There is a popular opinion that such symptoms appear exclusively in the fair sex - this is not at all the case! Any man can experience this kind of pain with a variety of diseases.
The most common cause in this case is prostatitis. In the process of the development of the disease, a special gland is inflamed, which is present in the body of the stronger sex and is responsible for the synthesis of spermatozoa. Inflammation here is almost always caused by infections and often occurs in a chronic rather than acute form. In addition to pain in the perineum, the patient experiences problems with erection, discomfort during urination, constant urge for small needs, in some cases there is fever and even chills.
The second in the frequency of cases of the formation of similar symptoms is considered to be an abscess of the prostate gland - an organic accumulation of pus in the aforementioned organ. Usually abscesses are the result of undertreated prostatitis. It is almost impossible to cure this condition with conservative therapy: mandatory surgical intervention is necessary.
In addition to the above reasons, pain in the perineum in men can cause:
In the female half of the population, pain in the perineum is caused by a wider list of causes.
At some stages of fetal development, a pregnant woman may experience pain in the perineum - most often this is caused by physiological causes, but in some cases this symptom shows negative trends in the body of the expectant mother.
In the last weeks before childbirth, this kind of pain is physiologically justified: the fetus has reached maximum size and moves towards the exit, expanding the hip joints, which in turn gives off sharp pains in the perineum and even the legs. However, this kind of symptom in the early stages of pregnancy usually indicates a threatened miscarriage - so you should urgently contact your doctor and inform him about your symptom.
The cause of unpleasant pain in the perineum in women can also be varicose veins in this area, loosening of the ligaments. After childbirth, this symptom accompanies the fair sex for some time after delivery, especially if there are problems with the healing of sutures after ruptures.
This symptom usually occurs with a variety of chronic diseases of a wide spectrum. It is long, but has medium and low intensity, rolls in waves and can have a continuous cycle even for several days.
A dangerous symptom indicating that the cause (disease) has passed into an acute phase. In this situation, internal damage to organs is possible, as well as a variety of hemorrhages, up to immediate hospitalization.
This type of pain is often caused by a variety of female ailments, and especially inflammatory processes in the vagina and fallopian tubes and erosion of the cervix. This symptom, among other things, in women is accompanied by poor-quality discharge.
Usually such a syndrome is caused by hematomas, oncological diseases, acute stages of prostatitis, purulent structures. The symptom is greatly enhanced during defecation and urination, the temperature rises, stool retention is observed, and sometimes fainting.
Elena Malysheva about pain in the perineum.
Self-treatment can only aggravate the problem and accelerate the development of the disease. Majority possible causes the above negative condition can only be eliminated surgically. Do not waste time and go to the doctor!
Under the perineum, perineum, in the narrow sense of the word, is meant the area of tissue between the anterior edge of the anus and the posterior edge of the external genital organs or parts (the root of the scrotum in men, the posterior edge of the genital fissure in women).
In topographic anatomy, the perineum is called the exit area of the small pelvis. The area is occupied by the external genital organs and the anal part of the rectum. The crotch area has a diamond shape; in front, it extends to the lower edge of the pubic symphysis, behind - to the top of the coccyx and is limited on the sides by the pubic and ischial bones and sacrotuberous ligaments, ligg. sacrotuberalia, separated from the thigh by a femoral-perineal fold.
Perineal region, regio perinealis. forms the bottom of the pelvis, thereby closing the exit from the latter, and is divided into the anterior, smaller, urogenital region, regio urogenitalis, and the posterior, large, anal region, regio analis. The exit from the cavity of the small pelvis is closed by muscles, fascia, fat and skin, which are located differently in each part of the perineum. A slightly convex anterior line connecting the right and left ischial tuberosities is the border of these two areas. Located along the mid-sagittal line, the skin fold, suture, raphe, perineum, as it were, divides the skin of this area into the right and left halves. In the urogenital region, regio urogenitalis, are the external genitalia, the urethra and the urogenital diaphragm, diaphragma urogenitale. The urethra passes through the urogenital diaphragm in men, and the urethra and vagina in women.
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 irritations from the prostate gland and the posterior urethra are transmitted through the sacral nerves. Localization of pain - in the perineum, rectum.
When 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 has been torn or cut during an episiotomy and then sutured.
