Why does it hurt between the legs in men? Causes of perineal discomfort in women. The appearance of sharp pain in the perineum

The perineum is understood as the area that is located between the external genitalia and the anus. It includes soft formations, muscles, fascia, which are located between the upper part of the coccyx and the ischial tuberosities. The perineum of a man and a woman is almost the same in shape; it is in the shape of a diamond. In women, it is slightly shorter, serves as a support for the pelvic organs and forms the floor of the pelvis.

Pain in the perineum: features and causes

There are short-term and constant pain in the perineum, situational, which arise under certain circumstances (during sexual intercourse, during bowel movements). They can be acute, aching or almost unnoticeable.

Often, symptoms of pain can radiate to the pubic coccyx and lower abdomen. The occurrence of pain in these places is associated with changes in hormonal levels, weakened immune defenses, and prolonged or uncontrolled use of medications (antibiotics). During exacerbations of prostatitis, pain may also occur, which in this case is strong, acute, and radiates to the head of the penis and sacrum. Chronic forms of this disease are also characterized by the appearance of similar unpleasant sensations, which are of less intensity but longer duration. Pain in the perineum is the main symptom of prostate abscess.

Pain in the perineum in women

Pain in the perineum can be caused by inflammatory diseases of the urethra. With urethritis, the pain syndrome is weak and unnoticeable (in the initial stages of the disease) and very intense (in chronic forms). The pain can be long-lasting and complicated by colliculitis, an inflammatory process of the seminal tubercle, which is located in the posterior part of the urethra. Painful sensations appear due to mechanical damage to the perineal area during the passage of stones and bruises.

Pain in the perineum in pregnant women

The appearance of pain from 35 to 37 weeks is often a harbinger of imminent labor. By this time, the hip joints have diverged significantly, but the ligaments do not have the same elasticity. Therefore, sharp, shooting pains occur. The appearance of pain earlier in pregnancy is a poor prognostic factor, as the threat increases. Often, the appearance of such discomfort may be associated with the growing fetus, which may compress nerves (for example, the sciatic). Pain can occur with varicose veins of the perineum and loosening of its ligaments.

During childbirth, pain often occurs, which is associated with traumatic effects on the muscles of the pelvic floor. Ruptures often occur due to the passage of the baby's head through the mother's birth canal and the effect of the child's movement on the pelvic muscles, which have reduced elasticity. In some cases, the pain goes away after childbirth.

Treatment of pain in the perineum

Detection of pain in the perineum of any intensity should lead to immediate consultation with a doctor. He will identify the source and prescribe appropriate treatment. The following methods are used for diagnosis: ultrasound, smear from the vagina or urethra. For ruptures after childbirth, surgical methods are necessary - suturing the perineal wound.

Pain in the perineum is a rather serious symptom that requires immediate treatment, otherwise the disease will become chronic.

Pain and its causes in alphabetical order:

pain in the perineum

The perineum, perineum, in the narrow sense of the word means the area of tissue between the anterior edge of the anus and the posterior edge of the external genitalia or parts (the root of the scrotum in men, the posterior edge of the genital opening in women).

In topographic anatomy, the perineum, or perineum, is the area where the pelvis emerges. The area is occupied by the external genitalia and the anal part of the rectum. The crotch area is diamond-shaped; in front it extends to the lower edge of the pubic symphysis, in the back to the apex of the coccyx and on the sides it is limited by the pubic and ischial bones and the sacrotuberous ligaments, ligg. sacrotuberalia, separated from the thigh by the femoral-perineal fold.

Perineal area, regio perinealis. forms the bottom of the pelvis, thereby closing the exit from the latter, and is divided into the anterior, smaller, genitourinary region, regio urogenitalis, and the posterior, large, anal region, regio analis. The exit from the pelvic cavity is closed by muscles, fascia, fat and skin, which lie differently in each area of the perineum. The slightly convex anterior line connecting the right and left ischial tuberosities is the boundary of these two areas. Located along the midsagittal line, the skin fold, suture, raphe, perineum, seems to divide the skin of this area into right and left halves. In the genitourinary region, regio urogenitalis, there are the external genital parts, the urethra and the urogenital diaphragm, diaphragma urogenitale. The urethra passes through the urogenital diaphragm in men, and the urethra and vagina in women.

What diseases cause pain in the perineum:

The main causes of pain in the perineum:

1. Pain or any discomfort in the perineum almost always indicates problems with the prostate gland, most often chronic prostatitis or seminal vesicles. Painful stimulation from the prostate gland and posterior urethra is transmitted through the sacral nerves. Localization of pain - in the perineum, rectum.
If such symptoms appear, you should definitely contact and be examined by a urologist.

2. Pain in the perineum after natural childbirth is likely to worsen in cases where the perineum is torn or cut during an episiotomy and then sewn up.

3. In acute urethritis, the pain is sharp and painful; in chronic urethritis, it is less severe and is perceived as a burning sensation. The pain may not be associated with the act of urination and may be constant - this usually happens with colliculitis (i.e. inflammation of the seminal tubercle in the posterior part of the urethra). Pain in diseases of this part of the urethra is localized in the perineum.

4. Pain in the perineum is characteristic of prostate diseases. In acute prostatitis, the pain is sharp, pulsating, radiating to the anus, sacrum, and glans penis. In chronic prostatitis, the pain is mild, long-lasting and nagging in nature.

