Pelvic pain is discomfort felt in the lower part of your belly, below the belly button and between the hips. It can be sharp, dull, or constant, and it often comes and goes over time. When pain in this area lasts for months, doctors call it chronic pelvic pain. A urologist is a doctor who specializes in the urinary tract and the male reproductive system, and these specialists can find the cause of your pain and create a plan to manage it. Knowing when to seek help can lead to faster relief and better care.
What Conditions Cause Pelvic Pain?
Several conditions lead to pelvic pain, especially common conditions like urinary tract infections. Urinary tract infections (UTIs) happen when bacteria enter the urinary system, often causing uncomfortable symptoms. Some common signs of a UTI include a burning feeling when you pee, the need to urinate often, and cloudy or strong-smelling urine.
Another condition that may cause pain in the pelvic area is kidney stones, which are hard deposits that form in the kidneys. They often cause sharp pain in the side or back, pain that spreads to the lower belly, and blood in the urine. The pain comes in waves as the stone moves.
Prostate cancer affects the prostate gland in men and people assigned male at birth. Early stages may have no signs, but some men notice trouble urinating, a weak urine stream, or discomfort in the pelvic area. As cancer spreads, pain and other symptoms commonly become more noticeable, making timely treatment invaluable.
How Is Pain Diagnosed?
Pelvic pain is caused by many different conditions, some of which require medical treatment. If you are experiencing consistent or severe pain in your pelvic area, it is helpful to know when to seek medical care. You should see a urologist if:
- Your pain is sharp, comes and goes, or gets worse over time.
- You notice blood in your urine, which could indicate issues such as kidney stones or an infection.
- You have difficulty urinating, a weak urine stream, or feel the urge to urinate frequently.
- You have additional symptoms like fever, chills, or nausea; these could signal a urinary tract infection (UTI) or other serious condition.
- Your pain does not improve with at-home care or over-the-counter medications.
A urologist can diagnose the cause of your pain and recommend an appropriate treatment. Early evaluation can prevent complications and help you feel better sooner.
During a health consultation, a urologist will start by asking about your symptoms and your medical history. The doctor may then order tests to find the cause. A urine test checks for infection, and a blood test looks for other signs of illness.
Imaging tests such as ultrasounds or CT scans help the doctor see inside the body and spot stones or other problems. For prostate concerns, the doctor may perform a physical exam and order a PSA blood test. These steps help the specialist understand what is causing your pain so they can create an effective treatment plan.
How Is Pelvic Pain Treated?
Treatment depends on the condition behind your pain. UTIs are often treated with antibiotics that target the bacteria, but drinking plenty of water can also help flush the urinary system. Your doctor will tell you how long to take the medicine, but don’t stop taking it until they say. You must complete the full course of medication, even if you feel better beforehand.
Small kidney stones commonly pass on their own, especially with extra fluids and over-the-counter pain relief as support. Certain prescriptions may also be used to help pass stones, but larger stones need a procedure to break them up or remove them. Your urologist will choose the method based on the size and location of the stone. Prostate cancer care varies based on the stage and individual health factors. Some cases are watched closely over time, while others may need timely surgery, radiation, or other treatments.
Manage Your Pain With a Specialist
Chronic pelvic pain affects your daily life, but a specialist can support your needs. Pay attention to warning signs such as ongoing pain, blood in the urine, or trouble urinating that gets worse. These signs are reasons to see a doctor. A urologist can find the source of your pain and guide you toward the right care. If you have been living with pain for weeks or months, contact a specialist to schedule a consultation.
