Feeling of pressure in the perineum. Pain between the testicles and anus in men. Discomfort during and after pregnancy

Contents [Show]

The perineum is an area formed by soft tissues. In men, it is located between the anterior edge of the anus and the root of the scrotum. This is the so-called narrow concept of the perineum, which is used by clinicians. Anatomists define the perineum as the diamond-shaped area located between the top of the coccyx and the lower edge of the pubic bones. It closes the exit from the small pelvis, forming its diaphragm. In men, the diaphragm passes through the rectum and urethra.

Pain in the perineum in men occurs with lesions of the pelvic and genitourinary organs. Such diseases include:

urethritis of various origins;
cooperite;
colliculitis;
injuries;
pinching of the pudendal nerve;
prostate diseases – prostatitis, abscesses, malignant formations;
inflammatory and purulent diseases of the skin of the perineum;
proctitis, paraproctitis, hemorrhoids and its complications;
oncological formations of the pelvic organs;
damage to the pelvic organs by metastases from primary foci located in other organs and systems.

As can be seen from all of the above, pain in the perineum can be explained by both “harmless” diseases and a rather serious pathology that requires immediate consultation with a doctor.

The nature of pain syndrome in various pathologies

It's obvious that The nature of the pain syndrome will differ in different processes:

At acute urethritis– inflammation of the urethra - the pain is sharp, intensifies with urination. In a chronic process, it is more regarded as a burning sensation along the canal.
Colliculitis- inflammation of the seminal tubercle, which is located in the back of the urethra. In this case, the pain is localized in the perineum and has a constant aching character. It is not associated with urination.
Cuperite– inflammation of the bulbo-urethral gland. Very often it is a concomitant pathology with urethritis. If the gland is not blocked, then patients complain of moderate pain. If the outflow of gland secretions is difficult, purulent cooperitis develops. It is accompanied by acute pain localized near the root of the penis. The disease is accompanied by fever and general weakness.
Perineal injuries can be of a very different nature - blunt, torn, chipped, cut. Depending on the degree of damage, they may be accompanied by damage to the genitourinary organs - bruise, tear, rupture, crushing, formation of hematomas, urinary leaks, bleeding, acute urinary retention. The clinical picture also depends on the severity. With mild injuries, patients may complain of dull pain in the perineum and lower abdomen, discomfort when urinating. If the damage is serious, then the intensity of the pain increases, it becomes acute and painful. Often the pain is accompanied by a false urge to urinate, acute urinary retention, and hematuria.
Pinched pudendal nerve may develop suddenly and be accompanied by severe pain. Patients complain of pain in the perineum, rectum or genitals, which intensifies with defecation or prolonged sitting. It is often accompanied by convulsive syndrome, impaired sensitivity in the innervation zone, and a tingling or crawling sensation.
Prostatitis accompanied by acute or dull pain, which intensifies during sexual intercourse and ejaculation.
At malignant prostate tumors Pain syndrome usually appears in the later stages of the disease. Pain localized in the perineum is dull or sharp. Its intensity increases over time, often radiating to the spine and hips.
Prostate abscess, proctitis, paraproctitis accompanied by severe pain with severe intoxication syndrome.
At hemorrhoids and its complications, the pain is localized in the anus.

If you have any questions, you can contact our doctors on the website; consultation is free.

A detailed examination of the patient and study of the medical history will help the doctor make a preliminary diagnosis. In doubtful cases, the patient is indicated for additional examination. It will help determine the exact cause of the complaints and begin appropriate treatment. This approach significantly improves the patient's prognosis even in the most serious situations. Therefore, if you are worried about pain in the perineum, do not put off visiting a doctor.

The arsenal of actions that can be taken for pain in the perineum is not so wide. You can take a non-steroidal anti-inflammatory drug - Nurofen, Panadol, meloxicam, diclofenac. In most cases, this will only relieve pain, but will not cure the disease. Also before the diagnosis is clarified You can’t use traditional methods of treatment, apply warm compresses and any physiotherapeutic procedures. This can only make the situation worse, and sometimes even cause complications. Therefore, consult a doctor as soon as possible. He will be able to adequately assess the situation and prescribe treatment aimed to eliminate the cause, not reduce the symptoms.

To sum it up, we can draw the following conclusions:

pain in the perineum is caused by diseases of the pelvic organs;
processes that cause pain can be of traumatic, inflammatory, neoplastic origin;
Without consulting a specialist and using additional diagnostic methods, it is very difficult, and often simply impossible, to make a correct diagnosis;
Self-medication can cause serious harm.

Don't treat yourself carelessly. Do not ignore even the most minor symptoms - they can be a signal of a serious disorder in the body. Take care of yourself and your health!

Introduction

Since the perineum is the location of the external genitalia, the outlet of the urethra (

) and anus of the rectum, pain in this area is associated with diseases or injuries of the listed organs. Specific reasons

pain in the perineum enough.

The nature of pain in the perineum in various diseasesSharp painSharp, sharp pain in the perineal area in men is most often associated with acute prostatitis. With this disease, pain can radiate to the sacrum, to the head of the penis, to the anus. Acute urethritis also causes severe, sharp pain. This pain intensifies when urinating.

Abscess (suppuration) of the prostate gland is also accompanied by sharp, severe pain radiating to the sacrum and rectum. Its unilateral localization is characteristic: the pain is stronger on the side where the purulent focus is located. The picture of the disease is complemented by difficulty urinating and stool retention. Body temperature is significantly increased.

Severe pain in the perineum is accompanied by late stages of prostate cancer. To relieve such pain, the patient is prescribed narcotics.

Sudden, sharp pain in the perineum is characteristic of pinched pudendal nerve. This pain is slightly reduced if the patient stands quietly. When walking, as well as in sitting and lying positions, the pain intensifies. A pinched nerve can cause a feeling of numbness in an area of the inner thigh.

In some cases, sharp pain in the perineum may occur in pregnant women (see below).

Severe, sharp pain occurs with any perineal injury:

bruises;
hematomas;
subcutaneous muscle ruptures;
gunshot wounds or wounds inflicted by knives.

Since the mass of nerve endings is concentrated in the perineal area, pain during injury can be so severe that the patient faints.
Drawing, aching pain

Pain of this nature occurs in the perineum with chronic prostatitis, chronic urethritis, colliculitis (inflammation of the seminal tubercle in men). Often, pain in these diseases is described by patients as a burning sensation in the perineum. These pains, although not too intense, can be long-lasting or even constant.

Constant aching pain in the perineum, aggravated by defecation and in a sitting position, is accompanied by cooperitis (inflammation of the bulbous-urethral gland in men). This disease is usually a complication of urethritis. Pain with cooperitis can sharply intensify if suppuration of the gland develops.

Postpartum pain in the perineum, associated with swelling and stretching of the birth canal, can also be aching.

Pain in the perineum of a stabbing nature is more often observed in women, for example, with

vaginitis

(colpitis) – inflammation of the vaginal mucosa. These pains are combined with pain in the vagina itself, and with copious discharge from it.

Pregnant women may experience stabbing, rather intense pain in the perineum shortly before giving birth.

Perineal pain may be accompanied by a mysterious syndrome called chronic pelvic pain. This syndrome can occur in both men and women. The patient experiences pain in the lower abdomen, radiating to the perineum, but no signs of any disease can be identified. Such patients are prescribed symptomatic treatment.

In addition to vaginal diseases and chronic pelvic pain syndrome, discomfort and pain in the perineal area are often observed in women during pregnancy.

Pain in the perineum most often appears in pregnant women after the 35th week

pregnancy

When the growing fetus begins to fall down, causing

pressure

to all surrounding tissues (nerves, muscles, ligaments). It is when the ligaments are sprained that a woman experiences stabbing pain in the perineum.