3. In acute urethritis, pains are sharp and painful, in chronic they are less strong and are perceived as a burning sensation. The pain may not be associated with the act of urination and may be permanent - this usually happens with colliculitis (i.e., inflammation of the seminal tubercle in the posterior urethra). Pain in diseases of this part of the urethra is localized in the perineum.
4. Pain in the perineum is characteristic of diseases of the prostate gland. In acute prostatitis, the pains are sharp, pulsating, and radiate to the anus, sacrum, and glans penis. In chronic prostatitis, the pain is not intense, long-lasting and has a pulling character.
5. Abscesses (abscesses) occur more often in isolation in one lobe of the prostate gland, while pain is most disturbing on the affected side. Almost always the chair is delayed, the gases do not go away, urination is difficult. In the stage of active formation of an abscess, there are severe pains in the perineum, radiating to the sacrum, inner thighs, rectum with high temperature body.
6. Inflammation of the bulbous urethral gland (couperitis) 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 during its inflammation is not disturbed, then the patient feels moderate pain in the perineum, especially in the sitting position and during the act of defecation.
If the outflow of the secret is difficult, suppuration of the gland occurs, the pain in the perineum and at the root of the penis increases sharply, the body temperature rises, and there may be chills.
7. Traumatic injuries of the urethra and prostate:
- Closed injuries of the urethra occur most often as a result of the direct impact of a traumatic force on the urethra (fracture of the pelvic bones, falling on the perineum, forced insertion of a metal catheter, bougie or cystoscope, birth trauma, prostate surgery, etc.). Distinguish 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 ineffectual urge to urinate, hyperdistension Bladder, hematoma and urinary streaks on the perineum, scrotum, thighs.
- Open injuries of the urethra are divided into isolated and combined (gunshot, stab, cut, bruised, torn, bitten). Stab wounds are localized in the perineum, and the penis is also damaged. Incised wounds can be complete or incomplete, and bite wounds damage mainly the spongy part of the urethra and the penis. These injuries are manifested by acute urinary retention, frequent urination, urethrorrhagia, pain in the perineum and lower abdomen, enlargement of the bladder, urine discharge from the wound during urination.
- Among the closed injuries of the prostate gland and seminal vesicles, bruises and ruptures are distinguished, which often occur with fractures of the ischial bones, a strong blow to the perineum, a fall on a hard object, as well as forced or incorrect introduction of metal catheters, bougie, 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, hemospermia.
- Among the open injuries of the prostate gland and seminal vesicles, bruises, tangential, blind and penetrating wounds are distinguished. The most common are gunshot and stab wounds, usually combined. Patients complain of pain in the perineum, urethrorrhagia and dysuria. There may be tamponade of the bladder with blood clots, urinary infiltration, excretion of urine through the rectum or perineum. The diagnosis is established on the basis of anamnesis, clinical picture, results of rectal examination, urethrography. Treatment consists in the primary surgical treatment of the wound, stopping bleeding, removing foreign bodies and hematomas.
8. Perineal tears during childbirth
Scar tissue resulting from 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 intercourse for about three more months.
9. Infringement of the pudendal nerve, which can occur suddenly or develop over time. Long sitting, cycling. repetitive movements and leg exercises can lead to pudendal nerve entrapment.
Some people have mostly rectal pain sometimes with bowel problems. In others, pain in the perineum or genitals predominates. Symptoms may include stabbing, cramping, or burning pain, tingling, numbness, or hypersensitivity. Usually the symptoms are worse when sitting and better when standing or lying down. There may be a feeling that a person is sitting on a tubercle.
10. With prostate cancer, pain in the perineum is observed, which can radiate to the sacrum, lower back and thighs.
Are you experiencing pain in the perineum? Do you want to know more detailed information or do you need an inspection? You can book an appointment with a doctor Eurolaboratory always at your service! The best doctors will examine you, study the external signs and help identify the disease by symptoms, advise you and provide the necessary assistance. you also can call a doctor at home. Clinic Eurolaboratory open for you around the clock.
How to contact the clinic:
Phone of our clinic in Kyiv: (+38 044) 206-20-00 (multichannel). The secretary of the clinic will select a convenient day and hour for you to visit the doctor. Our coordinates and directions are indicated. Look in more detail about all the services of the clinic on her.
