Discomfort between the legs. Why does it hurt there? Pain in the perineum and genitals requires treatment. Sharp pain in the perineum

18.09.2020

The perineum is understood as the area that is located between the external genital organs and the anus. It includes soft formations, muscles, fascia, which are located between top coccyx, ischial tuberosities. The crotch of a man and a woman almost does not differ in shape, it is in the form of a rhombus. 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 permanent pain in the perineum, situational, which occur under certain circumstances (during sexual intercourse, during bowel movements). They can be acute, aching, or almost invisible.

Often the symptoms of pain can radiate to the pubic coccyx, lower abdomen. The occurrence of pain in these places is associated with a change in the hormonal background, a weakening of the immune defense, prolonged or uncontrolled intake medicines(antibiotics). With exacerbations of prostatitis, pain can also occur, which in this case are strong, acute, and radiate to the head of the penis, the sacrum. Chronic forms of this disease are also characterized by the appearance of similar unpleasant sensations, which are of lesser intensity, but of greater duration. Pain in the perineum is the main symptom of a prostate abscess.

Pain in the perineum in women

Pain in the perineum can be provoked by inflammatory diseases of the urethra. With urethritis, the pain syndrome is weak and subtle (in the initial stages of the disease) and very intense (in chronic forms). Pain can be prolonged and complicated by colliculitis, an inflammatory process of the seminal tubercle, which is located in the posterior region. urethra. Pain occurs due to mechanical damage and perineal area during the passage of stones, bruises.

Pain in the perineum in pregnant women

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

During childbirth, pain often occurs, which is associated with a traumatic effect on the muscles of the pelvic floor. Often there are gaps due to the passage of the baby's head through the birth canal of the mother, the impact of the movement of the child on pelvic muscles which have reduced elasticity. In some cases, the pain disappears after childbirth.

Treatment of pain in the perineum

Detection of pain in the perineum of any intensity should lead to immediate medical attention. He will establish the source and prescribe the appropriate treatment. The following methods are used for diagnostics: ultrasound procedure, smear from the vagina or urethra. With ruptures after childbirth, surgical methods are necessary - suturing the wound of the perineum.

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

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 genitalia or parts (the root of the scrotum in men, the posterior edge of the genital slit 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 occur differently in each part of the perineum. The 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.

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 - about 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 be aggravated in cases where the perineum has been torn or cut during an episiotomy and then sewn up.

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 stage active formation 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 secretion 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, fall 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, strong blow in the perineum, falling 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.

Which doctors to contact if there is pain in the perineum

Obstetrician-gynecologist
Proctologist
Urologist
Oncologist

The perineum is a collection of pelvic floor muscles that closes the exit from the small pelvis. The area of the perineum is located between the anus and the posterior edge of the entrance to the vagina in women, the edge of the scrotum in men. The area of the perineum in a woman captures the urinary tract, anus and vagina.

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 region in certain cases may be the norm.

Pregnancy

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 puts pressure on the internal organs, muscles and bones of a woman. Heaviness in the perineal area is especially aggravated in the 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.

Birth injuries of varying degrees

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

external perineal tissue ruptures in the process of passage through the birth canal of the baby's head. The reason for this may be insufficient elasticity of the muscles of the perineum or a very fast delivery. Hygienic procedures, urination is accompanied by burning of the perineum.
forced incisions of the muscles of the perineum 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 nulliparous women. The opening of the cervix takes longer for them, the muscles of the vagina are inelastic. Attempts can begin with incomplete disclosure, which results in ruptures and cracks in the tissues, causing pain and burning of the entire perineal area.

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.

Infectious and inflammatory diseases

Itching, burning, discomfort of the perineum of women can be caused by such inflammatory diseases:

colpitis (vaginitis) - inflammation of the walls of the vagina is accompanied by pathologically strong discharge and stabbing pains, burning sensation both in the perineum and in the vagina itself.
bartholinitis - inflammation of the glands located at the entrance to the vagina and providing its lubrication. Inflamed and swollen tissues of individual sections of the perineum block the secretion of the glands, which causes stagnation and the formation of pus. The infection passes to the gland itself, an abscess is formed. Burning in the perineum with inflammation of the Bartholin glands occurs when walking, when stool comes out, during intercourse and subsides a few hours after intercourse. All these symptoms are accompanied by fever. Interestingly, the abscess is able to open without treatment on its own. 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 stools (diarrhea or constipation), due to which the excretory passage is injured, there are sharp pains and burning in the perineum. Treatment of rectal fissures primarily consists in the diagnosis and treatment of the underlying disease. To alleviate symptoms, relieve inflammation, and eliminate discomfort, suppositories and laxatives that thin the stool are prescribed.
genital herpes causes characteristic rashes on the genitals. The rash is fluid-filled blisters that burst over time. The sores formed in the perineum after this heal, becoming covered with crusts. With the progression of the disease, there is a burning sensation of the perineum and the area of the rash, severe itching.