If such pain occurs in early pregnancy, you need to be wary of a possible miscarriage.

In the process of preparing the female body for childbirth, the pelvic bones move apart, which can also cause pain in the perineum.

Sometimes the fetus in the womb takes such a position that it compresses a nearby nerve (for example, the sciatic). At the same time, the woman experiences a sharp pain that makes all movements difficult and does not subside even with rest. Unfortunately, in this case, doctors cannot provide any help: the pregnant woman is forced to endure pain and wait for the position of the fetus to change.

Varicose veins of the perineum, which a woman may have had before pregnancy, increases the pain associated with the pressure of the growing fetus.

Pain in the perineum before

is a signal that labor is about to begin. This pain signals that the baby is already very close to the birth canal.

Almost all women experience postpartum pain in the perineum. But the intensity of these pains varies depending on whether during childbirth there was

(rupture) of the perineum, or there was none.

Pain associated with swelling and stretching of the perineal tissue goes away on its own a few days after birth.

If during childbirth there was a rupture of the perineum, and stitches were placed on it, the painful sensations persist much longer. The intensity of these pains varies from woman to woman.

Itching and pain in the perineum are accompanied by genital herpes.

Itching and painful sensations, described as a burning sensation, can occur in the perineum with various allergic reactions, diabetes, liver diseases (hepatitis, cirrhosis, etc.), and diseases of the genitourinary tract.

Such a seemingly insignificant factor as wearing synthetic underwear can cause painful itching and burning in the perineal area. In addition to an allergic skin reaction, synthetic underwear, due to the “greenhouse effect,” creates favorable conditions in the perineum for the development of all kinds of inflammatory and infectious diseases.

When walking Pain in the perineum that occurs or intensifies when walking is felt by people with injuries to the coccyx (bruises, fractures). In men, difficulty walking, combined with pain in the perineum, occurs with inflammation of the testicles (orchitis) or their appendages (epididymitis), or with hydrocele of the testicles.

Prostatitis can sometimes cause pain in the perineum during sexual intercourse.

In women, the cause of pain in the perineum during and after sex is most often bartholinitis - inflammation of the Bartholin glands. These glands are located in the vestibule of the vagina and produce its lubricant. The pain with bartholinitis is pulsating in nature and continues for several hours after sexual intercourse, then subsides.

Men with complaints of pain in the perineum should initially consult a urologist or proctologist. You may need help from a dermatologist or oncologist.

In what cases should men and women see the same doctors if they have pain in the perineum, since the pain syndrome is caused by the pathology of organs present in both sexes?

2. In what cases should women and men contact doctors of different specialties for pain in the perineum, since the pain syndrome is caused by pathology of organs specific to the male or female sex.

So, women and men should contact doctors of the same specialty if pain in the perineum, together with other symptoms, indicates urethritis, perineal trauma, pinched pudendal nerve, boils, papillomas or condylomas in the perineal area, hemorrhoids, rectal fissures, proctitis, paraproctitis, allergic reactions, coccyx injuries.

If an injury has been caused to the perineum (bruise, blow, wound, rupture, etc.), then a sharp and very severe pain occurs. In such a situation, you should immediately call an ambulance and be admitted to the hospital, since if the perineum is injured, various organs and tissues can be damaged so severely that without qualified medical care the person will die.

If pain in the perineum periodically occurs in a person some time after an injury (including after childbirth), then it is recommended to contact surgeon (make an appointment) And rehabilitologist (sign up) so that they jointly develop a plan for the necessary rehabilitation therapy.

If a woman or man has a boil or growth of condylomas/papillomas in the perineal area, then you should contact Dermatologist (make an appointment) to diagnose them, and then to a surgeon to remove them.

If a man or woman has sharp, sharp pain in the perineum, also felt in the tailbone, intensifies when walking and weakens when standing, appears after a traumatic impact on the tailbone area (for example, a blow, a fall, etc.), then this indicates coccyx injury. In this case, you should contact traumatologist (make an appointment) or a surgeon.

If a man or woman experiences pain in the perineal area, felt on the skin, and not deep in the tissues, combined with severe itching and swelling, as well as, possibly, rashes on the skin, then this indicates an allergic reaction, and in this case, you should speak to Allergist (make an appointment) and a dermatologist. A dermatologist should examine the skin to rule out the presence of any serious disease and confirm the allergic nature of the pain and pathological changes in the skin.

If a woman or man experiences severe pain and burning in the perineum when urinating, which is combined with a frequent urge to urinate, urine mixed with turbidity and blood, then this indicates urethritis, and in this case you should contact urologist (make an appointment).

If a sharp pain suddenly occurs in the perineum of a man or woman, which is combined with a burning sensation, severe sensitivity and the sensation of a foreign body in the pelvic organs, and also causes numbness along the inner surface of the thigh, intensifies when walking, in sitting and lying positions, does not decrease with time, this indicates a pinched pudendal nerve, and in this case it is necessary to contact neurologist (make an appointment).

When pain in the perineal area in a man or woman is combined with pain in the anus or rectum, discomfort during bowel movements, possibly with discharge of mucus, blood or pus from the rectum, chills and high body temperature, terminal bowel disease is suspected ( hemorrhoids, rectal fissures, proctitis, paraproctitis), and in this case you should contact proctologist (make an appointment).

In all other cases, except for those described above, men and women who experience pain in the perineum should contact doctors of various specialties, since pain is provoked by diseases of specific genital organs.

When perineal pain occurs in women during pregnancy or after childbirth, you should contact gynecologist (make an appointment).

If pain in the perineum is combined with itching, inflammatory discharge from the genital organs (greenish, white, lumpy, etc.) or rashes in the area of the external genitalia (pubes, labia, penis, etc.), then this is about sexual infection (sign up) (genital herpes (sign up), candidiasis), and in this case, representatives of both sexes can contact venereologist (make an appointment) and, in addition, women should see a gynecologist, and men should see a urologist.

If pain in the perineum is combined with pain in the lower abdomen that does not have a clear localization, occurs periodically, goes away on its own, does not intensify over time, and is not combined with any other symptoms of the genital organs (inflammatory discharge, rashes, itching, bleeding and etc.), then chronic pelvic pain syndrome is suspected, and in this case women should consult a gynecologist, and men should consult a urologist or andrologist (make an appointment).

If in men the pain in the perineum radiates or is simultaneously felt in the lower abdomen, in the rectum, combined with pain in the testicle, enlargement of the scrotum, sensation of a foreign object in the rectum, poor health, possibly with difficulty, frequent or painful urination, elevated body temperature, intensified when walking and straining, a tumor or inflammatory disease of the male genital organs (orchitis, epididymitis, prostatitis, prostate abscess, adenoma or prostate cancer) is suspected. In this case, you need to contact a urologist.

If a man experiences nagging, bursting pain in the perineum after sex, which is also felt in the testicles, is combined with discomfort, heaviness and visible veins of the scrotum, intensifies when walking, disappears spontaneously after a few hours, then a varicocele is suspected, and in this case it is necessary to contact surgeon

If a man develops a nagging, aching pain or burning sensation in the perineum, which is present almost constantly, intensifying in a sitting position and during defecation, inflammation of the onion-urethral gland (cooperitis) or the seminal tubercle (colliculitis) is suspected. In this case, you need to contact a urologist or andrologist.

If a woman experiences pain in the perineum, combined with itching, burning, pain and abnormal vaginal discharge, and all symptoms worsen with urination, vaginitis is suspected. In this case, you need to contact a gynecologist.

If a woman experiences throbbing pain in the perineum after sex or spontaneously, combined with swelling of the labia, a palpable and painful lump at the entrance to the vagina, enlarged inguinal lymph nodes, chills, weakness and fever, then bartholinitis is suspected. In this case, you need to contact a gynecologist or surgeon.