(+38 044) 206-20-00
If you have previously performed any research, be sure to take their results to a consultation with a doctor. If the studies have not been completed, we will do everything necessary in our clinic or with our colleagues in other clinics.
Do you have pain in your perineum? You need to be very careful about your overall health. People don't pay enough attention disease symptoms 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 disease symptoms. Identifying symptoms is the first step in diagnosing diseases in general. To do this, you just need to several times a year be examined by a doctor not only to prevent a terrible disease, but also to maintain a healthy spirit in the body and the body as a whole.
If you want to ask a doctor a question, use the online consultation section, perhaps you will find answers to your questions there and read self care tips. If you are interested in reviews about clinics and doctors, try to find the information you need on. Also register on the medical portal Eurolaboratory to be constantly up to date latest news and updates of information on the site, which will be automatically sent to you by mail.
The symptom map is for educational purposes only. Do not self-medicate; For all questions regarding the definition of the disease and how to treat it, contact your doctor. EUROLAB is not responsible for the consequences caused by the use of the information posted on the portal.
If you are interested in any other symptoms of diseases and types of pain, or you have any other questions and suggestions - write to us, we will definitely try to help you.
Crotch- This is a diamond-shaped zone between the anus and the 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 reflected pain (i.e., arising in women in a different place, the pain radiates to the perineum).
When making a diagnosis, the physician Special attention characteristics of pain sensations, establishing their type:
In women, the causes of such a condition as pain in the perineum include disorders:
Acute sharp pain in the perineum in women, which is associated with gynecological problems, may be the result of:
Pain in the perineum in women It is also 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.
Drawing 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 can normally be seen in postpartum period, at ovulation.
Such pains are prone to spontaneous decrease in intensity.
Ovulatory pain can be unilateral.
For example, pain in the right perineum in women for 2 to 3 days in the middle of the menstrual cycle.
Pain in the last weeks of pregnancy is 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 noted if the 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 increase immediately before childbirth.
In the postpartum period, perineal pain is experienced by almost all women who have given birth.
More intense symptoms are associated with trauma during childbirth, less intense - with edema, overstretching of tissues.
Tears, suturing lengthen the period of pain persistence.
Chronic pelvic pain syndrome in women
With this syndrome, persistent pain in the lower abdomen is given to the groin and perineum.
At the same time, 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 such pathologies 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.
In the perineum, itching, heat, and fullness may be felt.
Vulvovaginal pain
Vulvovaginal pain that can radiate to the perineum includes:
coccygodynia
Coccygodynia 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 a spasm of the muscles of the perineum.
Forces patients to use special soft pillows if prolonged sitting is necessary.
A woman may experience such unpleasant sensations in the perineum as itching, burning of the perineum, a crack, a feeling of fullness, pressure, acute or It's a dull pain. There are many pathological changes in the body that cause these symptoms. Also, discomfort in the perineal region in certain cases may be the norm.
During pregnancy up to 20 weeks, a woman's perineal discomfort should be an alarming factor, as it may signal the possibility of a miscarriage. Especially if discomfort is accompanied by spotting. During this period, the fetus is still quite small and its movements are in no way perceptible by a woman. Therefore, any mechanical effect of the fetus on the perineum is excluded.
After 20 weeks, the baby in the womb grows and develops intensively. The mobility of the arms and legs become more active and stronger. The movement of the baby is most often the cause of 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 can increase significantly. The reason is a rather large volume and weight of the fetus, which presses on internal organs, muscles and bones of a woman. Heaviness in the perineal area is especially aggravated in last days before childbirth, 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, an infringement of the sciatic nerve can occur, which is often the cause of severe pain. Doctors recommend enduring this discomfort without the use of treatment. After giving birth, everything is back to normal.
The most common cause of discomfort in the perineum in women is postpartum trauma:
Sexual life doctors recommend starting 2 months after complicated birth. Resuming intimate relationships with a partner earlier can cause infection to enter unhealed wounds. This leads to a recurrence of inflammation of the tissues of the perineum.
A woman who has given birth may experience discomfort, a burning sensation and discomfort for some time, until the wounds completely heal and the stretched muscles and ligaments recover. In the normal course of this process, inflammation of the perineum goes away.