5. Abscesses (abscesses) often occur isolated in one lobe of the prostate gland, with pain being most disturbing on the affected side. Almost always, stool is retained, gases do not pass, and urination is difficult. During the stage of active abscess formation, severe pain in the perineum is observed, radiating to the sacrum, inner thighs, and rectum with high body temperature.

6. Inflammation of the onion-urethral gland (cooperitis) most often accompanies urethritis of any origin, since the infection enters these glands directly from the urethra. If the outflow of secretion from the bulbous-urethral gland is not disturbed during its inflammation, then the patient feels moderate pain in the perineum, especially in a sitting position and during defecation.
If the outflow of secretions becomes difficult, the gland becomes suppurated, pain in the perineum and at the root of the penis increases sharply, body temperature rises, and there may be chills.

7. Traumatic injuries of the urethra and prostate gland:
- Closed injuries to the urethra most often occur as a result of direct exposure to traumatic force on the urethra (fracture of the pelvic bones, fall onto the perineum, forced insertion of a metal catheter, bougie or cystoscope, birth trauma, prostate surgery, etc.). A distinction is made between bruise, incomplete rupture, or tear, and crushing of the urethra. The main symptoms are shock, dull pain in the perineum, scrotum, sharp pain in the urethra, urethrorrhagia, acute urinary retention, frequent unsuccessful urge to urinate, overdistension of the bladder, hematoma and urinary streaks on the perineum, scrotum, and thighs.
- Open injuries to the urethra are divided into isolated and combined (gunshot, stab, cut, bruised, torn, bitten). The stab wounds are localized in the perineal area, and the penis is also damaged. Incised wounds can be complete or incomplete, and with bite wounds, mainly the spongy part of the urethra and the penis are damaged. These wounds are manifested by acute urinary retention, frequent urge to urinate, urethrorrhagia, pain in the perineum and lower abdomen, enlarged bladder, and urine discharge from the wound when urinating.
- Among the closed injuries of the prostate gland and seminal vesicles, bruises and ruptures are distinguished, which most often occur with fractures of the ischial bones, a strong blow to the perineum, a fall on a hard object, as well as with forced or incorrect insertion of metal catheters, bougies, and cystoscopes into the urethra. Clinically, this type of injury is manifested by pain in the lower abdomen, in the anus and perineum, frequent painful urination, micro- or macrohematuria, and hemospermia.
- Among open injuries of the prostate gland and seminal vesicles, bruises, tangential, blind and through wounds are distinguished. The most common are gunshot and stab wounds, usually combined. Patients complain of pain in the perineum, urethrorrhagia and dysuria. Possible tamponade of the bladder with blood clots, urinary infiltration, urine discharge through the rectum or perineum. The diagnosis is established on the basis of anamnesis, clinical picture, results of rectal examination, urethrography. Treatment consists of primary surgical treatment of the wound, stopping bleeding, removing foreign bodies and hematomas.

8. Perineal lacerations during childbirth
Scar tissue caused by tears or cuts in the perineum during childbirth. Almost all women who have undergone such an intervention experience pain in the perineum during penetration and during sexual intercourse for about three months.

9. Infringement of the pudendal nerve, which can occur suddenly or develop over time. Prolonged sitting, cycling. Repetitive movements and leg exercises can lead to pinching of the pudendal nerve.
Some people have primarily rectal pain, sometimes with problems with bowel movements. For others, pain predominates in the perineum or genitals. Symptoms may include stabbing, cramping or burning pain, tingling, numbness or sensitivity. Symptoms are usually worse when sitting and better when standing or lying down. There may be a feeling that the person is sitting on a bump.

10. With prostate cancer, pain is observed in the perineum, which can radiate to the sacrum, lower back and thighs.

Which doctors should you contact if there is pain in the perineum:

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Does your perineum hurt? It is necessary to take a very careful approach to your overall health. People don't pay enough attention symptoms of diseases and do not realize that these diseases can be life-threatening. There are many diseases that at first do not manifest themselves in our body, but in the end it turns out that, unfortunately, it is too late to treat them. Each disease has its own specific signs, characteristic external manifestations - the so-called symptoms of the disease. Identifying symptoms is the first step in diagnosing diseases in general. To do this, you just need to do it several times a year. be examined by a doctor, in order not only to prevent a terrible disease, but also to maintain a healthy spirit in the body and the organism as a whole.

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Crotch- This is a diamond-shaped area between the anus and genitals.

Pain in the perineum in women is a symptom of many different pathological conditions.

The perineum is where most of the pelvic muscles are attached.

Therefore, it has many sources of referred pain (i.e., arising in women in another place, the pain radiates to the perineum).

Characteristics of perineal pain in women

When making a diagnosis, the doctor pays special attention to the characteristics of pain, establishing their type:

acute (lasting up to several hours and sudden onset) or chronic, disturbing patients for several months;
rather mild or very painful;
not changing their intensity and worsening in sitting/standing positions, when cycling;
sharp, aching, pulling, etc.;
spilled and localized, etc.

Causes of pain in the perineum in women

In women, the causes of such a condition as pain in the perineum include disorders:

gynecological;
urological;
neurological;
vascular, etc.

Acute sharp pain in the perineum in women, associated with gynecological problems, may be a consequence of:

inflammatory diseases of the uterus;
acute vulvovaginitis;
inflammation of the Bartholin glands;
injuries or surgical interventions in the pelvic area, etc.