If the pain in the perineum is associated with a past injury to this area of the body, the doctor will prescribe Ultrasound (sign up) to assess the condition of the tissues and identify possible causes of pain. If ultrasound is not informative enough, it may be prescribed Magnetic resonance imaging (sign up). Further, if no serious diseases of the pelvic organs have been identified, therapy for post-traumatic syndrome is prescribed, aimed at the most complete tissue restoration. But if, during an ultrasound or tomography, diseases of the genital, urinary organs or intestines were identified, then the person is referred to the appropriate specialist, who, in turn, performs the necessary examination and prescribes therapy.

If a man or woman has boils, papillomas or condylomas on the skin of the perineum, which provoke pain, the doctor may prescribe the following tests and examinations:

General blood test (sign up);
Bacteriological culture of the discharged boil;
Testing blood or genital secretions for the presence of human papillomavirus (PCR or ELISA) (sign up).

When a man or woman has a boil in the perineum, the doctor usually prescribes only a general blood test to assess the condition of the body and culture of the discharged abscess to determine the pathogen that provoked the inflammatory process. Next, the boil is removed and an antibiotic is prescribed, to which the microorganism that caused the inflammation is sensitive.

When a man or woman has overgrowths of papillomas or condylomas in the perineum, the doctor prescribes a blood and/or genital discharge test for the presence of the human papillomavirus in order to understand whether the process of their formation is chronic or due to a sudden decrease in immunity. If papillomas/condylomas appear as a result of decreased immunity, they are simply removed surgically and no specific treatment is prescribed. But if the process is chronic, then after removing the growths, antiviral and immunomodulatory therapy is necessarily prescribed, which is necessary to prevent the formation of papillomas and condylomas again.

When a man or woman, after a traumatic impact on the coccyx area (bruise, blow, etc.), sharp pain is felt simultaneously in the perineum and coccyx, intensifies when walking, weakens when standing, the doctor prescribes an x-ray of the coccygeal-sacral region of the spine. X-ray (sign up) allows you to identify fractures of the coccyx and distinguish a bruise from a fracture. If the doctor suspects that a coccyx injury has provoked the formation of an extensive hematoma in the soft tissues, then in addition to X-rays, he may prescribe magnetic resonance imaging.

When a representative of either sex experiences pain in the perineum, strongly felt from the outside and not deep into the tissues, combined with itching and swelling, and possibly also rashes on the skin, the doctor suspects an allergic reaction and prescribes the following tests and examinations:

General blood analysis;
Blood test for IgE concentration;
Skin allergy tests using prick test or scarification (sign up);
Analysis of hypersensitivity to various allergens by determining the concentration of specific IgE in the blood (guinea pig, rabbit, hamster, rat, mouse, latex, orange, kiwi, mango, pineapple, banana, apple, peach, ragweed, wormwood, pigweed white, plantain, Russian thistle, fragrant spikelet, perennial rye, timothy, cultivated rye, woolly milkweed, for house dust and house dust mites).

To identify the allergic nature of pain in the perineum, the doctor must prescribe a general blood test and any tests for hypersensitivity to allergens (or skin tests (sign up), or determining the concentration of specific IgE in the blood), as this is necessary to identify the substance that provokes a hypersensitivity reaction in humans. A test for the concentration of IgE in the blood is rarely prescribed, since it only reveals the presence of allergies.

When a representative of either sex feels severe pain and burning in the perineum, which can be constantly present and intensify or appear only when urinating, combined with frequent urge to urinate, urine mixed with blood, turbidity - the doctor suspects urethritis and prescribes the following tests and examinations:

General blood analysis;
General urine analysis;
Three-glass urine sample;
Urethral smear (sign up);
Bacteriological culture of urine and urethral discharge;
Analysis of blood or urethral discharge for the presence of pathogens of sexually transmitted infections ( for chlamydia (sign up), mycoplasma (sign up), gardnerella, ureaplasma (sign up), Trichomonas, gonococci, Candida fungi) by PCR or ELISA methods;
Ultrasound of the bladder (sign up).

First of all, general blood and urine tests, a three-glass urine sample, a urethral smear and culture of urethral discharge are prescribed. In the vast majority of cases, these tests allow us to identify the cause of urethritis, complete the examination and begin treatment. But if, with the help of such primary tests, it was not possible to identify the causative agent of the infectious-inflammatory process, then the doctor prescribes a blood test or urethral discharge for the presence of causative agents of sexually transmitted infections (chlamydia, mycoplasma, gardnerella, ureaplasma, trichomonas, gonococci, Candida fungi) using PCR (sign up) or ELISA. An ultrasound of the bladder is prescribed only in cases where the doctor suspects that urethritis is complicated by cystitis.

When a representative of either sex suddenly develops a sharp pain in the perineum, combined with a burning sensation, severe sensitivity and a sensation of a foreign body in the pelvic organs, numbness on the inner thigh, and the symptoms intensify when walking, sitting and lying down, the doctor suspects a pinched pudendal nerve. In this case, the diagnosis is made mainly on examination data and characteristic symptoms. Additionally, to identify the cause of a pinched nerve, the doctor may prescribe magnetic resonance imaging. And in order to determine the speed of signal transmission along the nerve and the response of the muscles to the impulse, electroneurography is used, which makes it possible to understand which surrounding organs or tissues put pressure on the nerve and provoke pain.

If in representatives of either sex, pain in the perineum is combined with pain in the anus or rectum, discomfort during bowel movements, possibly with the release of mucus, blood or pus from the rectum, chills and high body temperature - a disease of the terminal parts of the intestine (hemorrhoids) is suspected , rectal fissures, proctitis, paraproctitis). In this case, the doctor prescribes the following examinations:

Examination of the anus and perineum;
Digital rectal examination;
General blood analysis;
Scatological analysis of feces (with a reaction to occult blood);
Feces on worm eggs;
Analysis of stool for microflora (prescribed only if dysbacteriosis is suspected);
A swab from the area around the anus (prescribed only if a fungal infection or genital herpes is suspected).

The above studies and tests are necessarily prescribed and performed first, and they provide the doctor with a fairly wide range of information about the condition of the terminal sections of the intestine. Based on the information received, the doctor makes a preliminary diagnosis and, if necessary, prescribes additional examinations. For example, if hemorrhoids are detected, then additionally only anoscopy (sign up). But if proctitis, paraproctitis, rectal fissures are suspected, then anoscopy is prescribed, sigmoidoscopy (sign up)/colonoscopy (make an appointment). If the pathology is severe, there are fistulas, adhesions, etc., the doctor may also prescribe specific and rarely used studies, such as fistulography (sign up), probe examination, etc.

If pain in the perineum bothers a woman after childbirth, the doctor prescribes and performs an ultrasound, as well as gynecological two-manual examination (sign up) in order to identify deformations and strictures of internal soft tissues that can provoke pain.

When pain in the perineum is combined with itching, inflammatory discharge from the genital organs (greenish, white, lumpy, etc.) or rashes in the area of the external genitalia (pubis, labia, penis, etc.), then it is suspected sexual infection (genital herpes, candidiasis). In this case, the doctor prescribes a smear from the urethra and vagina, bacteriological culture of vaginal and urethral discharge, which allows identifying the causative agent of the infection. If the results of these tests do not identify the causative agent of infection, then a blood test, urethral or vaginal discharge is prescribed for the presence of a pathogenic microbe (gonococcus, trichomonas, chlamydia, mycoplasma, ureaplasma, Candida fungi, herpes viruses, etc.) using PCR and ELISA methods .