Itching, burning, discomfort of the perineum of women can be caused by such inflammatory diseases:
It is important to pay special attention to the fact that such a 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 see a doctor to find out the true reasons, which may be:
The genital (pudendal) nerve is located in the perineum and provides a connection between the organs and tissues of the small pelvis with the central nervous system. Its infringement causes an unexpected sharp pain attack in the perineum when walking, sitting or lying down. At rest, it disappears. When the pudendal nerve is infringed, the pain can pass to the inner surface of the thighs and be accompanied by their numbness, sometimes there is numbness of the genital organs, 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 the method of blockade of the pudendal nerve. The final diagnosis is made if, after the procedure, the pain symptoms in the perineum decrease, and general state the patient is improving. Treatment is medical. When it is ineffective, one has to resort to surgical intervention.
To skin diseases of the perineum is a fungus. Illness causes severe itching and burning in the affected area. Appears on initial stages in the form of red spots with a clear border. The disease often develops due to non-compliance with the rules of personal hygiene. Elementary, a person suffering from mycosis of the feet can transfer the infection with his hands or a towel to the groin area.
Interesting video:
Perineal fungus can develop in very obese people. The 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 is able to go away on its own without special treatment.
Depending on the cause of the pain:
Depending on the origin of the pain:
Depending on the characteristics of pain:
Depending on duration:
Depending on the type of pain:
For acute or chronic prostatitis:
For urethritis, or inflammation of the urethra:
With cuperitis, or inflammation of the bulbous - urethral gland:
With colliculitis, or inflammation of the seminal tubercle - in men:
For acute orchitis:
With vaginitis, or colpitis, - inflammation of the vagina:
With bartholinitis, or inflammation of the glands of the vestibule of the vagina, in women:
For perineal injury:
history of trauma:
With infringement of the genital / pudendal nerve:
For prostate abscess:
For prostate cancer:
With boils (furunculosis):
For hemorrhoids:
For rectal fissures:
For proctitis (inflammation of the rectum):
With paraproctitis (inflammation of the fiber that surrounds the rectum):
For chronic pelvic pain syndrome:
Under the perineum, perineum, in the narrow sense of the word, is meant the area of tissue between the anterior edge of the anus and the posterior edge of the external genital organs or parts (the root of the scrotum in men, the posterior edge of the genital fissure in women).
In topographic anatomy, the perineum is called the exit area of the small pelvis. The area is occupied by the external genital organs and the anal part of the rectum. The crotch area has a diamond shape; in front, it extends to the lower edge of the pubic symphysis, behind - to the top of the coccyx and is limited on the sides by the pubic and ischial bones and sacrotuberous ligaments, ligg. sacrotuberalia, separated from the thigh by a femoral-perineal fold.
Perineal region, regio perinealis. forms the bottom of the pelvis, thereby closing the exit from the latter, and is divided into the anterior, smaller, urogenital region, regio urogenitalis, and the posterior, large, anal region, regio analis. The exit from the cavity of the small pelvis is closed by muscles, fascia, fat and skin, which are located differently in each part of the perineum. A slightly convex anterior line connecting the right and left ischial tuberosities is the border of these two areas. Located along the mid-sagittal line, the skin fold, suture, raphe, perineum, as it were, divides the skin of this area into the right and left halves. In the urogenital region, regio urogenitalis, are the external genitalia, the urethra and the urogenital diaphragm, diaphragma urogenitale. The urethra passes through the urogenital diaphragm in men, and the urethra and vagina in women.
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 irritations from the prostate gland and the posterior urethra are transmitted through the sacral nerves. Localization of pain - in the perineum, rectum.
When 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 has been torn or cut during an episiotomy and then sutured.
3. In acute urethritis, pains are sharp and painful, in chronic they are less strong and are perceived as a burning sensation. The pain may not be associated with the act of urination and may be permanent - this usually happens with colliculitis (i.e., inflammation of the seminal tubercle in the posterior urethra). Pain in diseases of this part of the urethra is localized in the perineum.
4. Pain in the perineum is characteristic of diseases of the prostate gland. In acute prostatitis, the pains are sharp, pulsating, and radiate to the anus, sacrum, and glans penis. In chronic prostatitis, the pain is not intense, long-lasting and has a pulling character.
5. Abscesses (abscesses) occur more often in isolation in one lobe of the prostate gland, while pain is most disturbing on the affected side. Almost always the chair is delayed, the gases do not go away, urination is difficult. In the stage of active formation of an abscess, there are severe pains in the perineum, radiating to the sacrum, inner thighs, rectum with high body temperature.