Pain in the perineum in women It can also be associated with inflammation of the urethra and rectum.

With infectious (bacterial, fungal, viral) diseases.

With skin diseases (boils, benign formations).

With the manifestation of chronic pelvic pain syndrome.

Nagging pain in the perineum in women often characterize the course of a chronic process.

The same chronic urethritis, proctitis, etc.

Aching pain in the perineum in women Normally, it can be observed in the postpartum period, during ovulation.

Such pain tends to spontaneously decrease in intensity.

Ovulatory pain can be one-sided.

For example, pain in the perineum on the right in women for 2 to 3 days in the middle of the menstrual cycle.

Pain in the perineum in women during pregnancy

Painful sensations in the last weeks of pregnancy are also common.

When the descending fetus puts pressure on the surrounding tissues, and the pelvic bones begin to move apart.

Most often, such manifestations are stabbing in nature.

More intense pain is observed if a pregnant woman has varicose veins.

Sharp pain in this area during pregnancy can be caused by compression of a nearby nerve by the fetus.

Unpleasant sensations intensify immediately before childbirth.

In the postpartum period, almost all women who give birth experience perineal pain.

More intense symptoms are associated with trauma during childbirth, less intense symptoms are associated with swelling and tissue overstretching.

Tears and sutures prolong the period of pain.

Chronic pelvic pain syndrome in women

With this syndrome, persistent pain in the lower abdomen radiates to the groin and perineum.

However, it is not possible to identify the organic cause of the condition.

Soreness in the perineum has a shooting, pulling character.

Pelvic inflammatory disease (PID)

PID is a whole group of diseases.

Includes pathologies such as salpingitis, oophoritis, endometritis, pelvic peritonitis, tubo-ovarian abscess.

With this pathology, pain in the lower abdomen, often associated with menstruation, radiates to the perineum, as well as the sacrum and lower back.

Itching, heat, and bloating may be felt in the perineum.

Vulvovaginal pain

Vulvovaginal pain that can radiate to the perineum includes:

vulvodynia – pathology with unexplained pain in the vulva;
dyspareunia – pain during sexual intercourse;
vaginismus - painful muscle contractions at the entrance to the vagina;
pain associated with PID, injuries, neoplasms and other diseases.

Coccydynia

Coccydynia is pain in the coccyx, often associated with hypertonicity of the pelvic floor muscles and usually caused by nerve injury.

One of the manifestations of the condition is spasm of the perineal muscles.

Forces patients to use special soft pillows when sitting for long periods of time is necessary.

Causes of pain and discomfort in the perineum in women

A woman may experience such unpleasant sensations in the perineum as itching, burning of the perineum, fissure, feeling of fullness, pressure, sharp or aching pain. There are many pathological changes in the body that cause these symptoms. Also, discomfort in the perineal area in certain cases may be normal.

Pregnancy

During pregnancy of up to 20 weeks, discomfort in a woman's perineum should be an alarming factor, as it may signal the possibility of miscarriage. Especially if the discomfort is accompanied by bloody discharge. During this period, the fetus is still very small and its movements are in no way perceptible to the woman. Therefore, any mechanical impact of the fetus on the perineal area is excluded.

After 20 weeks, the baby in the womb grows and develops rapidly. The mobility of the arms and legs becomes more active and stronger. The baby's movements most often cause short-term, acute, but not severe pain, a feeling of pressure in the perineum.

As the happy moment of childbirth approaches, discomfort in the perineal area may intensify significantly. The reason is the fairly large volume and weight of the fetus, which puts pressure on the woman’s internal organs, muscles and bones. Heaviness in the perineal area is especially aggravated in the last days before childbirth, which is due to the expansion of the pelvic bones. This process is provided by nature to facilitate childbirth, both for the baby and for the mother.

Due to the growth of the fetus, pinching of the sciatic nerve can occur, which often causes severe pain. Doctors recommend that you endure this discomfort without treatment. After childbirth everything returns to normal.

Birth injuries of varying degrees

The most common cause of discomfort in the perineum in women is postpartum trauma:

external ruptures of the perineal tissue during the passage of the child’s head through the birth canal. The reason for this may be insufficient elasticity of the perineal muscles or very rapid labor. Hygienic procedures, urination is accompanied by a burning sensation in the perineum.
forced incisions of the perineal muscles during delivery are carried out by a doctor to prevent rupture and facilitate wound healing in the future.
internal ruptures of the cervix or vaginal muscles. This problem occurs more often in primiparous women. The dilatation of the cervix takes longer for them, and the vaginal muscles are inelastic. Pushing may begin with incomplete dilation, which results in tears and cracks in the tissues, causing pain and burning throughout the perineal area.

Doctors recommend starting sexual activity 2 months after a complicated birth. Resuming intimate relations with a partner earlier can cause infection in unhealed wounds. This leads to relapse of inflammation of the perineal tissue.

A woman who has given birth may experience discomfort, a burning sensation and discomfort for some time until the wounds are completely healed and the stretched muscles and ligaments are restored. During the normal course of this process, the inflammation of the perineum goes away.

