Chronic Pelvic Pain—Male
Pelvic pain can happen between the belly button and the hips and groin. Chronic pelvic pain is pain that lasts for 6 months or more. It is often hard to locate the source of the pain. Problems in the intestines, nerves, bladder, and prostate can cause pelvic pain.
|Male Pelvic Organs
|Includes bladder, prostate (under bladder), and the colon.
|© Nucleus Medical Media, Inc.
Many health problems can cause chronic pelvic pain such as:
Having any of the problems listed above will make the chances of pain in your pelvis higher.
Common symptoms are:
- Constant pain or dull ache in the pelvis
- Burning, shooting pain
- Urgent need to pass stool or urine
- Pain that comes and goes
- Pain that ranges from mild to severe
- Pain with certain activities
- Pain while sitting for a long time
You will be asked about your symptoms and health history. A physical exam will be done. You may be asked to keep a pain diary. Write down when your pain happens, how it feels, and how long it lasts.
You may also have:
- Blood and urine tests
- Cultures and swabs
- Tests for STIs
Imaging tests such as:
Scoping tests will allow your doctor too see structures on a video screen:
Pelvic pain is treated based on what's causing it. It may involve one or more methods. Common ones are:
- Antibiotics to treat certain types of infections
- Pain relievers
- Muscle relaxers
Chronic pelvic pain can also be treated with:
- Nerve blocks
- Surgery—the type depends on what's causing the pain
- Counseling—to better help you cope with stress and pain
Chronic pelvic pain not be preventable. It has many causes. If you're at high risk for problems, talk to your doctor.
Family Doctor—American Academy of Family Physicians
International Pelvic Pain Society
Canadian Association of Gastroenterology
The College of Family Physicians of Canada
Chronic pelvic pain. Family Doctor—American Academy of Family Physicians website. Available at:
https://familydoctor.org/condition/chronic-pelvic-pain. Updated July 19, 2017. Accessed August 23, 2018.
Chronic prostatitis/chronic pelvic pain syndrome. EBSCO DynaMed Plus website. Available at:
. Updated February 29, 2016. Accessed August 23, 2018.
The complex nature of chronic pelvic pain.
J Fam Pract. 2007;56(3 Suppl Diagnosis):S16-S17.
Pelvic pain. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/gynecology-and-obstetrics/symptoms-of-gynecologic-disorders/pelvic-pain. Updated November 2016. Accessed August 23, 2018.
5/18/2015 DynaMed Plus Systematic Surveillance
: Zhang R, Chomistek AK, et al. Physical activity and chronic prostatitis/chronic pelvic pain syndrome. Med Sci Sports Exerc. 2015 Apr;47(4):757-764.
EBSCO Medical Review Board
Marcin Chwistek, MD
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