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Serving Westchester, Rockland, Putnam Counties and beyond
Hudson Valley Logo
Serving Westchester, Rockland, Putnam Counties and beyond

Pelvic Pain Syndromes


  • Chronic nonbacterial prostatitis (category IIIA or IIIB), also known as chronic pelvic pain syndrome (CP/CPPS) is a pelvic pain syndrome without evidence of infection. It has a wide range of symptoms. It can be described as persistent relapsing pain or discomfort in any of the following areas: Urethra, Between rectum and testicles (perineum), Tip of the penis (not related to urination), Below the waist, in your pubic or bladder area, Testicles. Some of the functional symptoms are: Pain or burning during urination, Pain or discomfort after ejaculation, A sensation of pain in the lower back and upper legs, A sensation of pain in the groin and above the bladder, A sensation of pain or burning high up in the penis (urethra), A sensation of not emptying the bladder completely after finishing urinating, Lowering of libido (sexual desire). For more information, see
  • Painful bladder syndrome / interstitial cystitis
  • Levator ani syndrome is episodic rectal pain caused by the spasms of the rectal muscle, called the levator ani. This syndrome consists of pain, Gluteal discomfort and distress in the rectal area, and spreads to the region of the sacrum and coccyx. The pain and discomfort is often aggravated by sitting. The Levator Ani Syndrome is also known as Proctodynia, Proctalgia Fugax, Coccygodynia and Levator Ani Spasm Syndrome. The chief cause is chronic pelvic floor muscle tension or myalgia.
  • Proctalgia Fugax
  • Pudendal Neuralgia / Pudendal nerve entrapment: The pudendal nerve is a sensory, autonomic, and motor nerve that carries signals to and from the genitals, anal area, and urethra. Pudendal Neuralgia or Entrapment occurs when the nerve or one of its branches becomes damaged, inflamed, or entrapped. The main symptom of pudendal neuralgia (PN) and pudendal nerve entrapment (PNE) is pain in one or more of the areas innervated by the pudendal nerve or one of its branches. Possible symptoms include burning, numbness, increased sensitivity, electric shock or stabbing pain, knife-like or aching pain, feeling of a lump or foreign body in the vagina or rectum, twisting or pinching, abnormal temperature sensations, constipation, pain and straining with bowel movements, straining or burning when urinating, painful intercourse, and sexual dysfunction – including uncomfortable arousal or the opposite problem, decreased sensation. For more information, see
  • Proctalgia fugax
  • Genital numbness, pain, burning, or itching
  • Pain associated with bike riding
  • Pain associated with sitting
  • Perineal pain/burning (area between opening of vagina and anus in women, between scrotum and anus in men)
  • Dyspareunia (pain with intercourse)
  • Pain with pelvic exams or tampon use
  • Post-operative pain due to painful scar or scar adhesion in the abdominal, groin, pelvis and hip region
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