ðə mˈoʊst kˈɑːmən kˈɔːzᵻz ɪŋklˈuːd blˈædɚ ɔːɹ bˈaʊəl ˌoʊvɚdɪstˈɛnʃən fɹʌm jˈʊɹɹɪnˌɛɹi ɹᵻtˈɛnʃən ænd fˈɛkəl kəmpˈækʃən, pɹˈɛʃɚ sˈoːɹz, ɛkstɹˈiːm tˈɛmpɹɪtʃɚz, fɹˈæktʃɚz, ˌʌndɪtˈɛktᵻd pˈeɪnfəl stˈɪmjʊlˌaɪ sˈʌtʃ ɐz ɐ pˈɛbəl ɪn ɐ ʃˈuː, sˈɛkʃuːəl æktˈɪvᵻɾi, ænd ɛkstɹˈiːm spˈaɪnəl kˈoːɹd pˈeɪn.
The most common causes include bladder or bowel over-distension from urinary retention and fecal compaction, pressure sores, extreme temperatures, fractures, undetected painful stimuli (such as a pebble in a shoe), sexual activity, and extreme spinal cord pain.