“Pelvic pain affects people of all genders, including men and non-binary individuals...” - Dr. Sandy Shulca, DPT

Introduction:

Pelvic pain is a topic shrouded in mystery and misconceptions, often leaving those affected by it navigating a sea of misinformation and confusion. As a pelvic floor physical therapist, I encounter questions and concerns about pelvic pain from individuals of all genders, including those with a penis and those with a vagina. This blog aims to demystify pelvic pain, clarifying what it is and what it’s not, and to offer guidance for anyone seeking understanding or relief.

What Pelvic Pain Is:

A Complex Experience:

Pelvic pain is a complex condition that can manifest in various ways. It can be acute or chronic, localized or widespread, and it can fluctuate in intensity. Pelvic pain encompasses discomfort in the lower abdomen, pelvic region, or genitalia and can be associated with sexual activity, bowel movements, urination, or even sitting for extended periods.

Associated With Multiple Causes:

Pelvic pain can stem from a myriad of causes, affecting individuals with a penis or a vagina. It might be linked to musculoskeletal issues, such as pelvic floor muscle tension or dysfunction; neurological conditions; infections; psychological factors; or systemic diseases like endometriosis, interstitial cystitis, and prostatitis.

A Sign of Pelvic Floor Dysfunction:

Often, pelvic pain is indicative of pelvic floor dysfunction. The pelvic floor is a network of muscles, ligaments, and tissues that support the pelvic organs. Dysfunction can arise from overactivity (hypertonicity) or underactivity (hypotonicity) of the pelvic floor muscles, leading to pain, discomfort, and other symptoms.

Treatable With Specialized Care:

Importantly, pelvic pain is not something you have to live with indefinitely. It's treatable through specialized care, which may include pelvic floor physical therapy, medication, lifestyle adjustments, psychological support, and, in some cases, surgery. Each treatment plan is tailored to the individual's specific needs and conditions.

What Pelvic Pain Is Not:

Exclusively a Woman’s Issue:

One of the biggest misconceptions about pelvic pain is that it's solely a women's health issue. This is not the case. Pelvic pain affects people of all genders, including men and non-binary individuals. Conditions like prostatitis in men or chronic pelvic pain syndrome can cause significant discomfort and require specialized treatment.

Merely a Symptom of Aging:

While certain pelvic floor and pelvic health issues become more common with age, pelvic pain is not just a symptom of getting older. Young individuals can experience pelvic pain due to various causes, including congenital conditions, injuries, infections, and lifestyle factors.

Always Related to Sexual Activity:

Although pelvic pain can be experienced during or after sexual activity, it's not always related to sex. Pelvic pain can be present without any relation to sexual activity, stemming from other health issues or dysfunctions. Dismissing pelvic pain as solely a sexual problem can lead to misdiagnosis and inadequate treatment.

Something to Endure in Silence:

Lastly, pelvic pain is not a condition that you should have to endure quietly or alone. Due to its intimate nature, people often feel embarrassed or hesitant to seek help, but it’s crucial to reach out to healthcare professionals who understand and specialize in pelvic health. Support and effective treatment are available, and you deserve to access them.

Conclusion

Understanding pelvic pain for what it truly is—and what it’s not—is the first step toward seeking help and finding relief. If you’re experiencing pelvic pain, know that you’re not alone, and solutions are within reach. As a pelvic floor physical therapist, I emphasize the importance of comprehensive assessment and personalized treatment to address pelvic pain. By shedding light on this condition, my hope is that more individuals feel empowered to seek the care they need and move toward a life free of discomfort and pain.

Other Resources