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Common Chronic Pelvic Pain Symptoms by Diagnosis
From Erica Jacques, former About.com Guide
Updated August 27, 2009
About.com Health's Disease and Condition content is reviewed by the Medical Review Board
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chronic pelvic pain
chronic pelvic pain symtoms
Chronic pelvic pain is a condition that affects women and men. Typical chronic pelvic pain symptoms include pain that has lasted for six months or more, often localized in the abdomen or pelvic region. However, chronic pain symptoms are not the same for everyone.
Because there are so many different causes of pelvic pain, the symptoms can be variable and difficult to diagnose. Chronic pelvic pain symptoms may result from women’s health issues, men’s health issues, nerve disorders, musculoskeletal disorders, digestive problems or even mental health issues. Here is a look at the most common chronic pelvic pain symptoms by category.
Chronic Pelvic Pain in Men
Chronic pelvic pain symptoms specific to men are usually caused by prostatitis, or swelling of the prostate gland. Prostatitis can cause any of the following chronic pelvic pain symptoms in men:
•Difficulty with or painful urination
•Discomfort at the base of the penis
•Lower back discomfort
•Discomfort around the anus or the testicles
•Pain during ejaculation
•**** in the semen
Chronic Pelvic Pain from Nerve Disorders
Chronic pelvic pain symptoms can be caused by nerve damage or dysfunction, and may occur in both men and women. The pudendal nerve, ilio-inguinal nerve, ilio-hypogastric nerve and genito-femoral nerve are all located in the abdominal and pelvic region, and may be damaged after surgery, during childbirth or from neuropathy. Chronic pelvic pain symptoms caused by nerve disorders may include any of the following:
•Pain during intercourse
•Pain during urination or bowel movements
•Pain when sitting
•Pain in the lower abdomen or back
•Pain in the genitals
Chronic Pelvic Pain from Irritable Bowel Syndrome (IBS)
Irritable bowel syndrome, or IBS, is one of the most common causes of chronic pelvic pain symptoms in both men and women. IBS can cause any of the following:
•Cramps in the lower abdomen (usually on the left)
•Problems with bowel function, including diarrhea, constipation and bloating
•Pain that is worse after eating, and goes away after a bowel movement
•Pain during intercourse
•Painful menstrual periods
•Abdominal pain that is worse during times of stress, anxiety or depression
Chronic Pelvic Pain from Urinary System Problems
Urinary disorders such as interstitial cystitis (IC), bladder tumors or renal obstruction can cause any of the following chronic pelvic pain symptoms:
•Pain as the bladder fills (goes away after urinating)
•Pain during urination
•Urinary urgency and/or frequency
•Pain during intercourse
•Pain in and around the pelvic area
Chronic Pelvic Pain from Osteitis Pubis
Osteitis pubis is the term for chronic swelling of the pubic bone, and can occur in both men and women who are physically active. Chronic pelvic pain symptoms from osteitis pubis may include the following:
•Pain in the pubic area, often worse with activity
•Pain when squeezing the legs together
•Pain when climbing stairs or squatting
Chronic pelvic pain symptoms vary not only by diagnosis but by individual as well. If you have chronic pelvic pain, your symptoms may include many or few of those listed above. This is what makes chronic pelvic pain so difficult to diagnose. If you think you might have chronic pelvic pain symptoms, talk to your doctor about undergoing medical testing.
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