Infectious and inflammatory diseases

Itching, burning, and discomfort in the perineum of women can be caused by the following inflammatory diseases:

colpitis (vaginitis) - inflammation of the vaginal walls is accompanied by pathologically strong discharge and stabbing pain, burning both in the perineum and in the vagina itself.
bartholinitis is an inflammation of the glands located at the entrance to the vagina and providing its lubrication. Inflamed and swollen tissues of individual areas of the perineum block the secretion of the glands, which causes stagnation and the formation of pus. The infection spreads to the gland itself, and an abscess forms. A burning sensation in the perineum due to inflammation of the Bartholin glands occurs when walking, when passing feces, during sexual intercourse and subsides several hours after intercourse. All these symptoms are accompanied by fever. Interestingly, an abscess can open on its own without treatment. This often leads to recovery.

inflammation and fissures of the rectum are accompanied in most cases by diseases of the gastrointestinal tract. The consequence of this is irregular stool (diarrhea or constipation), due to which the excretory passage is injured, there is acute pain and burning in the perineum. Treatment of rectal fissures primarily involves diagnosing and treating the underlying disease. To relieve symptoms, relieve inflammation, and eliminate discomfort, suppositories and laxatives that dilute stool are prescribed.
genital herpes causes characteristic rashes on the genitals. The rash consists of blisters filled with liquid that burst after a while. The ulcers formed in the perineum after this heal, becoming covered with crusts. As the disease progresses, a burning sensation in the perineum and area of the rash and severe itching are observed.

Chronic pelvic pain

It is important to pay special attention to the fact that this syndrome is a symptom of a number of diseases and is accompanied not only by discomfort in the perineum of women, but also causes pain in the buttocks, lower back, and lower abdomen. The presence of the syndrome is a good reason to consult a doctor to find out the true reasons, which may be:

diseases of the gastrointestinal tract;
diseases of the genitourinary system;
disorders and pathologies of the structure and articulation of the pelvic bones;
tumors;
depressive state after suffering violence, severe stress.

Pinched pudendal nerve (neuropathy)

The pudendal (pudendal) nerve is located in the perineum and provides communication between the organs and tissues of the pelvis and the central nervous system. Its pinching causes an unexpected sharp pain in the perineum when walking, sitting or lying down. At rest it disappears. When the pudendal nerve is pinched, the pain can spread to the inner surface of the thighs and be accompanied by numbness; sometimes there is numbness of the genitals, a deceptive feeling of discomfort and the presence of a foreign body in the rectum or vagina. Urinary incontinence may occur.

Diagnosis of the disease is carried out by blocking the pudendal nerve. The final diagnosis is made if, after the procedure, pain symptoms in the perineum decrease and the patient’s general condition improves. Treatment is medication. If it is ineffective, surgical intervention must be resorted to.

Skin diseases

Skin diseases of the perineum include fungus. The disease causes severe itching and burning in the affected area. It appears in the initial stages in the form of red spots with a clear boundary. The disease often develops due to non-compliance with personal hygiene rules. Elementarily, a person suffering from mycosis of the feet can transfer the infection with his own hands or a towel to the groin area.

Interesting video:

Perineal fungus can develop in very obese people. Existing disorders in the functioning of the pancreas and thyroid glands are also the cause of fungal infection.

Interestingly, a fungal infection of the perineum can go away on its own without special treatment.

Causes

diseases of the prostate gland (in men), most often chronic prostatitis or inflammation of the seminal vesicles;
postoperative pain in the perineum - developing in women: after natural childbirth, during episiotomy;
lesions of the urethra, for example, acute urethritis;

development of ulcers (abscesses) as complications of prostatitis and other inflammatory diseases;
damage to one or more bulbous-urethral glands - in men (cooperitis);
traumatic injuries to the prostate - prostate gland and urethra - urethra;
inflammation/injury of the pudendal nerve;
damage to the skin in the perineal area (the presence of inflammatory processes of bacterial or viral, fungal etiology);
benign and malignant neoplasms (prostate cancer).

Classification

Depending on the cause of the pain:

primary pain in the perineal area - occurs as a result of neurological disorders occurring at various levels;
secondary pain in the perineal area - occurs when pain attacks radiate (“return”) to the perineal area in the case of diseases of organs such as the prostate gland - prostate, uterus, bladder.

Depending on the origin of the pain:

visceral type of pain - the main cause of this kind of pain in the perineum is irritation of sensory nerve receptors - endings located directly in the walls of organs located in the area of its projection (most often as a result of narrowing of the vascular wall - spasm or, conversely, overstretching, lack of oxygen - ischemia );
psychogenic type of pain - as a rule, occurs in the absence of one or more pathological processes or functional disorders in the area of projection; occurs in individuals with certain character traits; can develop as a psychological reaction to the presence of a stressful situation;
neurogenic type of pain - the main cause of its development is damage to the nerves innervating the perineal area; Characterized by the appearance of burning and cutting pain that occurs even when light touches are made or the ambient temperature changes.

Depending on the characteristics of pain:

paroxysmal, or cramping, or spastic pain in the perineum: the leading causes are limited narrowing of the lumen (spasm), dyskinesia (impaired contraction of the tract), impaired motility of the urinary tract and anus and the predominance of the spastic (due to narrowing) component of pain;
dull or constant pain in the perineum: the main causes are inflammation of organs with progressive dynamics (localized in the perineal area).

Depending on duration:

acute type of pain in the perineum - pain, the typical temporal characteristic of which is development over several minutes or hours (however, no more than a day);
chronic type of pain in the perineum - pain, pain, the typical temporal characteristic of which is development over 3 months or more.

