Chronic Pelvic Pain - Male
Many health problems can cause chronic pelvic pain, such as:
- Infections, such as those in the bladder or urinary tract
- Sexually transmitted infections (STIs)
- Problems with nerves and muscles
- Irritable bowel syndrome (IBS)
- Inflammatory bowel disease
- Prior physical or sexual abuse
The doctor will ask about your symptoms and health history. A physical exam will be done. You will also be asked about your pain.
Other tests may be:
- Blood and urine tests
- Cultures and swabs
- Tests for STIs
Imaging tests, such as:
- CT scan
- MRI scan
Scoping tests to view structures on a video screen:
- Laparoscopy —belly and pelvis
- Cystoscopy —bladder
- Colonoscopy —large intestine
The cause will need to be treated. It may involve one or more methods. Choices are:
- Medicines, such as:
- Antibiotics to treat certain types of infections
- Pain relievers
- Muscle relaxants
- Nerve blocks to ease pain
- Surgery to treat the cause
- Counseling to learn how to cope with stress and pain
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
Copyright © EBSCO Information Services
All rights reserved.
Family Doctor—American Academy of Family Physicians https://familydoctor.org
International Pelvic Pain Society https://www.pelvicpain.org
Canadian Association of Gastroenterology https://www.cag-acg.org
The College of Family Physicians of Canada https://www.cfpc.ca
Chronic pelvic pain. Family Doctor—American Academy of Family Physicians website. Available at: https://familydoctor.org/condition/chronic-pelvic-pain. Accessed November 24, 2020.
Chronic prostatitis/chronic pelvic pain syndrome. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/chronic-prostatitis-chronic-pelvic-pain-syndrome. Accessed November 24, 2020.
Engeler D, Baranowski AP, et al European Association of Urology (EAU). EAU guidelines on chronic pelvic pain. EAU 2015.
Pelvic pain. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/gynecology-and-obstetrics/symptoms-of-gynecologic-disorders/pelvic-pain. Accessed November 24, 2020.
5/18/2015 DynaMed Systematic Surveillance https://www.dynamed.com/condition/chronic-prostatitis-chronic-pelvic-pain-syndrome: 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.