When pain in the perineum is felt simultaneously with pain in the lower abdomen, does not have a clear localization, occurs periodically, goes away on its own, does not intensify with prolonged existence, is not combined with other symptoms of the genital organs (inflammatory discharge, rashes, itching, bleeding, etc. .) – the doctor suspects chronic pelvic pain syndrome. Since this is a syndrome in which a person only experiences pain, but does not have any pathologies of internal organs, this is a diagnosis of exclusion. In other words, a man or woman undergoes a full examination (general, biochemical blood tests, general urinalysis, blood clotting test, Ultrasound of the pelvic organs (sign up), hysteroscopy (make an appointment), hysterosalpingography (sign up), tomography, colposcopy (make an appointment), sigmoidoscopy, smears from the urethra and vagina, examination of prostate secretions (sign up), tests for sexually transmitted infections and herpes viruses, cytomegalovirus (sign up), Epstein-Barr virus, etc.), and if its results do not reveal any diseases, then a diagnosis of chronic pelvic pain syndrome is made.

If a man experiences pain simultaneously in the perineum, lower abdomen, rectum, combined with pain in the testicle, enlarged scrotum, sensation of a foreign object in the rectum, poor health, possibly with difficulty, frequent or painful urination, elevated body temperature, intensified by walking and straining, then a tumor or inflammatory disease of the male genital organs (orchitis, epididymitis, prostatitis, prostate abscess, adenoma or prostate cancer) is suspected, and in this case the doctor prescribes the following tests and examinations:

General blood analysis;
General urine analysis;
Blood test to determine the level of prostate-specific antigen (PSA) (sign up);
Digital examination of the prostate;
Study of prostate secretion;
Bacteriological culture of urine and prostate secretions;
Urethral swab;
Ultrasound of the prostate gland (make an appointment) And testicles (sign up);
Testicular or prostate puncture with sampling biopsy (sign up).

First of all, the doctor prescribes a general blood and urine test, and also performs a digital examination of the prostate gland. Based on the data obtained from these initial simple studies, the doctor makes a preliminary diagnosis and already knows for sure whether a person has a tumor or inflammatory disease of the genital organs.

Next, if a tumor disease is detected, the doctor prescribes a blood test to determine the level of prostate-specific antigen (PSA), ultrasound of the prostate, bladder and intestines (sign up), and prostate biopsy (make an appointment). In some cases, magnetic resonance imaging may additionally be prescribed to detect the presence of metastases or assess the condition of soft tissues. If fistulas are suspected, Urethroscopy (sign up), cystoscopy (make an appointment), anoscopy.

If the results of the initial tests reveal an inflammatory disease, the doctor prescribes a smear from the urethra, examination of prostate secretions, culture of urine and prostate secretions in order to identify the causative agent of the infectious-inflammatory process. Additionally, an ultrasound is performed to assess the condition of the genital organs.

If a man suffers from nagging, bursting pain in the perineum after sex, which radiates or is simultaneously felt in the testicles, is combined with discomfort, heaviness and visible veins of the scrotum, intensifies when walking, disappears spontaneously after a few hours - the doctor suspects a varicocele, and prescribes the following tests and examinations:

Palpation of the testicle in a horizontal, vertical position and when straining;
Spermogram (sign up);
Venography;
Kidney ultrasound (sign up) and testicles;
Magnetic resonance imaging of the abdominal cavity (make an appointment);
Dopplerography (sign up);
Rheography (sign up).

First of all, the doctor prescribes and conducts palpation of the testicle, spermogram and venography, based on the data of which a diagnosis of varicocele is made. Ultrasound, Dopplerography and rheography of the testicles are considered additional examination methods, which are prescribed at the discretion of the doctor, but do not have high information content. Ultrasound of the kidneys and magnetic resonance imaging of the abdominal cavity are prescribed only to identify the possible cause of varicocele, which is often kidney pathology, vascular thrombosis, etc.

When a man develops a nagging, aching pain or burning sensation in the perineum, which is present almost constantly, intensifying in a sitting position and during defecation, cooperitis or colliculitis is suspected, and the doctor prescribes the following tests and examinations:

General blood analysis;
General urine analysis;
Three-glass urine sample;
Microscopy of prostate secretion and urethral smear;
Bacteriological culture of prostate secretions, urethral secretions and urine;
Urethroscopy;
X-ray contrast urethrography (sign up).

First of all, the doctor prescribes a general blood test and urine tests, microscopy of prostate secretions and smears from the urethra, as well as bacteriological culture of prostate secretions, urethral secretions and urine. These tests allow us to identify the causative agent of the infectious-inflammatory process. Next, urethroscopy is necessarily prescribed and performed, during which colliculitis can be diagnosed and distinguished from cooperitis. After urethroscopy, if cooperitis is detected, urethrography is performed to confirm it.

When a woman experiences pain in the perineum combined with itching, pain and abnormal vaginal discharge that gets worse with urination, the doctor suspects vaginitis and prescribes the following tests and examinations:

Bimanual gynecological examination;
Examination of the genitals in the mirrors;
Vaginal smear for flora (sign up);
Bacteriological culture of vaginal discharge;
Detection of pathogens of sexually transmitted infections (chlamydia, mycoplasma, gardnerella, ureaplasma, trichomonas, gonococci, Candida fungi) in the blood and vaginal discharge using PCR and ELISA methods.

All these examinations are prescribed immediately and simultaneously, since they are necessary to identify the causative agent of the inflammatory process in the vagina.

When a woman suffers from throbbing pain in the perineum, which appears spontaneously or is provoked by sex, combined with swelling of the labia, a palpable and painful seal at the entrance to the vagina, enlarged inguinal lymph nodes, chills, weakness and fever - the doctor suspects bartholinitis and makes a diagnosis of based on examination of the patient. After identifying bartholinitis, treatment is carried out. If the process is ongoing for a long time, prone to chronicity, then a bacteriological culture of the discharge of the Bartholin gland is performed to determine sensitivity to antibiotics. This is necessary in order to prescribe antibiotics that are most effective against the causative agent of the infectious-inflammatory process after opening the gland duct and removing the purulent contents. Such targeted prescription of antibiotics minimizes the risk of recurrent bartholinitis in the future.

Home » Prostatitis » Symptoms » Itching and burning in the perineum, or harbingers of unpleasant “intimate” ailments

If a man experiences a burning sensation in the perineum, one should not hesitate to visit a doctor.

After all, this is a clear sign of pathology, which can indicate not only the onset of an inflammatory process, but also a malignant disease.

The article will tell you why discomfort in the perineum occurs in men and how to relieve the unpleasant symptom.

Painful sensations in the intimate area bother many representatives of the stronger sex. They arise for various reasons. Burning and itching are associated with irritation of nerve endings. They are not capable of causing severe pain, but can be a symptom of a serious pathology.

The most common causes of discomfort in the perineal area in men are the following:

urethritis and other diseases of infectious origin;
genital injuries;
varicocele;
hypothermia;
hernia;
BPH;
stones in the kidneys;
prostate inflammation
venereal diseases. For example, syphilis or genital herpes;
long-term abstinence;
orchitis;
osteochondrosis.

Also, the cause of discomfort may be pelvic pain syndrome. This condition is typical not only for men, but also for women. It is characterized by pain in the lower abdomen that radiates to the perineum. It is often impossible to diagnose the disease in patients with this syndrome. Therefore, doctors prescribe treatment that is aimed at relieving unpleasant symptoms.

Most often in men, urethritis, prostatitis and adenoma occur. Pain sensations for different pathologies are slightly different. For example, in acute prostatitis, pain in the perineum is sharp and radiates to the scrotum, penis, bladder area, and anus. If prostatitis is chronic, the discomfort will be insignificant, the pain will be nagging, aching, which periodically decreases and sometimes intensifies. There is often a burning sensation between the legs and itching.