Depending on the type of pain:

volatile type of pain in the perineum - its most common causes are trauma to the perineal area, urological diseases, frequent constipation; with flying pain in the perineum, you can often observe spasms - contractions - of the muscles of the anus and/or perineum,
spastic type of pain in the perineum - pain in people suffering from intestinal diseases, for example, when alternating the processes of diarrhea and constipation.

Signs

For acute or chronic prostatitis:

fever and chills;
local increase in body temperature;
pain that tends to radiate to the lower back;
lower abdominal pain;
pain in the pelvic area;
lumbodynia, or pain in the lumbar region;
pain in the perineum;
frequent urge to urinate at night - nocturia;
frequent and painful urination;
presence of pain in the groin and scrotal areas;
difficulty urinating (up to acute urinary retention);
dysuria (stinging/burning when urinating);
periodic or constant discharge from the urethra - urethra;

For urethritis, or inflammation of the urethra:

pain in the perineum;
discharge of pus from the urethra - urethra;
painful urination;
sticking and redness of the edges of the external opening of the urethra;

With cooperitis, or inflammation of the bulbous-urethral gland:

pain in the perineum;
discharge from the urethra after walking;
pain that increases with urination and sitting;
pain when pressing on the Cooper gland;

For colliculitis, or inflammation of the seminal tubercle - in men:

the presence of discomfort and pain in the groin area;
the presence of discomfort and pain in the perineum;
sensation of a foreign body in the rectal area;
frequent false urge to defecate;
blood in urine and semen;
painful urination;
sexual dysfunction;

For acute orchitis:

a sharp increase in body temperature;
irradiation of pain to the groin;
irradiation of pain to the lumbar (lumbar) region;
testicular enlargement on the affected side;
smooth, hyperemic skin of the testicle on the affected side;
pain in the perineum;
increased pain when performing physical activity;
chills and headache;
For chronic orchitis:
periodic pain in the testicle;
pain in the perineum on the affected side;

For vaginitis, or colpitis, inflammation of the vagina:

pathological heavy discharge from the genital tract;
constant discomfort and/or itching in the vaginal area;

With bartholinitis, or inflammation of the glands of the vestibule of the vagina, in women:

redness of the skin of the labia minora;
irradiation of pain to the perineum;
thickening of the excretory duct of the gland of the vestibule of the vagina;

For perineal injury:

history of trauma:

pain in the rectal area;
pain in the perineum;

If the pudendal/pudendal nerve is pinched:

pain in the ischiorectal fossa;
pain in the perineum, bilateral or unilateral;
pain radiating to the side, lower buttocks, inner thigh;

For prostate abscess:

high temperature, accompanied by sweating, chills, rapid pulse - tachycardia;
irradiation of pain to the rectum;
difficulty in defecation and urination;
unilateral localization of pain in the perineum;
sharp, throbbing pain in the perineum;
acute retention of stool and urine;

For prostate cancer - prostate cancer:

characteristic difficulty urinating;
increased urination time;
the presence of a frequent urge to urinate that does not bring relief;
urinary retention;
the presence of pain in the perineal area of a spastic nature;
constant feeling of incomplete emptying of the bladder;
when urinating - an intermittent or thin stream of urine;

For boils (furunculosis):

the appearance of changes on the skin in the form of tubercles, rashes, painful on palpation;
pain in the perineum;

For hemorrhoids:

pain in the rectum;
hemorrhoidal bleeding;
prolapse of hemorrhoids;
pain in the perineum;
bleeding after bowel movements;

For rectal fissures:

pain in the perineum;

For proctitis (inflammation of the rectum):

pain in the perineum;
pain in the anus and rectum;
difficulty in defecation and urination;

For paraproctitis (inflammation of the tissue that surrounds the rectum):

difficulty in defecation and urination;
chronic pain in the perineum;
the presence of a fistulous tract;

For chronic pelvic pain syndrome:

pain in the perineum;
pain in the anus, pelvis and rectum;
pain below the navel;
duration of pain - 6 months or more;
the pain is not cyclical.

What diseases does it occur in?

cooperite;
acute or chronic prostatitis;
urethritis;
chronic pelvic pain syndrome;
orchitis;
colliculitis;
vaginitis (colpitis);
trauma during childbirth;
pinched pudendal nerve;
prostate cancer;
prostate abscess;
skin diseases: condylomas, boils, papillomas; haemorrhoids;
proctitis;
rectal fissures;
paraproctitis.

Crotch is a section of tissue between the anterior edge of the anus and the posterior edge of the external genitalia or parts (root of the scrotum in men, posterior edge of the genital opening in women).

In topographic anatomy, the perineum is the area of exit pelvis. The area is occupied by the external genitalia and the anal part of the rectum. The crotch area is diamond-shaped: in front it extends to the bottom edge pubic symphysis, from behind to the apex of the coccyx and on the sides it is limited by the pubic and ischial bones and the sacrotuberous ligaments, separating from the thigh femoral-perineal fold.

The perineal area forms the floor of the pelvis, thereby closing the exit from the latter, and is divided into areas:

Front;

genitourinary area;

anal area.

The exit from the pelvic cavity is closed by muscles, fascia, fat and skin, which lie differently in each area of the perineum. Slightly convex anterior line connecting right and left ischial tuberosities, and is the boundary of these two areas.

A skin fold, a suture, located along the midsagittal line of the perineum, seems to divide the skin of this area into the right and left halves. In the genitourinary area, are located:

External genitalia;

urethra;

urogenital diaphragm.

The urethra passes through the urogenital diaphragm in men, and the urethra and vagina in women.

