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Pelvic pain in transgender men can be a clinical challenge and has a broad differential diagnosis. Pelvic pain less than 6 months of duration is considered acute. Chronic pelvic pain, which is continuous or episodic pain in the lower abdomen or pelvis lasting more than 6 months, has a large differential. Key to the history is a detailed description of pain including onset, precipitating and palliating features, quality, radiation, severity and timing. A pain diary can be helpful to elucidate pain pattern and features and there are many available online.

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