Normal and enlarged prostate (adenoma)

Acute urethritis often occurs with sharp and burning pain that occurs at the beginning of urination. Many patients with sexually transmitted diseases experience a burning sensation in the urethra or perineum. With varicocele (or varicose veins), pain appears after sexual intercourse. It is mild and goes away after a while.

With extensive tissue damage in the intimate area, sharp pain and burning occurs in the testicles in men and adolescents. This pathology increases the likelihood of impaired development of the genital organs in children, which can ultimately lead to infertility.

Orchitis is caused by viruses. It often develops as a complication after rubella and mumps. With this disease, the organ enlarges, the skin of the affected area becomes hyperemic, and pain appears.

If discomfort occurs in the right or left side, this means that the damage to the organ is one-sided.

A hernia is characterized by pain when walking. Malignant neoplasms are asymptomatic in the first stages. But over time, after or during sexual intercourse, burning and pain appear.

The causes of discomfort in the intimate area in men vary. In case of any unpleasant sensations, it is recommended to contact a urologist or venereologist. It is better to undergo periodic preventive examinations to prevent the development of the disease.

How is an appointment with a doctor?

The sooner the cause of discomfort in a man’s perineum is determined, the more effective the treatment will be and there will be a chance to avoid a number of complications. At the appointment, the specialist should be informed about the nature of the pain (pulling or sharp), the presence of itching, burning.

After communication and examination, the doctor will send the patient for additional examination. This may include:

blood analysis;
biopsy;
Analysis of urine;
ultrasonography.

Only after a complete diagnosis and identification of the cause, a competent doctor selects a treatment regimen. If the doctor, after a short conversation, prescribes medications without examination, it is better to look for another specialist.

How is the treatment carried out?

The selection of medications and treatment regimens is carried out depending on the diagnosis.

Pain between the legs in men is effectively eliminated with the help of anti-inflammatory drugs, which are taken over a long course.

Painkillers are also used to relieve pain. In some cases, the doctor prescribes hormonal pills.

This is more relevant in the presence of benign neoplasms and hormonal imbalance. With the progression of tumor processes, sometimes surgery cannot be avoided.

If pain and cramping in the perineum are caused by infectious or sexually transmitted diseases, a course of antibiotic therapy is needed. Medicines are administered intravenously or intramuscularly. If the pathology is serious, treatment is carried out in a hospital.

Tablets for dissolving oxalate stones Prolit

The burning sensation of prostate adenoma is relieved with the help of suppositories and rectal ointments. If the itching is caused by urolithiasis, antispasmodics and analgesics are used. In addition, the doctor prescribes drugs that dissolve stones, taking into account the type of stone.

For example, Prolit is sold in pharmacies to dissolve oxalate stones, Tiapramine and Uralit for cystine stones, and Marilin for phosphate stones.

If the urethra is affected by fungi of the Candida family, the doctor will prescribe antifungal medications.

Elimination of discomfort in the perineum should be comprehensive.

Therefore, during therapy, the patient is often prescribed vitamins, minerals and other drugs that strengthen the immune system. Hepatoprotectors are also used to protect the liver from the negative effects of the pills taken.

After drug therapy, the doctor interviews and examines the patient. It is not recommended to refuse re-diagnosis when unpleasant symptoms disappear. After all, some fungi and viruses are resistant to antibiotics and become active again after treatment is stopped.

Prostatitis: how to identify and treat?

Inflammation of the prostate gland occurs in most men after 35 years of age. Burning and itching with prostatitis occurs in the initial stages of the disease due to narrowing of the urethra. As the disease progresses, additional symptoms appear and pain intensifies.

The following are signs that indicate the development of pathology:

itching in the urethral area, which becomes stronger when urinating;
the appearance of blood clots in urine;
cloudy urine;
nagging pain in the groin;
hypertension;
decreased potency, libido. If chronic prostatitis is not treated, premature ejaculation and impotence develop;
a feeling that the bladder is not completely emptied. Urgent urges at night are also typical;

With the development and exacerbation of the disease, body temperature rises to 38.5 degrees. In this case, severe pain is observed in the scrotum, sometimes radiating to the lower back.

Many patients diagnosed with prostatitis ask whether it is possible to get rid of the disease without surgery. After all, inflammation of the prostate gland is a serious pathology that threatens cancer and infertility. If the disease is not advanced, there is a chance to cure it with medication. But in this case, an integrated approach is important.

The following methods are used to relieve the burning sensation of prostatitis and the disease itself:

physiotherapy. The doctor prescribes a prostate massage. For this purpose, special stimulants are used;
microenemas with decoctions of various medicinal herbs. They allow not only to relieve pain, but also to relieve inflammation;
antibiotics. They are prescribed only when itching and burning are associated with the development of a bacterial infection. Fluoroquinolones and macrolides have proven themselves well;
anti-inflammatory nonsteroidal drugs. Effectively eliminate inflammation and improve urine flow;
alpha blockers. The funds are considered auxiliary. They lower blood pressure and relieve increased prostate muscle tone;
biologically active additives. Usually their doctor prescribes them for chronic prostatitis. Dietary supplements effectively remove unpleasant manifestations of the disease and reduce the risk of exacerbations. In this group, the Chinese urological patch ZB Prostatic Navel Plasters is considered the best, which has repeatedly proven its effectiveness in practice.

It is useful to understand what medications are used to treat inflammation of the prostate gland. But you should not prescribe any medications yourself, as this is fraught with the development of complications.

Video on the topic

Urologist, dermatovenerologist about the possible causes of itching in the groin in men:

Thus, any unnatural and unpleasant sensations in the prostate area are a signal that not everything is in order with the body. But even with normal health, men who care about their health are recommended to undergo regular preventive examinations. And if discomfort (burning, itching, pain) occurs in the intimate organs, you should immediately contact a specialist: a urologist, venereologist or proctologist. The ability to conceive a child depends on timely treatment.

Prostatitis- This is a fairly common disease among men who have crossed their thirties, but sometimes the disease is diagnosed in very young guys. This disease most often appears unexpectedly, but most representatives of the stronger sex, until a certain time, simply do not pay any attention to the characteristic symptoms of prostatitis.

With the disease described, inflammation of the prostate occurs - a special gland in the male body, located above the bladder and responsible for the production of some of the sperm. The inflammatory process can be triggered by infection or other factors. The acute form of the disease is characterized by sudden symptoms, which, if ignored, lead to the development of chronic prostatitis.

Signs of this disease can be found in both very young guys and men in old age. The first symptoms of prostatitis can be very mild. As soon as microbes enter the prostate, a process of micro-inflammation occurs in it, which can develop for years until the patient finally suspects the presence of an illness, which, most likely, will already occur in a chronic form.

Every man should listen carefully to his own health and be wary if he discovers the following signs characteristic of prostatitis:

chills, fever;
pain in the pelvis and lower back;
noticeable pain and stinging during urination;
difficulty or, conversely, uncontrollable urination;
presence of some blood in the urine;
feeling of constant fullness of the bladder;
sexual dysfunctions;
erection problems;
infertility.

Hirudotherapy will help remove blood stagnation in the pelvic area and relieve some painful symptoms. You can find out how and where leeches are placed for prostatitis on this page.

Pain

Pain can be called the very first warning sign of possible prostatitis. First of all, you need to try to determine the nature of the pain: cutting, pulling, pressing, bursting, etc. To some extent, the nature of the pain allows us to gain some insight into the causes of the disease. The only place where a man experiences these unpleasant sensations can be more informative. Most often, with prostatitis, pain is localized:

in the perineal area (between the anus and the base of the penis);
in the pubic area;
in the urethra;
in the scrotum;
in the sacrum or lower back (can be confused with radiculitis).

