Chronic Pelvic Pain Syndrome can originate for the male, it can originate from the prostate, in the testicles, from the epididymis. For the female, it can originate from the ovaries, or the uterus, or the vagina. It can originate from the intestines, or the muscular-skeletal system, or the neurological system, or colorectal system.
In terms of that, we would evaluate any system that we feel is necessary, and that requires an additional workup to see the cause of Chronic Pelvic Pain Syndrome. In addition to an underlying cause within the organ systems, lifestyle plays a large role with chronic pelvic pain, and by that we mean stress and how patients deal with stress, as well as their athletic ability and what they’re doing for athletics, whether it’s putting a lot of pressure on their pelvis in terms of microtraumas, or pressure on their coccyx, or pudendal nerve.
Nutrition plays a large role with chronic pelvic pain patients. Nutrition can help decrease inflammation in the body. Nutrition can help decrease different hormonal levels such as estrogen in the body, as some issues with pelvic pain are estrogen-dependent pathologies. Nutrition can also help affect the bladder. And there’s something called interstitial cystitis diet that can help calm down the bladder and stop irritating the bladder.
So those would be the lifestyle options for instigating and/or proliferating underlying pelvic floor muscle dysfunction and Chronic Pelvic Pain Syndrome.