What Causes Pelvic Pain in Men? Info, Treatment, and Tips

11 Mar 2024, by

Dr. George Laliotis

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Pelvic pain in men is a condition that can stem from various causes, including urinary tract infections, prostatitis, kidney stones, and pelvic floor dysfunction. This type of pain affects the lower abdomen area and can significantly impact a man's quality of life. Recognizing the symptoms early and understanding the potential causes and risk factors are crucial steps towards effective management and treatment. With the right approach, including lifestyle changes, medical treatment, and preventive measures, men can find relief and improve their overall well-being.

pelvic pain in men

Causes of Pelvic Pain in Men

Pelvic pain in men can be a symptom of various underlying issues, ranging from infections to chronic diseases. Understanding the root causes is crucial for effective treatment and management. Here's a look at the main causes:

Urinary Tract Infections (UTIs)

UTIs occur when bacteria enter the urinary tract, leading to infection. While more common in women, men can also suffer from UTIs, especially those with an enlarged prostate, as it can impede urine flow. Symptoms include a burning sensation during urination, frequent urges to urinate, and pain in the pelvic area.

The Urology Care Foundation states that a UTI happens when you get an infection in your urinary tract, and 3 in 25 men will experience symptoms of a UTI during their lifetime. Symptoms include a burning sensation during urination, frequent urges to urinate, and pain in the pelvic area. Given the discomfort and potential complications, it's crucial for men experiencing these symptoms to seek medical evaluation and treatment promptly.


Prostatitis is the swelling and inflammation of the prostate gland. It can cause significant discomfort, including a persistent pain in the pelvic area, difficulty urinating, and pain during or after ejaculation. Prostatitis can be bacterial or non-bacterial, with the latter being known as chronic pelvic pain syndrome in men.

Other Conditions

  • Kidney Stones: Hard deposits formed from minerals and salts in the kidneys can cause severe pain as they move through the urinary tract.
  • Hernia: A hernia in the groin area can lead to pelvic pain, often accompanied by a visible bulge and discomfort when lifting heavy objects.
  • Pelvic Floor Dysfunction: The inability to correctly relax and coordinate pelvic floor muscles can cause chronic pelvic pain, urinary issues, and discomfort during sexual activity.


Epididymitis is the inflammation of the epididymis, a tube located at the back of the testicles that stores and carries sperm. This condition can cause pain and swelling in the scrotum. It's often caused by bacterial infections, including sexually transmitted infections (STIs) like chlamydia.

Musculoskeletal Problems

Problems with the muscles and bones in the pelvic area can cause pelvic pain. This includes conditions such as symphysis pubis dysfunction (SPD) and sacroiliac joint dysfunction, which can affect the stability and alignment of the pelvis.

Psychological Factors

Stress, anxiety, and depression can exacerbate or even contribute to the development of chronic pelvic pain, highlighting the complex interplay between psychological health and physical symptoms.

Risk Factors for Pelvic Pain in Men

Understanding the risk factors is key to prevention and early detection of conditions leading to pelvic pain. Here are some of the common risk factors:

  • Age: Older men are more likely to experience conditions like an enlarged prostate, which can lead to UTIs and subsequent pelvic pain.
  • Lifestyle Choices: Lack of physical activity, poor diet, and smoking can increase the risk of developing conditions associated with pelvic pain.
  • Previous Injuries: A history of pelvic or abdominal injuries can lead to chronic pelvic pain due to lingering damage or inflammation.
  • Underlying Health Conditions: Men with a history of UTIs, kidney stones, or sexually transmitted infections (STIs) are at higher risk of experiencing pelvic pain.


Addressing these risk factors through lifestyle changes and regular medical check-ups can help reduce the likelihood of developing pelvic pain.

In the next sections, we'll explore the complications associated with pelvic pain in men, treatment options, and prevention strategies, offering practical tips for managing this condition effectively. Remember, understanding your symptoms is the first step towards recovery. If you're experiencing persistent pelvic pain, consider using tools like the Symptom Checker for Men to get a better sense of what might be causing your discomfort. However, always consult a healthcare professional for a definitive diagnosis and personalized treatment plan.

Complications Associated with Pelvic Pain in Men

When left untreated, pelvic pain can lead to several complications that affect a man's health and quality of life. These complications emphasize the importance of seeking medical advice and treatment for persistent pain in the pelvic area in men.