What diseases cause pain in the perineum

Pain in the perineum most often accompanies such chronic and acute diseases as:

Acute, chronic prostatitis;

acute urethritis;

prostate abscesses;

inflammation of the bulbourethral gland (cooperitis);

Causes of pain in the perineum

One of the main reasons may be traumatic injuries to the urethra and prostate gland. Closed injuries to the urethra most often occur as a result of the direct impact of traumatic force on the urethra:

Fracture of the pelvic bones;

fall on the crotch;

forced insertion of a metal catheter;

bougie or cystoscope;

birth injury;

prostate surgery.

Open injuries of the urethra are divided into isolated and combined, namely:

Firearms;

bruised;
bitten.

The stab wounds are localized in the perineal area, and the penis is also damaged. Incised wounds can be complete or incomplete, and with bite wounds, mainly the spongy part of the urethra and the penis are damaged. These injuries are manifested by acute urinary retention, frequent urge to urinate, urethrorrhagia, pain in the perineum and lower abdomen, bladder enlargement, discharge of urine from the wound when urinating.

Among closed injuries of the prostate gland and seminal vesicles there are: bruises And ruptures, which most often occur with fractures of the ischial bones, a strong blow to the perineum, a fall on a hard object, as well as with forced or incorrect insertion of metal catheters, bougies, and cystoscopes into the urethra. Clinically, this type of injury is manifested by pain in the lower abdomen, in the anus and perineum, frequent painful urination, hemospermia.

Pain in the perineum can also be caused by the following reasons:

perineal ruptures during childbirth;

pinched pudendal nerve, which can occur suddenly or develop over time;

with prostate cancer, pain is observed in the perineum, which can radiate to the sacrum, lower back and hips.

A distinction is made between bruise, incomplete rupture, or tear, and crushing of the urethra. Main symptoms are:

dull pain in the perineum, scrotum;

sharp pain when urinating;

acute urinary retention;

frequent, unsuccessful urge to urinate;

hematoma and urinary leaks on the perineum, scrotum, thighs.

If you have pain in the perineum, an obstetrician-gynecologist, proctologist, or oncologist will help you. The doctor will be able to identify the exact cause of the disease and make a diagnosis. Further treatment is best carried out under the watchful supervision of a specialist.

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Pain in the perineum in men most often occurs due to various inflammatory diseases of the genitourinary system, such as vesiculitis, urethritis, various diseases of the prostate gland, etc. Also among the main causes of pain and burning in the perineum in men are hypothermia, sexually transmitted diseases, complications of cystitis and urethritis. Pain in the perineum can be aching, sharp, itchy, twitching, pulling, throbbing, etc.

The appearance of acute and sharp pain in the perineum in men is usually associated with acute prostatitis. This disease is accompanied by extremely unpleasant symptoms. The pain can radiate to the penis, anus, or sacrum. Among the common causes of sharp and severe pain is urethritis. When urinating, the pain in the perineum usually intensifies. Sharp pain and burning are a symptom of suppuration (abscess) of the prostate. They can radiate to the rectum and sacrum. This disease is characterized by a unilateral location, i.e. The pain will be stronger from the localization of the purulent focus. In men, this disease is complemented by disturbances in stool and urination. Body temperature rises significantly, causing general malaise.

Very severe pain in the perineum in men is accompanied by the last stages of prostate cancer. In particularly difficult cases, narcotic drugs may be prescribed for pain relief. The cause of suddenly appearing sharp pain in men can be pinched pudendal nerve. The unpleasant sensations subside slightly if the person stands quietly. In a lying and sitting position, during walking and other activities, the pain intensifies. If a nerve is pinched, there may be a feeling of numbness in some part of the thigh. Sharp, severe pain in the perineum in men occurs with any injury:

hematomas;
severe bruises;
gunshot wounds;
subcutaneous muscle ruptures;
stab wounds.

Many nerve endings are concentrated in the perineum of men; when injured, the pain can be very severe, often people even lose consciousness.

In men, pain of this nature appears with chronic urethritis and prostatitis, colliculitis and some other diseases. Patients often describe these sensations as a burning sensation in the perineum. The pain, as a rule, is not very severe, but it is long-lasting and sometimes even permanent. A constant burning sensation in the perineum becomes stronger when a person sits and goes to the toilet. Increased pain in such situations is characteristic of inflammation of the bulbo-urethral gland, i.e. Cooperite. This disease is usually a complication of urethritis. With cooperitis, the burning sensation in the perineum can noticeably intensify if suppuration occurs. You should know that in men, not only diseases of the genitourinary system can be accompanied by pain and burning in the perineum. The following factors can be added to the list of reasons:

various diseases of the rectum: fissures, tumors, paraproctitis, hemorrhoids;
neuralgic pathologies, which include various types of injuries to nerve trunks, disorders of the sacrococcygeal spine;
adhesions in the pelvic area that appeared after surgery or inflammation;
psychosomatic pain;
muscle spasms;
various diseases of the hip joints.

In men, discomfort in the perineal area is in most cases associated with various prostate diseases. Such diseases are accompanied by inflammation and pain. In addition, the cause of unpleasant sensations may be the so-called. pelvic pain syndrome. It appears not only in men, but also in women. This syndrome is accompanied by pain in the lower abdomen. As a rule, they give to the perineum. However, it is not possible to identify signs of any disease in such patients. They are usually given treatment aimed at eliminating symptoms.

