PELVIC PAIN- PART 1:
The 10 most common causes of pelvic pain in women or men:
- Urinary tract infection (UTI) is a bacterial infection in your urinary tract. which includes your urethra, bladder, ureters, and kidneys. UTIs are quite common, especially in women. About 40 to 60 percent of women will get a UTI in their lifetime, often in their bladder. A common symptom is pain in the middle of the pelvis and in the area around the pubic bone.
- Sexually transmitted infections (STIs)
Gonorrhea and chlamydia are bacterial infections that are transmitted through sexual activity. In many cases, gonorrhea and chlamydia will not cause symptoms. Women may have pain in their pelvis — especially when they urinate or have a bowel movement. In men, the pain can be in the testicles.
A hernia occurs when an organ or tissue pushes through a weak spot in the muscles of your abdomen, chest, or thigh. This creates a painful bulge. Hernia pain gets worse when you cough, laugh, bend over, or lift something. About 25% of males will experience a hernia, typically as they age, and the muscles become weaker. Weightlifting can exacerbate an existing hernia.
- Appendicitis The appendix is a small organ on the right side of the body that is attached to your large intestine. Inflammation in the appendix can cause pelvic pain. If sharp pain in the lower right abdomen gets worse when you breathe deeply, cough, or sneeze, seek immediate medical attention.
- Kidney stones or infection form when salts or minerals, such as calcium, build up in the urine, and the body has trouble getting rid of them. These minerals can clump together and crystallize into urinary stones. The stones only tend to cause symptoms when the body tries to pass them. The pain usually starts in your side and lower back, but it can radiate to your lower belly and groin. You can also have pain when you urinate. Kidney stone pain comes in waves that get more intense and then fade. Even if they can pass on their own, your doctor can help with pain medication. Drink lots of water.
- Cystitis is an inflammation of the bladder that is usually caused by an infection of the urinary tract. It causes pain or pressure in your pelvis and lower belly. It is most common in women in their 30s and 40s. A doctor will typically use a short course of antibiotics to treat a bladder infection.
- Irritable bowel syndrome (IBS), sometimes called spastic colon. It commonly causes symptoms along the intestinal tract. IBS affects about twice as many women as men, and it usually starts before age 50. The abdominal pain and cramps of IBS tend to go away temporarily after a bowel movement. Diet changes, stress management, and medications may help.
- Adhesions are bands of scar-like tissue. They form between organs or structures that are not meant to be connected. You can get adhesions after abdominal surgery. Adhesions do not always cause symptoms. When they do, belly pain is most common.
- Pudendal nerve entrapment
The pudendal nerve supplies feeling to your genitals, anus and urethra. An injury, surgery or growth can put pressure on this nerve in the area where it enters or leaves the pelvis. Pudendal nerve entrapment causes nerve pain. This feels like an electric shock or deep aching pain in the genitals, the area between the genitals and rectum (perineum), and around the rectum. The pain gets worse when you sit and improves when you stand up or lie down.
- Pelvic floor muscle spasm Much as spasm of neck and shoulder muscles can lead to tension headaches, spasm of the pelvic floor can lead to genital pain and lower urinary tract symptoms (LUTS). Pain can be felt in the penis, testicles, perineum (sensation of “sitting on a golf ball”), lower abdomen and lower back.