Is all pelvic pain syndrome prostate pain? The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. This is one of the most common problems that patients ask about, such as pelvic pain in women (women do not have a prostate), and the so-called “prostate pain” is a “problem” that plagues many men. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The so-called type IV prostatitis is a disease without inflammation, which is characterized by completely normal prostate fluid examination, and other indicators are basically normal, mainly manifested as painful abdominal cramps, soreness in the lumbosacral area, distension and pain in the perineal area of the groin, testicular distension, etc. Some people call it a special type of prostatitis, which is thought to be caused by the small muscles around the prostate and the small pelvic muscles due to prostate congestion. However, despite what everyone thinks and what the textbooks say, there is no objective evidence that type IV prostatitis patients necessarily have prostate congestion or spasm of the small muscles around the prostate. Since there is pain in the pelvis and no evidence of inflammation, there may be chronic congestion and small muscle spasms in the pelvic cavity, but there are many causes of such changes in the pelvis, so what is the reason to prove that it is due to the prostate? This is probably a question that both patients and doctors should think about, but the status quo is that both patients and most doctors are indiscriminate in blaming the prostate, as seen in the term “prostate pain”, which is unintentionally misleading to patients and doctors. The actual pelvic pain syndrome is actually not related to the prostate, the volume of the pelvic cavity is very large, while the volume of the prostate is relatively small, even if the prostate is enlarged, the area of the pelvic cavity is very small, not so much as to cause changes in the pelvic environment. As mentioned earlier, there are many reasons for pelvic congestion and pain, such as too frequent sexual intercourse especially masturbation, sedentary, alcoholic, spicy diet, etc. The actual fact that these factors are also the cause of prostatitis, the prostate may also have problems, but the pelvic pain is attributed to the prostate, obviously biased. The prostate is so wrong! Our research also found that many patients with chronic pelvic pain syndrome have a central lumbar disc herniation that compresses the cauda equina nerve, producing an inflammatory lead that irritates the nerve and causes abnormal nerve conduction. We know that all body sensations (including pain) below the lumbar plane are transmitted upward through the cauda equina plexus to the nociceptive center of the brain. At the same time, compression of the cauda equina nerve may also be the cause of pelvic muscle spasm and pelvic congestion. However, because the herniated disc does not compress the sciatic nerve heel, it usually does not present with severe leg pain and is often clinically overlooked. In conclusion, the so-called “prostate pain” is not necessarily or mostly not a prostate problem, you can consider checking the lumbar spine CT to exclude lumbar disc herniation, treatment and improve the pelvic environment, may receive unexpected results, “prostate pain” will no longer be difficult to cure. “The actual fact is that you will not be able to get a lot of money from the internet.