  • Chronic Pain: Chronic pelvic pain in men can become a debilitating condition, affecting daily activities and mental health.
  • Sexual Dysfunction: Conditions like prostatitis can lead to painful ejaculation or erectile dysfunction, impacting sexual health and relationships.
  • Psychological Impact: Persistent pain can lead to stress, anxiety, and depression, further complicating the management of pelvic pain.
  • Urinary Problems: Chronic pelvic pain can be associated with urinary issues, including painful urination, urgency, and incontinence.

Treatment Options for Pelvic Pain in Men

Effective treatment begins with an accurate diagnosis, which can involve various tests and assessments. Here are the primary treatment options for managing pelvic pain:


  • Pain Relievers: Over-the-counter or prescribed pain medications can help manage the discomfort associated with pelvic pain.
  • Antibiotics: If the pain is due to a bacterial infection, such as UTIs or prostatitis, antibiotics can clear the infection.

Physical Therapy

Physical therapy can be beneficial, especially for men suffering from pelvic floor dysfunction. A specialized physical therapist can provide exercises and techniques to strengthen pelvic muscles and alleviate pain.

Lifestyle Modifications

Making changes to one's lifestyle can significantly impact the management of pelvic pain. This includes:

  • Regular exercise to reduce pain and improve overall health.
  • Dietary changes to avoid foods that may irritate the bladder or contribute to constipation.

Surgical Options

In some cases, surgery might be necessary to address the underlying cause of pelvic pain, such as hernia repair or the removal of kidney stones.

Remember, the choice of treatment should be based on the underlying cause of the pain and tailored to the individual's needs. To better understand your symptoms and potential conditions, consider using Docus Symptom Checker for Men. It's important to note that online tools are not substitutes for professional medical advice, diagnosis, or treatment.

Prevention Strategies for Pelvic Pain

Preventing pelvic pain involves addressing the risk factors and making healthy lifestyle choices. Here are some tips for prevention:

  • Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and avoiding smoking can lower the risk of conditions leading to pelvic pain.
  • Practice Safe Sex: Using protection can reduce the risk of sexually transmitted infections, which can cause pelvic pain.
  • Stay Hydrated: Drinking plenty of water helps prevent UTIs and kidney stones.
  • Regular Medical Check-ups: Early detection and treatment of conditions like UTIs, prostatitis, and hernias can prevent the development of chronic pelvic pain.


By understanding the causes, recognizing the risk factors, and following these prevention strategies, men can reduce their chances of experiencing pelvic pain. Remember, early intervention is key to managing and treating pelvic pain effectively, ensuring a better quality of life.

Key Takeaways

  • Pelvic pain in men can stem from a variety of causes, including urinary tract infections (UTIs), prostatitis, kidney stones, hernias, and pelvic floor dysfunction.
  • Recognizing the risk factors, such as age, lifestyle choices, previous injuries, and underlying health conditions, is essential for prevention and early detection.
  • Complications of untreated pelvic pain can include chronic pain, sexual dysfunction, psychological impact, and urinary problems.
  • Treatment options vary depending on the underlying cause and may include medication, physical therapy, lifestyle modifications, and, in some cases, surgery.
  • Prevention strategies include maintaining a healthy lifestyle, practicing safe sex, staying hydrated, and regular medical check-ups.
  • Utilizing tools like Docus AI Symptom Checker for Men can help in understanding symptoms but should not replace professional medical advice.

Frequently Asked Questions

What causes pelvic pain in men?

Pelvic pain in men can be caused by several factors, including infections like urinary tract infections (UTIs) and prostatitis, structural issues such as kidney stones and hernias, and muscle or nerve conditions like pelvic floor dysfunction.

How can I distinguish between different types of pain in the pelvic area in men?

Understanding the nature of your pain (sharp, dull, intermittent, constant), its location (lower abdomen, groin, back), and any accompanying symptoms (urinary problems, fever, nausea) can help differentiate between various conditions. However, a proper diagnosis should always be made by a healthcare professional.

What are the treatment options for chronic pelvic pain in men?

Treatment for chronic pelvic pain may include medications for pain relief and to treat any underlying infections, physical therapy to strengthen pelvic floor muscles, lifestyle modifications to reduce symptoms, and possibly surgery for specific conditions like hernias or varicoceles.

How can I prevent pelvic pain?

Preventative measures include maintaining a healthy lifestyle with regular exercise and a balanced diet, practicing safe sex to avoid sexually transmitted infections, managing stress levels, and seeking prompt treatment for any urinary or genital issues.

When should I see a doctor for pain in the pelvic area?

You should consult a healthcare professional if your pelvic pain is severe, persistent, or accompanied by other symptoms like fever, urinary problems, or unexplained weight loss. Early diagnosis and treatment can prevent complications and improve outcomes.

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