Chronic pelvic pain

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 go to the doctor to find out true reasons, which can be:

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

Pudendal nerve entrapment (neuropathy)

The 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 the general condition of the patient improves. Treatment is medical. When it is ineffective, one has to resort to surgical intervention.

Skin diseases

To skin diseases of the perineum is a fungus. The disease causes severe itching and burning in the affected area. It manifests itself in the 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 fat 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.

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

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

Why there is discomfort in the perineum in men and how to remove an unpleasant symptom, the article will tell.

Painful sensations in the intimate area disturb many members of the stronger sex. They arise by different 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 region in men are the following:

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

Also, the cause of discomfort can 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 stopping unpleasant symptoms.

Most often, men have urethritis, prostatitis and adenoma. Pain sensations in different pathologies are slightly different. For example, in acute prostatitis, pain in the perineum is sharp, radiating to the scrotum, penis, bladder area, anus. If the prostatitis is chronic, the discomfort will be insignificant, the pain is pulling, aching, which periodically decreases, then intensifies. Often there is a burning sensation between the legs and itching.

Normal and enlarged prostate (adenoma)

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

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

Orchitis is caused by viruses. Often it develops as a complication after rubella and mumps. With such a disease, the organ increases, the skin of the affected area is hyperemic, pain appears.

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

Hernia is characterized by the occurrence of pain when walking. A malignant neoplasm in the first stages is asymptomatic. But over time, after or during intercourse, burning and pain appear.

The causes of discomfort in the intimate area in men are different. For any discomfort, it is recommended to contact a urologist or venereologist. And it is better to periodically undergo a preventive examination to prevent the development of the disease.

How is the appointment with the doctor?

The sooner the cause of discomfort in the perineum in a man is determined, the more effective the treatment will be, 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. It may include:

blood test;
biopsy;
Analysis of urine;
ultrasound procedure.

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

How is the treatment going?

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

The pain between the legs in men is effectively eliminated with the help of anti-inflammatory drugs, which are taken for a long time.

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 you can not do without surgery.

If pain and cramps in the perineum are caused by infectious, 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

Remove burning sensation in prostate adenoma with suppositories and rectal ointments. If 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 calculus.

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

If the urethra is affected by fungi of the Candida family, the doctor prescribes 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, examines the patient. Refusing to re-diagnose when unpleasant symptoms disappear is not recommended. After all, some fungi, viruses are resistant to antibiotics and, after stopping treatment, become active again.

Prostatitis: how to identify and cure?

Inflammation of the prostate gland is observed in most men after 35 years. Burning and itching with prostatitis occur in the initial stages of the disease due to the narrowing of the urethra. When the disease progresses, additional symptoms appear, the pain syndrome intensifies.

The following are signs that indicate the development of pathology:

itching in the urethra, which becomes worse when urinating;
the appearance of blood clots in the urine;
cloudy urine;
drawing pain in the groin;
hypertension;
decreased potency, libido. If chronic prostatitis is not treated, premature ejaculation, impotence develop;
the feeling that bladder not completely emptied. Also characteristic are imperative urges at night;

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

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

The following methods are used to remove burning sensation with prostatitis and the disease itself:

physiotherapy. The doctor prescribes a prostate massage. For this, special stimulants are used;
microclysters with decoctions of various medicinal herbs. They allow not only to remove 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. Funds are considered auxiliary. They lower blood pressure and relieve the increased tone of the prostate muscles;
biologically active additives. Usually their doctor prescribes for chronic prostatitis. Dietary supplements effectively remove the 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 drugs are used to treat prostate inflammation. But, you should not prescribe any medications yourself, as this is fraught with the development of complications.

