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Male Pelvis Organs  
Male pelvis lateral

Includes bladder, prostate (under bladder), and the colon.

© 2011 Nucleus Medical Media, Inc.

Definition  

Pelvic pain is located between the belly button and the hips and groin. If it lasts for six months or more it is called chronic pelvic pain. It is often difficult to figure out the source of the pain. Pelvic pain can be caused by problems in the:

  • Female reproductive organs
  • Intestines
  • Nerves
  • Bladder
  • Prostate
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Causes  

Chronic pelvic pain can be caused by a wide variety of conditions.

  • Gynecological conditions
    Female Pelvis Organs  
    Female pelvis lateral

    From left to right: the bladder, uterus, and colon. Nerves are shown in yellow.

    © 2011 Nucleus Medical Media, Inc.

  • Psychological conditions, such as depression, or a history of physical or sexual abuse
  • Neuromuscular conditions
    • Pudendal neuralgia
    • Muscle pain
    • Nerve pain
    • Lower back pain
    • Joint and bone pain
    • Muscle strain
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Risk Factors  

Having one of the conditions listed above increases your chance of having chronic pelvic pain. Other factors may include:

  • Miscarriage
  • Cesarean section
  • Alcohol or drug abuse
  • Heavy menstrual flow
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Symptoms  

Symptoms may include:

  • Constant pain or dull ache in pelvic area
  • Burning, shooting pain
  • Rectal urgency
  • Pain that comes and goes
  • Pain that ranges from mild to severe
  • Pain with certain activities
  • Pain with prolonged sitting
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Diagnosis  

You will be asked about your symptoms and medical history. A physical exam will be done. You may be asked to keep a pain journal to help your doctor diagnose the pain. You will be asked to write down when your pain occurs, how it feels, and how long it lasts.

Your bodily fluids may be tested. This can be done with:

  • Blood and urine tests
  • Cultures and swabs
  • Tests for sexually transmitted diseases (STDs)

Your bodily structures may need to be viewed. This can be done with:

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Treatment  

Talk with your doctor about the best treatment plan for you. Options include:

Medications  

Chronic pelvic pain is treated based on what caused it:

  • Antibiotics if an infection is present