6. Inflammation of the bulbous urethral gland (couperitis) 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 during its inflammation is not disturbed, then the patient feels moderate pain in the perineum, especially in the sitting position and during the act of defecation.
If the outflow of the secret is difficult, suppuration of the gland occurs, the pain in the perineum and at the root of the penis increases sharply, the body temperature rises, and there may be chills.
7. Traumatic injuries of the urethra and prostate:
- Closed injuries of the urethra occur most often as a result of the direct impact of a traumatic force on the urethra (fracture of the pelvic bones, falling on the perineum, forced insertion of a metal catheter, bougie or cystoscope, birth trauma, prostate surgery, etc.). Distinguish 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 ineffectual urge to urinate, overdistension of the bladder, hematoma and urinary streaks on the perineum, scrotum, thighs.
- Open injuries of the urethra are divided into isolated and combined (gunshot, stab, cut, bruised, torn, bitten). Stab wounds are localized in the perineum, and the penis is also damaged. Incised wounds can be complete or incomplete, and bite wounds damage mainly the spongy part of the urethra and the penis. These injuries are manifested by acute urinary retention, frequent urination, urethrorrhagia, pain in the perineum and lower abdomen, enlargement of the bladder, urine discharge from the wound during urination.
- Among the closed injuries of the prostate gland and seminal vesicles, bruises and ruptures are distinguished, which often occur with fractures of the ischial bones, a strong blow to the perineum, a fall on a hard object, as well as forced or incorrect introduction of metal catheters, bougie, 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, hemospermia.
- Among the open injuries of the prostate gland and seminal vesicles, bruises, tangential, blind and penetrating wounds are distinguished. The most common are gunshot and stab wounds, usually combined. Patients complain of pain in the perineum, urethrorrhagia and dysuria. There may be tamponade of the bladder with blood clots, urinary infiltration, excretion of urine through the rectum or perineum. The diagnosis is established on the basis of anamnesis, clinical picture, results of rectal examination, urethrography. Treatment consists in the primary surgical treatment of the wound, stopping bleeding, removing foreign bodies and hematomas.
8. Perineal tears during childbirth
Scar tissue resulting from 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 intercourse for about three more months.
9. Infringement of the pudendal nerve, which can occur suddenly or develop over time. Long sitting, cycling. repetitive movements and leg exercises can lead to pudendal nerve entrapment.
Some people have mostly rectal pain sometimes with bowel problems. In others, pain in the perineum or genitals predominates. Symptoms may include stabbing, cramping, or burning pain, tingling, numbness, or tenderness. Usually the symptoms are worse when sitting and better when standing or lying down. There may be a feeling that a person is sitting on a tubercle.
10. With prostate cancer, pain in the perineum is observed, which can radiate to the sacrum, lower back and thighs.
Are you experiencing pain in the perineum? Do you want to know more detailed information or do you need an inspection? You can book an appointment with a doctor Eurolaboratory always at your service! The best doctors will examine you, study the external signs and help identify the disease by symptoms, advise you and provide the necessary assistance. you also can call a doctor at home. Clinic Eurolaboratory open for you around the clock.
How to contact the clinic:
Phone of our clinic in Kyiv: (+38 044) 206-20-00 (multichannel). The secretary of the clinic will select a convenient day and hour for you to visit the doctor. Our coordinates and directions are indicated. Look in more detail about all the services of the clinic on her.
(+38 044) 206-20-00
If you have previously performed any research, be sure to take their results to a consultation with a doctor. If the studies have not been completed, we will do everything necessary in our clinic or with our colleagues in other clinics.
Do you have pain in your perineum? You need to be very careful about your overall health. People don't pay enough attention disease symptoms 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 disease symptoms. Identifying symptoms is the first step in diagnosing diseases in general. To do this, you just need to several times a year be examined by a doctor not only to prevent a terrible disease, but also to maintain a healthy spirit in the body and the body as a whole.
If you want to ask a doctor a question, use the online consultation section, perhaps you will find answers to your questions there and read self care tips. If you are interested in reviews about clinics and doctors, try to find the information you need on. Also register on the medical portal Eurolaboratory to be constantly up to date with the latest news and information updates on the site, which will be automatically sent to you by mail.
