Genital pain and pelvic pain can arise from a variety of conditions, crimes, trauma, medical treatments, physical diseases, mental illness and infections. In some instances the pain is consensual and self-induced. Self-induced pain can be a cause for concern and may require a psychiatric evaluation. In other instances the infliction of pain is consensual but caused by another person (such as in surgery or tattooing). In other instances, the pain is vague" and difficult to localize. Abdominal pain can be related to conditions related to reproductive and urinary tissues and organs.