Each man, as a rule, is characterized by one pain pattern, which is repeated during exacerbations. Moreover, some people may have pain in only one place, while others may have pain in all of the above places at once. The pain can radiate to the stomach, leg, etc.

As already mentioned, an experienced doctor can make an assumption about the form of the disease based on the nature of the pain. For example, constantly changing place, running pain, as a rule, is characteristic of non-infectious chronic prostatitis. If the pain is bursting, constant, with a present burning sensation, which decreases after taking antibiotics, then these signs indicate the infectious nature of the disease.

The second common sign of prostatitis can be frequent urination, the amount of urine that decreases. If a man experiences frequent urges, but produces a lot of urine, we are talking about some other disease. The urge itself is also somewhat different from normal - it becomes sharper, more urgent, and its strength is not entirely commensurate with the amount of urine released.

Most often, with prostatitis, disorders in the sexual sphere are characterized, first of all, by a sharp decrease in the usual duration of sexual intercourse and premature ejaculation. Moreover, once unsuccessful sexual intercourse cannot signal the presence of pathology, since with inflammation of the prostate, disorders occur systematically. This symptom may well be combined with a decrease in the amount of sperm during ejaculation, because normally this value is more or less constant.

In addition, a man may have difficulty achieving orgasm and a weakening of orgasmic sensations. Moreover, this symptom can manifest itself either independently or in tandem with the other signs listed above. A clear symptom of inflammation will be a weak, unexpressed orgasm combined with a burning sensation during ejaculation.

Among other things, during exacerbations of chronic prostatitis, a man may experience erectile dysfunction. Outside of exacerbations, prostatitis does not have any negative effect on erection.

One of the hidden problems with prostatitis can even be infertility. This is due to the fact that the prostate gland, which has become inflamed, stops producing ejaculate, the liquid part of sperm. If it also produces pus, then such sperm will have practically no fertilizing ability. Usually, after successful treatment of prostatitis, sperm improves and conception becomes possible again.

In young men under 35 years of age, prostatitis usually occurs in an acute bacterial form. A doctor can make a diagnosis of acute bacterial (infectious) prostatitis if the results of laboratory tests indicate the presence of infection in the patient’s body.

The primary symptom of acute prostatitis in this case will be difficulty urinating, since the inflamed and enlarged prostate will compress the urethra. The second sign of infectious prostatitis in the acute stage is a deterioration in potency, in which a man may not have a normal erection or orgasm.

In addition, inflammatory prostatitis in acute form can manifest itself with the following symptoms:

feeling of weakness, drowsiness;
temperature increase;
pain in the perineum, groin;
difficulty and pain when urinating and defecating.

With chronic prostatitis of infectious origin, the symptoms of the disease bother the patient to a much lesser extent. The clinical picture can be very variable: the signs of the disease become brighter or almost completely disappear. In this case, a man may feel:

some decrease in sexual activity;
sexual intercourse increased or, conversely, decreased in time;
premature ejaculation may occur;
slight difficulty urinating;
periodic discomfort and burning in the groin, perineum, urethra, as well as during urination and defecation;
general weakness of the body;
During defecation, prostate secretion occurs.

Non-infectious or abacterial prostatitis can be inflammatory or non-inflammatory in nature. In the first case, the man will have the same symptoms as with chronic prostate disease, and laboratory tests of prostate secretions will reveal an increased number of leukocytes. In the second case, the leukocyte level is usually normal.

Common symptoms of non-infectious prostatitis are:

pain in the scrotum;
burning and pain that occurs when urinating;
increased urge to empty the bladder;
significant tension in the sphincter area.

There is another type of prostatitis - asymptomatic, which passes without any characteristic signs in the presence of inflammation.

Any man who discovers at least one of the above signs should consult a urologist and undergo all the necessary laboratory tests. After this, an adequate course of treatment will be prescribed to help cope with the unpleasant disease.

Pain in the perineum in men almost always develops in the presence of a pathological process. The causes may be associated with various diseases of organs and systems, since there are many anatomical formations in the pelvic cavity. Each pathology has a different nature of pain and its location. Often, discomfort in the groin occurs due to inflammation of the soft tissues. The development of an emergency and urgent condition will be indicated by accompanying symptoms. Only a doctor can find the exact cause of discomfort and prescribe the right treatment.

Why does pain occur?

The causes of pain in the perineum in men are varied. Conventionally, they can be divided according to the location and system of organs in which the disturbances occurred. The main role in the appearance of unpleasant sensations is played by the genitourinary area. The following diseases can provoke the symptom:

Prostatitis- inflammation of the prostate gland, most often chronic, which affects many older men.
Hyperplasiaprostate gland- a benign tumor of the prostate, usually develops in men over 60 years of age.
- the presence in the testicular tissue of a tumor-like formation with a dense capsule in the form of a cavity with liquid.
Orchiepididymitis- and its appendage, most often unilateral, of an infectious nature.
Testicular torsion- torsion of the spermatic cord, which is dangerous because it can develop due to a lack of blood supply caused by immaturity of the reproductive system, cryptorchidism (undescended testicle into the scrotum), and trauma.
Varicocele - .
Surgeries on the genitourinary system in the past- after any abdominal surgery, the formation of connective tissue adhesions is possible, compressing the surrounding structures.
Urolithiasis disease- pathology of salt and mineral metabolism, characterized by the formation of stones in the urinary system, i.e. in the kidneys, bladder, ureters.

The organs of the urinary and reproductive systems are located in the pelvic cavity, so a third of all cases of pain in the perineum are associated with their pathology. Disorders can be acute or be the result of a long-term chronic process.

The second place in the occurrence of pain in the perineum is occupied by intestinal diseases:

Paraproctitis is an inflammatory lesion of the tissue near the rectum, with the formation of abscesses, fistulas, and damage to the sphincters.
Hemorrhoids are dilation of the veins of the submucosal plexus of the rectum with the formation of nodes.
Anal fissures are damage to the rectal mucosa with the formation of a linear defect, often on the posterior wall, caused by prolonged constipation and trauma.
Intestinal obstruction is a violation of the passage of contents through the gastrointestinal tract, caused by the closure of its lumen, spasm, or tumors.
Inguinal hernia is prolapse of intestinal loops into the internal or external opening of the inguinal canal. Pain usually develops when a hernia is strangulated.

Special attention should be paid to oncological diseases, as they can appear in any organs and systems. When diagnosing such conditions, it is not always possible to determine the original focus of the pathology, since the tumor process spreads to all pelvic organs.

Other reasons

Any inflammatory process can provoke the appearance of a symptom, and it is not always localized in the perineum itself. Irradiation (shooting) of pain in the groin or external genitalia occurs when a spinal nerve root is pinched or lymphadenitis (inflammation of the lymph nodes), etc. Common reasons include:

Compression of the pudendal nerve - as a symptom can be observed with pelvic tumors and hernias.
Hypothermia - can lead to cystitis, prostatitis.
Injuries and wounds in the perineal area - tissue damage of a penetrating and non-penetrating nature.
Boils in the groin area are limited purulent inflammation of the hair follicle, the adjacent sebaceous gland and surrounding skin, most often caused by staphylococci.
Condylomas, papillomas are tumor-like growths caused by the human papillomavirus.
Chronic pelvic pain is pain in the pelvic area of unknown origin.
Injuries during sexual intercourse - often a rupture of the frenulum of the penis.
STIs (sexually transmitted infections) - damage to the testicles, urethra, prostate gland caused by gonococci, chlamydia, trichomonas.
Osteochondrosis of the lumbar spine - due to the formation of hernias, pinching of the nerves of the lumbar plexus develops, which provokes pain.

