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Chronic Pelvic Pain Syndrome: Understanding Causes and Symptoms

dr shukla neurologist tx
Medically reviewed by Dr. Shukla
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dr shukla neurologist tx
Medically reviewed by Dr. Shukla

Do you feel the ache in the pelvic area for 6 months? Probably, it is chronic pelvic pain syndrome. It is an actual problem for both women and men. The condition has a severe impact on well-being and overall quality of life. Besides discomfort and pain, it brings constant stress, depression, and sexual ailment. The reasons for the appearance of this syndrome are:

  • Prostatitis;
  • Problems with muscles and joints;
  • Disorders of the nervous system;
  • Hormonal imbalance;
  • Gynecological diseases;
  • Problems with urination.

The consequences of this syndrome can significantly affect the patient’s quality of life. Due to constant pain and dysfunction, a person becomes limited in physical activity. In addition, CPPS symptoms can be psychological. Over time, depression, anxiety, and a general decline in quality of life may develop. So, to avoid such consequences, it is necessary to consult a doctor in time.

Understanding Chronic Pelvic Pain Syndrome

In many doctors’ practices, some patients suffer pain in the lower abdomen and lower back. And in most cases, people do not even suspect it could be a pelvic pain. Because most of them don’t know the CPPS meaning. Generally, it is an ache around pelvic organs for six months or more. And if you do not treat it, it can affect other organs.

Pelvic pain is a discomfort in the lower abdomen. You feel it in:

  • lower back;
  • in the crotch;
  • external genitalia;
  • rectum;
  • the inner surface of the thighs.

These pains can be diverse. There may be a feeling of heaviness, cutting or burning pains, or sharp “shoots.” The intensity of the ache can vary. Moreover, sometimes they depend on the psycho-emotional state. That is, this disease affects enough organs to make a person functionally disabled.

How to understand that you have chronic pelvic pain? It rarely occurs as an isolated symptom. This pain often combines headaches, defecation problems, neurological disorders, and so on. Thus, if you treat this syndrome, you can overcome many other symptoms.

An essential aspect in the occurrence of pelvic pain is posture. In particular, this refers to the angle of inclination of the pelvis about the spine. Certain angles can cause hypertonia of the pelvic muscles. Pay attention to the symmetry of the posterior superior iliac spine to detect this deviation. Under the conditions of distortion, there is an asymmetry of movements. It leads to a further violation of the biomechanics of the pelvis.

 Prevalence and Impact of Chronic Pelvic Pain Syndrome

This syndrome would not be so common if people did not ignore CPPS symptoms. Unfortunately, it affects many people around the world of various age groups. The statistics of chronic pelvic pain are not clear, but it impacts patients badly. It can lead to a deterioration in the quality of life, social isolation, and low work productivity. So, early diagnosis and comprehensive treatment of CPPS are essential. 

Causes and Risk Factors of CPPS

When a person develops some disease, it is crucial to consider its risk factors. Thus, it is necessary to understand the cause of pelvic pain disorder first. Maybe it is due to an injury? Maybe it is due to neurological diseases? Or is it a genetic issue? Most often, specialists find the next reasons and risk factors for it:

  • Neurological problems

For example, interstitial cystitis doctors associate with the development of chronic pelvic pain. Disorders of the nervous system characterize these conditions. They affect the perception of pain in the pelvic region.

  • Diseases of the pelvic organs

Common causes are chronic prostatitis in men or chronic vaginitis in women. Other possible conditions including endometriosis, vascular disorders, and muscle dysfunction.

  • Hormonal imbalance

Various hormonal changes can affect the development of chronic pain in the pelvis. They mainly occur during the menstrual cycle or pregnancy in women.

  • Injuries to the pelvic region

Falls, car accidents, or sports injuries can lead to the development of pelvic pain. These injuries can damage the pelvic structures, causing discomfort and hurt.

  • Muscle dysfunction

Pelvic muscle tension or dysfunction can cause chronic pain. Stress, injuries, or poor body position can lead to such problems.

  • Genetic predisposition

Some studies show a genetic predisposition to developing CPPS symptoms. Do you have a history of this illness in your family?

So, chronic pelvic pain is a severe problem. And understanding these unique risk factors can help prevent the condition.

Chronic Pelvic Pain symptoms

Symptoms of Chronic Pelvic Pain Syndrome

Have you recently experienced sleep disturbances, pelvic pain, and painful urination? If so, you probably have pelvic pain syndrome. This disease carries various manifestations. And this is precisely the problem of such a disease. After all, it often causes more than just pelvic pain. Besides, it brings with it psychological and neurological issues. So, here are more examples of CPPS symptoms:

  • Changes in sexual function

It can include decreased sexual desire and erectile problems. It also causes painful ejaculations or sexual dysfunction in general.