If pain in men is accompanied by itching, the reason may be the presence of various fungal diseases, most often thrush. Itching and burning also appear with genital herpes. Similar sensations can occur with a variety of allergic reactions, liver cirrhosis, hepatitis, diabetes mellitus, and genitourinary tract diseases.

Even low-quality synthetic underwear can cause burning and itching.

It causes allergies and creates the so-called. Greenhouse effect. In such conditions, pathogens of a wide variety of infections feel very good. Therefore, it is necessary to refuse synthetic underwear.

Unpleasant sensations in the perineal area very often radiate to the groin. There are many reasons why men may experience such unpleasant symptoms. Most often, pain of this nature appears in those men whose profession involves constant physical activity. Pain in the perineum and groin plagues many athletes. Among the most common options for the appearance of such sensations are:

Hernia - it can form due to weakening of the abdominal tissues under the influence of strong physical exertion. To diagnose the disease, you do not need to conduct any serious examinations; it is enough just to examine the person in a standing position. If the hernia is hidden, it is usually detected by palpation. Another traditional method for diagnosing a hernia is a common cough. It causes a feeling of heaviness in the lower abdomen.
Also a common cause of pain in the perineum and groin are inflammatory processes in the pelvis. Most often they appear due to various types of infections. When affected by pathogenic microorganisms, the lymph nodes enlarge, which is why pain appears.
The cause of discomfort in the groin and perineum in men may be kidney stones. Especially if they are located too low or have already penetrated the urinary tract.
Pain also appears with osteochondrosis of the lumbar vertebrae. In the presence of such a disease, the vertebral discs can compress the nerve endings. Because of this, severe and acute pain appears in the groin area.

If burning and pain in the perineum appear during urination, it is necessary to check for urethritis, prostatitis and colliculitis. Such pain can also appear after various injuries, surgery, or as a result of exposure to sexually transmitted diseases. If discomfort appears or intensifies while walking, the cause may be fractures, bruises and other injuries to the tailbone. In men, difficulties while walking, accompanied by pain in the perineal area, appear with inflammation of the testicles and/or their appendages, with hydrocele.

Often, pain in the groin, testicles and perineum appears during or after sexual intercourse. This may be evidence of the presence of varicocele, i.e. varicose veins of the spermatic cord and testicle. Such pains are not too intense. They may intensify at rest and subside when walking. Usually the pain goes away within a few minutes. In some cases, they can cause discomfort for several hours. At some point, the sensations disappear on their own. Prostatitis can also cause discomfort in the perineum during sex.

Remember that any pain, burning sensation and other unpleasant and unnatural sensations are a sign that something is wrong with the body. There is no need to try to ignore these phenomena. It is better to analyze the situation in detail and seek help from a doctor as quickly as possible so that he can prescribe the necessary tests, conduct examinations and develop a suitable treatment program. Men with pain in the perineal area should first consult a proctologist or urologist. In some situations, you have to additionally communicate with a dermatologist and/or oncologist. Listen to your body and respond to its signals in a timely manner, because untimely treatment can lead to the development of very serious complications. Be healthy!

Pain in the perineum is a fairly common symptom that can occur in both women and men, regardless of age. In the vast majority of cases, such a symptom indicates the occurrence of some disease of the genitourinary system. It follows from this that sources for both sexes can be both general and individual.

Most often, in addition to pain, the clinical picture consists of such manifestations as discomfort while walking or sitting for long periods of time, itching and burning in the problem area, as well as disruption of the urination process.

The clinician will be able to make the correct diagnosis and find out the cause only after studying the results of laboratory and instrumental examinations. Treatment is dictated by the predisposing factor, but is often based on conservative techniques.

The most common causes of pain in the perineum are the course of one or another disease that affects the genitourinary system, which has a different structure in men and women, therefore the sources of such a symptom will be divided into several groups.

prolonged effects on the body of low temperatures;
injury or injury to the perineum;
diseases affecting the skin, in which boils, condylomas or papillomas form;
pathologies of the gastrointestinal tract, in particular, the formation of hemorrhoids of external and internal localization, proctitis and paraproctitis, as well as anal fissures;
chronic pelvic pain syndrome;
poor nutrition;
traumatic sexual contact;
some STDs, such as gonorrhea or trichomoniasis;
urolithiasis disease;
previous surgical interventions on the genitourinary system;
malignant neoplasms or cancer metastasis;
poor nutrition;
osteochondrosis;
helminthic infestation;
intestinal obstruction;
inguinal hernia;
inflammation of the inguinal lymph nodes.

Perineal pain in men can also be caused by the following predisposing factors:

acute or chronic form of prostatitis;
the occurrence of an inflammatory process in the urethra, testicles or seminal tubercle;
abscess or prostate cancer;
pinching of the pudendal nerve;
prostate adenoma and cysts;
cystic neoplasms in the testicle, epididymis or spermatic cord;
the presence of epididymitis or orchiepididymitis;
vesiculitis;
injury to the scrotum or penis;
testicular torsion;
enlargement of the veins of the testicle, which is also called varicocele.

Pain in the perineum in women is caused by the following reasons:

ectopic pregnancy;
inflammation of the fallopian tubes or vagina;
rupture of an ovarian cyst - in this case, pain will be felt not only when walking, but also during or after sex, or in cases of prolonged sitting. Pain can be localized on both the left and right, which indicates an affected ovary;
endometriosis;
cystitis;
cancer of the uterus;
gynecological diseases that disrupt the normal microflora of the vagina;
varicose veins of the perineum.

