Chronic Pelvic Pain: What Men Should Know

Many men suffer from chronic pelvic pain, and for some, it can be linked to the prostate gland.

Chronic pelvic pain occurs much more frequently in women than in men, the Cleveland Plain Dealer reported. However, more research is now focused on the underlying causes of chronic pelvic pain in men. Chronic prostatitis, or an infection of the prostate gland, is often the cause.

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According to the American Prostatitis Association, more than 90 percent of all cases of prostatitis fall into a category called Chronic Pelvic Pain Syndrome (CPPS), and this condition accounts for 40 percent of all urology visits each year. While the condition may not be life-threatening, it is a serious quality of life issue for men who are affected by it.

CPPS is characterized by pain and discomfort near the base of the penis, around the anus, and in the lower abdomen. According to Patient, it is diagnosed if the patient has experienced this pain for at least three consecutive months in a six-month period. Other symptoms include painful urination, a weak urine stream, painful ejaculation, trouble getting an erection, general fatigue, and aches and pains.

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To check for chronic prostatitis/CPPS, a physician may manually examine the prostate gland with a digital rectal exam by inserting a gloved finger into the rectum, says Patient. A urine sample may be collected to check for bacteria, or an ultrasound of the kidneys and urinary tract may be ordered. Finally, if a visit to the urologist is warranted, a sample of fluid may be taken from the prostate gland to check for infection.

Men who suffer from chronic pelvic pain should seek treatment, particularly if they plan to father children. The condition can cause infertility if left untreated, says the APA. Lifestyle changes and stress management can help lessen the symptoms. According to Patient, medical management of chronic prostatitis usually involves medication to treat the urinary symptoms and antibiotics.

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