  • Painful urinary direction

Some people with CPPS can experience pain or discomfort during urination. It may be due to active inflammation or a nervous system disorder.

  • Prolonged pelvic pain

One of the most characteristic symptoms is long-term pain in the pelvis. It can last for six months or more. This pain can be constant or intermittent.

  • Bad mood

Many patients with chronic pelvic pain note a feeling of chronic fatigue. It provokes low energy and an inability to concentrate. It can significantly affect the general mood and quality of life.

This disease can provoke sleep problems. It includes insomnia or restless sleep. It may be due to the pain and stress associated with the condition.

Diagnosis and Evaluation of CPPS

Since this disease is quite complex, its diagnosis is also problematic. Why? The fact is that such a syndrome carries various manifestations. And they can relate to both neurology and gynecology or other fields of medicine. So, first, doctors listen to the patient’s complaints and ask about the character of the pain. They specify the duration of the CPPS symptoms and their impact on daily activities. They also examine the patient’s medical history, including past illnesses, surgeries, and treatments. 

The process of evaluating the pelvic pain syndrome for diagnosis includes such steps:

  1. First, doctors determine in which area of ​​the body the patient has pain. They check its intensity and frequency;
  2. Next, specialists rule out other possible causes of pelvic pain. That is, they conduct an examination and draw conclusions that definitely could not have provoked this condition.
  3. After that, it is crucial to determine the type of pain. It can be localized and have sharp, dull, and throbbing pain.
  4. Finally, doctors check how pelvic pain disorder affects physical activity, sexual function, or the patient’s psychosocial condition.

Extra studies may include urological, coloproctology, and neurological examinations. Depending on the indications, it can be ultrasound examination, computed tomography, cystoscopy, laparoscopy, or other methods.

cpps treatment

Treatment Approaches for CPPS

Doctors use complex therapy for chronic pelvic pain. It is aimed at eliminating the cause of the infection and its symptoms. Depending on the level of illness progression, medics can prescribe for patients:

  • Anti-inflammatory drugs. They are for inflammation in the organs of the genitourinary system;
  • Antibacterial, antifungal, and antiviral drugs. They are to cut the infectious process;
  • Hormonal drugs. They are to normalize the hormonal background;
  • Painkillers. They are for pain relief in milder forms of this condition.

Also, the doctor can recommend physical therapy and physiotherapeutic procedures. Usually, they use ultrasound, laser, or magnetic energy. They contribute to the improvement of blood microcirculation, the elimination of stagnant phenomena, and the treatment of inflammatory processes.

Specialists occasionally use alternative techniques to treat pelvic pain disorders. They use therapy courses and other methods. Among them are:

  • Drug therapy. It is for relieving pain and eliminating the reasons for the underlying disease;
  • Various physiological procedures, massages, acupuncture reflexology. It is to improve muscle tone and relieve pain;
  • Surgical intervention. Doctors do this in cases where other methods do not give results.

The most important thing is not to treat chronic pelvic pain syndrome on your own. It will not give any results and can only worsen the situation.

A Word From Lone Star Neurology

So, pelvic pain disorder can be the cause even of neurological infections. It can occur due to dysfunction of the nervous system. So, detecting it in the early stages and contacting specialists is important.

Lone Star Neurologists is here to help if you need a neurologist consultation. With our latest research and treatment approaches, we will invent the issues in your body. Afterward, we will provide you with a treatment that will make you feel better.


  • What is the difference between chronic pelvic pain and chronic pelvic pain syndrome?

Chronic pelvic pain is a broad description of persistent pelvic discomfort. And chronic pelvic pain syndrome implies a more complex condition. It includes pain, discomfort, and potential urinary and sexual dysfunction.

  • What are the typical symptoms of CPPS?

Symptoms of CPPS typically include:

  1. long-lasting pelvic pain;
  2. discomfort or pain during urination;
  3. frequent urge to urinate;
  4. pain or discomfort during sexual activity;
  5. potential pain or discomfort in the rectum.
  • What are the common causes of CPPS?

CPPS can have various causes. It includes pelvic floor muscle dysfunction or hypertonicity. Besides, it involves nerve irritation or sensitization in the pelvic area. Also, it can be chronic inflammation in the prostate or potential psychological factors.

  • Does CPPS get worse over time?

From person to person, it differs. Some people might observe their symptoms getting worse with time. And others might see changes in the severity of their symptoms or even an improvement.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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