Chronic Pelvic Pain in Men: Causes, Symptoms and Treatment

Pelvic pain in men is not as frequent as it is experienced in women. However, it cannot be neglected and needs to be treated effectively. Pelvis is the area between the hips from side to side, and from umbilicus above, to groin in the lower region.  Pain in pelvic area can be due to the organs lying in that region or it can radiate from adjacent organs to the pelvis.

The organs of pelvis in men are urinary organs such as balder, prostate and bowel. Pelvic pain can be acute or chronic.

Most often men complain of chronic pain in pelvis which is steady and worsens as time passes. This pain can affect in doing his routine daily work. Chronic pain pelvis can be due to infection, injury or disease of the pelvic organs.

Causes Of Pelvic Pain In Men

Any problem related to organs, nerves, ligaments and tissues of pelvis can cause pelvic pain.

  • Prostatitis: prostatitis is inflammation of prostate gland. It is a male specific pelvic pain. It is a male reproductive gland and secretes prostatic fluid which is made up of semen, along with sperms and seminal vesicle fluid. This walnut shaped gland gets infected by bacteria to cause prostatitis. However, many times the cause of prostatitis remains unknown.
  • Cystitis: inflammation of bladder which lies in the pelvic region can also cause pain in the pelvis.
  • Bladder stone can also cause pain in the pelvis.
  • A pinched spinal nerve that supplies the muscles of the pelvis can cause pain in the pelvis in men.
  • Tense muscle of the pelvis which holds the organs of the pelvis can lead to pain in the pelvic region.
  • Anal fissure are the tears in the lining of the anus can cause pain in the pelvic region.
  • Thrombosed piles can also cause pain in the pelvic area of men.
  • Strangulated inguinal hernia may be the other cause for pelvic pain in men.
  • Chronic urinary tract infection.

Symptoms Of Male Pelvic Pain

Pelvic pain in men can be located in certain part of the pelvis, or it can spread all over the pelvic area. The severity of the pain depends on how severe the disease is. It also depends on the body posture of the patient. In certain position, the patient may find relief while in many other positions the pain may aggravate. Pelvic pain may be associated with other symptoms of the disease.

  • Burning pain while urinating.
  • Pain in the lower abdomen.
  • Person always experiences incomplete voiding of urination.
  • Loss of control.
  • Has to wake up several times in the night to pass urine.
  • Backache.
  • Blood in urine and semen.
  • Trouble while starting urination, dripping urine and the flow is not proper.
  • Painful erection and ejaculation.
  • Easy fatigue and tiredness.
  • Backache and headache.
  • Fever may or may not be present.
  • Pain may become worse during bowel movements.

Treatment Of Chronic Pelvic Pain In Men

Before starting the treatment, your physician will take proper history and evaluate the symptoms. He may ask you do certain tests that will help in diagnosing the condition.

  • Antibiotics are generally prescribed for prostatitis.
  • Non steroidal anti- inflammatory medicines are also given to relieve the pelvic pain.
  • When the muscles of pelvic floor are strained, your doctor may prescribe muscle relaxants.
  • In case of hemorrhoids and fissure, the patient may feel better with sitz bath and anti inflammatory medications.
  • Applying heat, acupressure and massage to the affected painful area can relieve the chronic pain of the pelvis. It also helps to relax the strained muscles of the pelvis.
  • Many times when all the means of treatment are exhausted, patient needs counseling, because in certain chronic pelvic pain it takes long time to alleviate the condition.
  • Homeopathic medicine sabal serrulata is effective in treating prostate problems.

3 comments


  1. Joe

    Between the two thighs, scrotum and perineum l feel the pain, rashes, dampness, sweat and always hot in that area. It is difficult to sit down, there is back pain, pain in scrotum also. l have taken a lot of treatment for prostatitis but my pain is always there and now the pain is in the pelvic area. Please help me.

  2. Fred

    I am 46 years old and for sometime now I have been having sharp pain around my pelvic area. Lately, I feel the pain is more when I try to stand back erect after bending over to do something. Please, tell me what could be responsible for this and possible remedies for it.

  3. Peter

    I have been suffering from sharp pain around my pelvic area just like Fred. My case is also same. Can somebody suggest some remedies for this problem?

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