. Left ovarian cyst: When an ovarian cyst grows large, it may compress the left pelvic tissues and stretch surrounding ligaments, leading to dull or distending pain in the left hip area. If the cyst undergoes torsion, sudden severe pain may occur, requiring emergency treatment.

3. Endometriosis: When ectopic endometrial tissue implants in the left pelvis or sacral ligaments, it can cause local congestion and edema during menstruation, stimulating nerves and resulting in left hip pain. This pain is typically cyclical and progressively worsens over time.

4. Pelvic inflammatory disease (PID): Diffuse inflammation within the pelvis may affect the left pelvic structures. Inflammatory mediators can stimulate surrounding nerves, causing referred pain in the left hip. Commonly associated symptoms include fever, lower abdominal pain, soreness in the lower back, and in some cases, foul-smelling vaginal discharge.

5. Left tubal hydrosalpinx: Fluid accumulation in the fallopian tube causes tubal dilation and stretching of the tube wall. Inflammation may also spread to adjacent tissues, resulting in aching or dull pain in the left hip region. This condition may be accompanied by menstrual irregularities or infertility.

For daily care, maintain good external genital hygiene and avoid unhygienic sexual practices. Avoid prolonged sitting; take breaks to move around and promote pelvic blood circulation. During menstruation, stay warm and avoid strenuous exercise to reduce irritation and discomfort in pelvic tissues.