Among the provoking factors are also physical overexertion, when muscles and ligaments are sprained. The psychosomatic nature of the development of pain in the perineum cannot be ruled out.

Symptoms

The pain syndrome for each specific pathology has a specific character and a set of accompanying symptoms:

Pathological cause	Nature of manifestations
Prostatitis	Unpleasant sensations are localized in the groin and back, accompanied by frequent unbearable urge to urinate, burning, difficulty in outflow and cloudiness of urine, changes in the sexual sphere
Benign prostatic hyperplasia	Discomfort in the perineal area is combined with urinary retention, sluggish flow, a feeling of incomplete emptying, frequent night urges
Pinched pudendal nerve	Aching pain in the pelvic area, constipation, urination problems, involuntary loss of urine, tingling sensations between the legs
Testicular cyst	Nagging pain, aggravated by sexual intercourse, deformation of the scrotum, possible bloating
Orchiepididymitis	Severe pain and unbearable pain in the affected testicle and epididymis, radiating to the perineum, smoothing of the folds and redness of the scrotum, temperature rise to 38 C and above are observed externally
Testicular torsion	The symptom occurs acutely, the affected testicle enlarges, becomes hot to the touch, the scrotum turns blue, nausea appears, and the process of urination is disrupted.
Varicocele	Discomfort in the scrotum becomes more intense while walking, a burning sensation appears, the genitals become asymmetrical
Hypothermia	Painful urge to urinate, cloudy urine, sexual dysfunction, fever
Injury	The pain is accompanied by bleeding, especially when the frenulum ruptures, swelling, hematomas, and the appearance of blood in the urine
Boils	Painful lump under the skin, enlargement of nearby lymph nodes, surrounding skin is red and swollen

Perineal boil

Oncological diseases tend to have a long-term asymptomatic course. The appearance of pain in the perineum in men occurs when neoplasms reach large sizes and put pressure on nearby organs. Associated symptoms may be different and non-specific, characteristic of a number of other diseases. Condylomas and papillomas produce unpleasant sensations when traumatized and partially torn off.

Symptoms for pathologies of various systems:

With intestinal diseases, all accompanying symptoms are localized mainly in the anal area, especially if it is paraproctitis, hemorrhoids and sphincter fissure. Unpleasant sensations occur when walking and in a sitting position, intensify during defecation, and are accompanied by a feeling of a foreign body, the appearance of blood in the stool, and prolapse of hemorrhoids.
With sexually transmitted diseases, various symptom complexes are observed. Ejaculation is accompanied by pain and burning. This is due to the fact that during the activity of pathogenic bacteria, urethritis develops, and local irritation occurs during the passage of seminal fluid. A large number of pathological impurities appear, the head of the penis periodically becomes wet.
With osteochondrosis of the lumbar spine, pain is localized in the lower back, radiates to the groin, intensifies with changes in position, sudden movements, decreases in a lying position, loss of control over the processes of defecation and urination is possible, cold skin, and erectile dysfunction are observed. Symptoms worsen with prolonged sitting.

The situation when a man has pain between his legs is quite unpleasant. Most often, pain in the perineum is caused by inflammatory diseases of the genitourinary system. But also causes of discomfort can be hypothermia or non-infectious pathologies (for example, hemorrhoids, appendicitis).

Have you had a full medical examination in the last 5 years?

YesNo

Such symptoms indicate diabetes mellitus, liver cirrhosis, hepatitis and other dangerous disorders.

Injuries

Sharp pain appears after mechanical damage. These include:

They occur during impacts, accidents, industrial damage, or during sudden, inaccurate friction during sexual intercourse or masturbation. A long period of persistent pain after surgery signals the development of complications.

Diseases of the genitourinary system

Cutting pain in the perineum in men when walking indicates the presence of kidney stones. Their intensity increases when foreign matter enters the urethra. Discomfort is provoked by inflammatory processes of the pelvic organs, which are often caused by infections.

Prostatitis

Acute prostatitis is characterized by sharp pain in the perineum, aggravated by urination. They often radiate to the penis, anus, rectum and sacrum. Signs of a viral infection appear:

With chronic prostatitis, the pain is not so severe, but it can increase with erection, ejaculation, stress, hypothermia, and consumption of large doses of alcohol. If the cause of the development of prostate inflammation is infection, then it is observed. Non-infectious prostatitis can be identified by the localization of discomfort in the pelvic area. The pain is aching, vague, periodically disappearing and appearing again. Constant unbearable pain may be a sign of prostate cancer.

Sexually transmitted infections

Painful sensations are often accompanied by itching, burning during urination, discharge, and various types of rashes. Common infections are:

genital herpes. A burning sensation occurs after spontaneous opening;
gonorrhea. Burning and itching intensify when trying to relieve a small need. At the end of the process, blood is released.
trichomoniasis. The pain is felt both during urination and during sexual intercourse. Discomfort in the perineum, testicles, and scrotum gradually develops. There is pain during defecation;
chlamydia. A burning sensation in the urethra bothers me after ejaculation. Microbes can infect the prostate gland, so it is possible that symptoms of prostatitis may occur;
urethritis. With inflammation of the urethra, pain and burning occur when urinating.

It is necessary to exclude abscess, adenoma and cysts of the prostate, orchitis, cysts of the testicle and spermatic cord, vesiculitis and many other pathologies that cause pain in the perineum in men.

Nervous system disorders

Pain from the perineum can radiate to the groin area. This symptom is encountered by men whose professional activities involve heavy stress. Discomfort worries athletes, loaders, and drivers. Due to weakness of the abdominal muscles, an inguinal hernia may emerge, which is clearly visible in a standing position. The protrusion of internal organs is easy to palpate independently. The main symptom of a hernia is reduction inward with light pressure. Acute pain is often caused by a pinched organ, which can only be corrected through surgery.

Osteochondrosis of the lumbar region

A disease characterized by disturbances in the structure of cartilage and bone tissue. It makes itself felt with severe back pain or a slight feeling of discomfort. Often, the vertebral discs compress the nerve endings of the spinal cord, which causes acute pain in the perineum.

Pinched pudendal nerve

Severe paroxysmal pain and burning in the perineum in men when sitting and lying down is localized in the pelvis. The discomfort subsides if the person stands quietly. Pain increases with physical activity. In this case, numbness of local areas of the thigh is observed.

It is important to remember that pain, burning and any other unpleasant sensations signal problems in the body. Therefore, if discomfort occurs, you should contact a urologist for an examination and tests. It is possible that you will have to visit a proctologist, neurologist, oncologist and dermatologist to make an accurate diagnosis. If you listen to your body in time, you will be able to avoid many complications.

Is a weak stream of urine in men normal or an alarm bell? What can cause tailbone pain in men? What usually hurts in the left side of men?

If a man experiences a burning sensation in the perineum, one should not hesitate to visit a doctor.

After all, this is a clear sign of pathology, which can indicate not only the onset of an inflammatory process, but also a malignant disease.

The article will tell you why discomfort in the perineum occurs in men and how to relieve the unpleasant symptom.

The most common causes of discomfort in the perineal area in men are the following:

urethritis and other diseases of infectious origin;
genital injuries;
varicocele;
hernia;
BPH;
stones in the kidneys;
prostate inflammation
venereal diseases. For example, syphilis or genital herpes;
long-term abstinence;
orchitis;
osteochondrosis.

Normal and enlarged prostate (adenoma)

Orchitis is caused by viruses. It often develops as a complication after rubella and mumps. With this disease, the organ enlarges, the skin of the affected area becomes hyperemic, and pain appears.

If discomfort occurs in the right or left side, this means that the damage to the organ is one-sided.