The symptom map is for educational purposes only. Do not self-medicate; For all questions regarding the definition of the disease and how to treat it, contact your doctor. EUROLAB is not responsible for the consequences caused by the use of the information posted on the portal.
If you are interested in any other symptoms of diseases and types of pain, or you have any other questions and suggestions - write to us, we will definitely try to help you.
The perineum is the area between the anus (anus) and the external genital organs, these are soft formations, fascia and muscles located between the bones of the pubis, the upper part of the coccyx and ischial tubercles. The perineum in men and women differs little in shape and has a diamond shape, but in size in men the perineum is longer. In women, the perineum serves as a support for the pelvic organs, forming the pelvic floor.
Pain in the perineum can be constant or short-term, situational, occurring in certain circumstances, for example, during intercourse or when emptying the bowels. Pain in the perineal region can be acute, aching or very subtle.
Often, pain syndromes can spread to the lower abdomen, to the coccyx or pubis. The causes of pain in this area may be the following: changes in the hormonal background of the body, hypothermia of the body with a weakened immune system, prolonged or uncontrolled intake of certain medicines eg antibiotics, sexually transmitted infections.
Pain can occur at the time of exacerbation of prostatitis and be so strong and sharp that it can be given to the sacrum or the head of the penis. Chronic prostatitis occurs with less pronounced, but more prolonged pain. Sharp and severe pain in the perineum may be a manifestation of a prostate abscess.
Of course, any pain in the perineum that has arisen should serve as a reason for an immediate appeal to a specialist in order to determine the cause of the pain in a timely manner and get rid of it. If there is pain in the perineum, abdomen, groin, penis, burning sensation and pain in the urethra, characteristic discharge from the genital tract, men should contact a urologist, and women a gynecologist.
Doctors will prescribe further examination: ultrasound (ultrasound), smears from the urethra and vagina, and prescribe complex treatment. If the symptoms are neglected, the disease can quickly turn into a chronic form, which is treated with great time and financial costs.
The first and most common cause of pain in the perineum should be called inflammation of the prostate gland. This disease is predominantly found in middle-aged men.
The reasons for its occurrence include:
With this disease, pain is characterized by localization in the perineum, rectum.
Also, the cause of pain in the perineum in men can be acute urethritis. With the above disease pain are sharp and painful, in its chronic form they are not so strong and similar to a burning sensation. Arising pains with urethritis find their localization in the perineum.
Among other causes of pain in the perineum, one can single out: traumatic injuries of the urethra and prostate gland, which occur as a result of a fracture of the pelvic bones, bruises, wounds, falls, operations on the prostate gland; infringement of the pudendal nerve, which is the result of prolonged sitting, cycling; prostate cancer.
In women, pain in the perineum can be observed in the following cases:
Pain in the perineum can be observed in diseases of the rectum - its inflammation, hemorrhoids, cracks. Pain in this zone appears with furunculosis, herpetic eruptions, papillomatosis in the anogenital region.
In some cases, chronic pelvic pain syndrome occurs, the causes of which remain unclear. Treatment in this case is aimed at correcting the symptoms of the disease. If pain of any nature and intensity appears in the perineum, you should immediately consult a doctor.
Basically, pain in the perineum during pregnancy appears after the thirty-fifth week of pregnancy. And this is normal, because such pains are harbingers of an early delivery. What happens in the body? The child begins to move forward a little (the stomach drops), thus pressing on the nerve endings, muscles and ligaments, which causes pain.
In addition, the pelvic bones continue to diverge, preparing a place for the passage of the child, and the ligaments do not keep up with them, which can also cause pulling or shooting pain in this area. The perineum often hurts during pregnancy when the sciatic nerve is pinched. At the same time, the woman experiences discomfort in any position.
It is difficult for her to get out of bed or roll over to the other side, take a sitting position. The pain may increase with walking. Unfortunately or fortunately, in this case, doctors do not prescribe treatment, but rather advise to wait until it goes away on its own. The only exception is unbearable pain, which can be the cause of a cold or inflamed nerve. In any case, a doctor's consultation will not be superfluous.
If the perineum hurts during pregnancy in the earlier stages, you should definitely contact a gynecologist. After all, such pain may indicate a threat of miscarriage, and therefore it is better to play it safe.
