Pelvic Pain Syndrome

Pain can take a toll on many different areas of life. With the help of a board-certified urologist, however, you can achieve relief.

What is Pelvic Pain Syndrome?

Pelvic Pain Syndrome (PPS) is a chronic condition characterized by ongoing pain in the pelvic region. This pain can be related to the muscles and ligaments of the pelvic floor and may result from various underlying issues such as nerve irritation, fibromyalgia, or other conditions affecting the pelvic area. PPS can be challenging to diagnose due to its multifaceted nature and the overlap of symptoms with other conditions. Common causes include:

• Constipation: Straining during bowel movements can lead to pelvic pain.
• Inflamed Intestines or Spleen: Conditions like inflammatory bowel disease can cause discomfort in the pelvic region.
• Kidney Stones: These can cause severe pain that radiates to the pelvic area.
• Painful Bladder Syndrome (Interstitial Cystitis): Chronic bladder pain and urinary urgency are typical symptoms.
• Hip Impingement: Abnormal contact between the hip bones can lead to pelvic pain.
• Labral Tear: Damage to the cartilage in the hip joint can cause pain in the pelvic area.
• Hernia: When an organ pushes through a weak spot in the muscle or tissue, it can cause pain.
• Diastasis Recti: Separation of the abdominal muscles can lead to discomfort.
• Overactive Bladder: Frequent and sudden urges to urinate can be painful.
• Prolapse: Pelvic organs can drop from their normal position, causing pain.
• Pelvic Floor Muscle Hypertonia: Excessive tension in the pelvic floor muscles can lead to chronic pain.
• Prostatitis: Inflammation of the prostate gland can cause pelvic pain, particularly in men.

There are also gender-specific causes:

• Men: Erectile dysfunction, prostatitis, and bowel movement pain can be associated with pelvic pain.
• Women: Menstrual pain, pregnancy, postpartum pelvic pain, and ovarian cysts can contribute to PPS.

What are Symptoms of Pelvic Pain Syndrome?

Symptoms of PPS can vary widely among individuals and may include:

• Genital or Abdominal Pain: Persistent or intermittent pain in the lower abdomen or genital area.
• Frequent Urination: Increased urge to urinate, often accompanied by discomfort.
• Lower Back Pain: Pain that radiates to the lower back.
• Pain During or After Sex: Discomfort or pain during sexual activity, which may persist afterward.
• Bladder Fullness and Discomfort: A sensation of fullness and pressure in the bladder.

The nature of the pain can differ from person to person, ranging from mild to severe, dull to sharp, or constant to occasional. Pain can also radiate to other areas such as the buttocks, thighs, or lower back, complicating the diagnosis and treatment process.

Pelvic Pain Syndrome Outlook

Managing Pelvic Pain Syndrome often requires a comprehensive and multifaceted approach. Treatment strategies may include:

• Physical Therapy: Specialized pelvic floor physical therapy can help relieve muscle tension and improve function.
• Medications: Pain relievers, anti-inflammatory drugs, and other medications can help manage symptoms.
• Lifestyle Changes: Diet, exercise, and stress management can play a significant role in reducing symptoms.
• Surgical Intervention: In some cases, surgery may be necessary to address underlying conditions like hernias or prolapses.
• Psychotherapy: Counseling can help address the psychological aspects of chronic pain and improve coping strategies.

Your urologist or healthcare provider will work with you to develop a personalized treatment plan that addresses the underlying causes of your pain and improves your quality of life. With the right combination of treatments, many patients achieve significant relief and can manage their symptoms effectively over the long term.

Schedule an Appointment

The best way to learn more about PPS is by meeting with a board-certified urologist. To schedule a consultation with Dr. Houman, contact our Los Angeles office by calling (310) 854-9898 or filling out our online form.

An expert in his field

Meet Dr. Houman

Dr. Justin Houman is a board-certified, fellowship-trained Urologist and Men’s Health specialist whose mission is to enhance men’s quality of life by improving their sexual and reproductive health. Dr. Houman’s focus is on making a difference in people’s lives through state-of-the-art, compassionate, and personally tailored care.

       

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