A hernia is characterized by pain when walking. Malignant neoplasms are asymptomatic in the first stages. But over time, after or during sexual intercourse, burning and pain appear.

How is an appointment with a doctor?

After communication and examination, the doctor will send the patient for additional examination. This may include:

blood analysis;
biopsy;
Analysis of urine;
ultrasonography.

How is the treatment carried out?

The selection of medications and treatment regimens is carried out depending on the diagnosis.

Pain between the legs in men is effectively eliminated with the help of anti-inflammatory drugs, which are taken over a long course.

Painkillers are also used to relieve pain. In some cases, the doctor prescribes hormonal pills.

This is more relevant in the presence of benign neoplasms and hormonal imbalance. With the progression of tumor processes, sometimes surgery cannot be avoided.

Tablets for dissolving oxalate stones Prolit

For example, Prolit is sold in pharmacies to dissolve oxalate stones, Tiapramine and Uralit for cystine stones, and Marilin for phosphate stones.

If the urethra is affected by fungi of the Candida family, the doctor will prescribe antifungal medications.

Elimination of discomfort in the perineum should be comprehensive.

Prostatitis: how to identify and treat?

The following are signs that indicate the development of pathology:

itching in the urethral area, which becomes stronger when urinating;
the appearance of blood clots in urine;
cloudy urine;
nagging pain in the groin;
hypertension;
decreased potency, libido. If chronic prostatitis is not treated, premature ejaculation and impotence develop;
a feeling that the bladder is not completely emptied. Urgent urges at night are also typical;

With the development and exacerbation of the disease, body temperature rises to 38.5 degrees. In this case, severe pain is observed in the scrotum, sometimes radiating to the lower back.

The following methods are used to relieve the burning sensation of prostatitis and the disease itself:

physiotherapy. The doctor prescribes a prostate massage. For this purpose, special stimulants are used;
microenemas with decoctions of various medicinal herbs. They allow not only to relieve pain, but also to relieve inflammation;
antibiotics. They are prescribed only when itching and burning are associated with the development of a bacterial infection. Fluoroquinolones and macrolides have proven themselves well;
anti-inflammatory nonsteroidal drugs. Effectively eliminate inflammation and improve urine flow;
alpha blockers. The funds are considered auxiliary. They lower blood pressure and relieve increased prostate muscle tone;
biologically active additives. Usually their doctor prescribes them for chronic prostatitis. Dietary supplements effectively remove unpleasant manifestations of the disease and reduce the risk of exacerbations. In this group, the Chinese urological patch ZB Prostatic Navel Plasters is considered the best, which has repeatedly proven its effectiveness in practice.

Video on the topic

Urologist, dermatovenerologist about the possible causes of itching in the groin in men:

Both men and women consult a urologist. One of the common symptoms in both cases is pain in the perineum and genitals. An examination, in the presence of such complaints, always shows a serious pathology, since pain in a person is the most important signal of health problems.

APPOINTMENT WITH A UROLOGIST - 1000 rubles. APPOINTMENT WITH A GYNECOLOGIST - 1000 rubles. CONSULTATION WITH DOCTORS ON THE RESULTS OF ULTRASOUNDS AND ANALYSIS - 500 rubles!

Perineal pain in men and women

In the perineal area are the external genitalia, urethra, and anus. Therefore, pain in this area is most often associated with diseases of these particular systems. There can be many reasons for pain.

Clarification of the localization of sensations and a clear definition of the nature of the pain helps to identify the main factor that provoked the pain. Let's consider the main causes of pain in the perineal area.

Causes of acute pain in the perineum

The occurrence of acute, sharp pain in the genital area may indicate the following diseases and conditions:

. During an exacerbation of prostatitis, a man experiences intense pain that spreads to the head of the penis and the anus.
Urethritis. A characteristic feature of pain in urethral inflammation is increased discomfort when emptying the bladder.
Prostate abscess. The pain is very strong and is one-sided, from the side of the suppuration site. Patients report discomfort in the spine and rectum. The condition is accompanied by difficulty urinating, constipation, hyperthermia (fever) in the area of inflammation.
Prostate cancer. Acute pain in the perineum is a sign of a late stage of oncology (prostate cancer).
Pinched pudendal nerve. There are many nerve endings concentrated in the perineum. Pinching of any of them causes acute sharp pain, which subsides when walking and intensifies when sitting or lying down.
Pregnancy, postpartum period. Pain in this area in pregnant women can be caused by compression of the sciatic nerve (during pregnancy) and be a signal for the onset of labor. Acute postpartum pain occurs in women who have suffered multiple ruptures during childbirth.
Perineal injuries. Any mechanical damage - bruises, ruptures, tissue cuts, etc. , cause sharp pain.

Causes of nagging pain

In men, aching, nagging pain in the perineum accompanies chronic prostatitis, urethritis and inflammation of the seminal tubercle (colliculitis). Inflammations with constant nagging pain that worsens during defecation include cooperitis. If a man experiences pain after sexual intercourse and is felt in the testicular area, he needs to be checked for varicocele.

In women, nagging pain is observed during pregnancy and can be caused by chronic pelvic pain syndrome. Stitching and aching pain in the perineum can develop with inflammation of the vaginal mucosa (vaginitis).

Pain in the genitals

Soreness of the internal and external genital organs is a symptom that can affect both women and men. In the case of women, the main cause of pain and discomfort in the genitals is diseases of the reproductive system - inflammation of the uterus, fallopian tubes, ovaries and vagina. Another reason is pathology of the clitoris and labia.

As for men, pain in the genital organs (penis, testicles) can be caused by diseases associated with the prostate gland, seminal vesicles and vas deferens. Let's look at the most common causes of discomfort in the genitals for both sexes.

Causes of pain in the genital organs in women

Pain in the genital organs in women can occur with the following diseases and conditions:

. Nagging and aching pain of varying intensity in the lower abdomen and in the genital area may not have a dangerous pathological basis, but may be a sign of menstrual syndrome.
Inflammatory diseases of the female genital organs. Acute intense pain in this area, spreading throughout the entire lower abdomen, is characterized by inflammation of the uterus and appendages (endometritis and). Patients especially complain about the localization of pain in the suprapubic area. An important sign is that the pain tends to gradually intensify. Pain usually develops during the menstrual or postmenstrual period, and also often occurs in women after childbirth. Often accompanied by an increase in body temperature.
Ectopic pregnancy, fallopian tube damage. The pain in this case develops sharply and is particularly intense, characterized as acute. The condition is very dangerous and requires immediate medical intervention.
Ovarian tumors and twisting of the cyst stalk. Pain of a tumor nature can manifest itself for a long time as a nagging pain and radiate to the genital area. In later stages, the pain usually intensifies.
Endometriosis. Pathological growth of the mucous membrane lining the uterus is also accompanied by pain in the vaginal area and external genitalia.
Injuries. Mechanical damage to the genitals is accompanied by severe pain.
Bartholinitis. The disease is infectious in nature and causes pain in the external genitalia, which intensifies when walking.

Causes of pain in the genital organs in men

Representatives of the stronger sex often encounter pain syndrome of genital localization, which can be caused by various factors - from excessive stress to tumor processes. The most common causes of pain in the male genital organs:

testicular torsion;
epididymitis, which is a consequence of infectious and inflammatory processes;
malignant and benign testicular neoplasms;
inguinal hernia;
varicocele - a condition associated with the expansion of venous structures;
spermatocele is a disease of a cystic nature;
Peyronie's disease, accompanied by curvature of the penis;
inflammatory processes such as balanitis and balanoposthitis, etc.

Examination for pain in the perineum and genital organs in men and women

Treatment of any pathologies in the organs of the genitourinary system is carried out by highly specialized doctors: for men -