Endometriosis is a possible cause of perineal pain in women

In addition, a similar symptom in females can occur during menstruation or during pregnancy.

Separately, it is worth noting about pain in the perineum during pregnancy. Depending on the time of occurrence, this symptom appears:

before childbirth– pain indicates that the woman will become a mother in the next few days, and the baby is very close to the birth canal. Despite the fact that pain in the perineum before childbirth cannot be called normal, it is not a cause for concern;
directly during pregnancy– often occurs around the 35th week of intrauterine development of the fetus, since from this period the female body prepares for labor, namely, the hip bones move apart. In addition, a similar symptom is expressed if the sciatic nerve is compressed. However, not in all situations such a symptom is considered normal - pain in the perineum in the early stages acts as an alarming signal indicating the likelihood of miscarriage;
after the baby is born- is also considered a normal, but unpleasant consequence of labor. Very often, childbirth leads to various injuries, ruptures and other phenomena. Often, pain in the perineum after childbirth goes away on its own a few days after the baby is born.

Depending on the predisposing factor, pain in the perineal area in men and women is divided into:

primary– formed against the background of various neurological disorders or direct trauma to this area;
secondary– is such if it irradiates with damage to other internal organs, for example, the prostate, uterus or bladder.

By origin, a similar symptom occurs:

visceral– the main cause is irritation of nerve endings localized directly in the organs of the genitourinary system;
psychogenic– often occurs in the absence of a particular illness, in individuals with certain character traits, or as the body’s response to a stressful situation;
neurogenic– develops when nerve tissue is damaged in this area.

Depending on the nature of the manifestation, there are the following types of pain syndrome:

nagging pain in the perineum - may indicate an oncological process;
bursting pain – very often experienced by women during vaginitis. Pain of the bursting type is also present shortly before childbirth;
sharp pain in the perineum - caused by urolithiasis and cystitis, bruises and hematomas;
shooting pain;
dull pain in the perineum - often develops due to inflammation of the organs located in this area;
aching pain - most often occurs against the background of urological problems, which means that it is typical for men. In women, aching pain is associated with stretching or swelling of the birth canal.

According to the duration of the expression, they are distinguished:

acute pain in the perineum - bothers a person for several minutes or hours, but not more than a day;
chronic pain in the perineum - is such if it is mild and has been present for three or more months.

The clinical picture that complements perineal pain in men and women will differ depending on what disease caused the main symptom. It follows that the symptoms will be individual in nature.

However, it is worth highlighting the most common symptoms:

spread of pain to the lumbar area, lower abdomen and pelvic area;
frequent and painful urge to urinate, including at night;
a feeling of cutting and burning during emptying of the bladder;
itching in the perineum;
periodic or constant pathological discharge from the vagina or urethra, which may have a specific color and smell;
the presence of impurities of pus or blood in urine or semen;
false urge to defecate;
feeling of a foreign object in the rectum;
increase in body temperature;
enlargement of the affected testicle;
increased intensity of pain during sex or physical activity;
significant redness of the penis or labia;
feeling of incomplete emptying of the bladder.

Only a clinician can find out the cause of pain in the perineum. For an initial consultation, you should go to a therapist, who, after conducting an initial diagnosis, can refer the patient for additional examination to the following specialists:

urologist;
gynecologist;
oncologist;
surgeon;
proctologist;
obstetrician-gynecologist - if there is pain in the perineum during pregnancy;
pediatrician - in rare cases of the appearance of a similar symptom in children.

Such doctors will prescribe specific laboratory and instrumental examinations, but the basis of the primary diagnosis will be:

Cystography in men

It must be remembered that the list of diagnostic procedures can be expanded depending on which specialist the patient is referred to.

To relieve cutting, stabbing, bursting and other types of pain in the perineal area, conservative methods are used, including:

taking antibacterial and anti-inflammatory drugs, using rectal suppositories and local ointments;
use of traditional medicine recipes;
physiotherapeutic procedures, in particular microwave, laser therapy and magnetic therapy;
diet therapy - to avoid the development of complications from certain diseases.

Almost all therapeutic methods are prescribed by the attending physician individually for each patient. The only exception is folk remedies, which involve the implementation of sitz baths with the addition of:

chamomile and calendula;
potassium permanganate and soda;
oak and yarrow bark;
flax seeds and horse chestnut;
St. John's wort and elderberry;
lingonberry and hop leaves.

The main indications for surgical intervention are the detection of oncological formations or cystic tumors, urolithiasis and the ineffectiveness of conservative therapy.

Pain in the perineum during pregnancy requires careful monitoring by the attending physician when using medications and traditional recipes. The operation, if necessary, is performed only after the child is born.

To prevent people from having problems with perineal pain, it is recommended:

lead an active and healthy lifestyle;
avoid hypothermia;
engage in protected sex to prevent STDs;
eat properly and balanced;
If possible, avoid perineal injuries and stressful situations;
ensure early diagnosis, timely and comprehensive treatment of all diseases that can lead to the appearance of such a symptom - for this you should undergo a full medical examination several times a year.

As for the prognosis of pain in the perineum, it will completely depend on the disease of the genitourinary system that acted as the etiological factor. Seeking qualified help at the first manifestation of such a sign greatly increases the chances of a favorable outcome.

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.