Related videos

Urologist, dermatovenereologist possible reasons the occurrence of itching in the groin in men:

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

Table of contents [Show]

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

Pain in the perineum in men occurs with lesions of the pelvic organs and the urogenital area. These diseases include:

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

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

The nature of the pain syndrome in various pathologies

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

At acute urethritis- inflammation of the urethra - the pain is sharp, aggravated by urination. In a chronic process, it is more regarded as a burning sensation along the canal.
Colliculitis- inflammation of the seminal tubercle, which is located in the back of the urethra. In this case, the pain is localized in the perineum and is characterized by a constant aching character. It has nothing to do with urination.
cooperite- Inflammation of the bulbous urethral gland. Very often it is a concomitant pathology with urethritis. If the gland is not clogged, then patients complain of moderate pain. If the outflow of gland secretion is difficult, purulent cooperitis develops. It is accompanied by acute pain localized near the root of the penis. The disease is accompanied by fever and general weakness.
Perineal injury can be of a very different nature - blunt, torn, chipped, cut. Depending on the degree of damage, they can be accompanied by damage to the genitourinary organs - a bruise, tear, rupture, crush, hematomas, urinary streaks, bleeding, acute urinary retention. The clinical picture also depends on the severity. With mild injuries, patients may complain of dull pain in the perineum and lower abdomen, discomfort during urination. If the damage is serious, then the intensity of the pain increases, it becomes acute, painful. Often the pain is accompanied by false urge to urinate, acute urinary retention, hematuria.
Infringement of the pudendal nerve can develop suddenly and be accompanied by sharp pain. Patients complain of pain in the perineum, rectum or genitals, which is aggravated by defecation, prolonged sitting. Often it is accompanied by a convulsive syndrome, a violation of sensitivity in the zone of innervation, a feeling of tingling or crawling.
Prostatitis accompanied by sharp or dull pain, which is aggravated by intercourse and ejaculation.
At malignant tumors of the prostate the pain syndrome is shown, as a rule, at late stages of development of a disease. Pain localized in the perineum is dull or acute. Its intensity increases with time, often radiating to the spine and hips.
Prostate abscess, proctitis, paraproctitis accompanied by severe pain with severe intoxication syndrome.
At hemorrhoids and its complications, the pain is localized in the anus.

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

A detailed examination of the patient and a study of the medical history will help the doctor make a preliminary diagnosis. In doubtful cases, the patient is shown an additional examination. It will help to establish the exact cause of complaints and begin appropriate treatment. This approach significantly improves the prognosis for the patient even in the most serious situations. Therefore, if you are worried about pain in the perineum, you should not postpone a visit to the doctor.

The arsenal of actions that can be taken for pain in the perineum is not so wide. You can take a non-steroidal anti-inflammatory drug - nurofen, panadol, meloxicam, diclofenac. In most cases, this will only relieve pain, but will not cure the disease. Also before diagnosis can't use folk methods treatment, apply warming compresses and any physiotherapy procedures. This can only aggravate the situation, and sometimes even cause complications. Therefore, consult a doctor as soon as possible. He will be able to adequately assess the situation and prescribe treatment aimed at to eliminate the cause rather than reduce the symptoms.

Summing up, we can draw the following conclusions:

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

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

Introduction

Since the perineum is the location of the external genital organs, the outlet of the urethra (

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

pain in the perineum enough.

The nature of pain in the perineum in various diseasesSharp painSharp, acute pain in the perineum in men are most often associated with acute prostatitis. With this disease, pain can be given to the sacrum, to the head of the penis, to the anus. Acute urethritis also causes severe, sharp pain. This pain is aggravated by urination.

An abscess (suppuration) of the prostate gland is also accompanied by a sharp, severe pain that radiates to the sacrum and rectum. Its unilateral localization is characteristic: it hurts more on the side where the purulent focus is located. The picture of the disease is supplemented by difficult urination, stool retention. Body temperature is significantly increased.

The most severe pain in the perineum is accompanied by the late stages of the development of prostate cancer. To relieve such pain, the patient is prescribed drugs.

Sudden sharp pain in the perineum is characteristic of infringement of the pudendal nerve. Such pain is slightly relieved if the patient is standing still. When walking, as well as in sitting and lying positions, the pain intensifies. A pinched nerve can cause a feeling of numbness in the inner thigh area.

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

Strong, sharp pain occurs with any injury to the perineum:

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

Since a lot of nerve endings are concentrated in the perineal region, the pain during an injury can be so severe that the patient faints.
Drawing, aching pains

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

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

Aching in nature can also be postpartum pain in the perineum associated with swelling and stretching of the birth canal.

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

vaginitis

(colpitis) - inflammation of the mucous membrane of the vagina. These pains are combined with pains in the vagina itself, and with copious discharge from it.

Stitching, rather intense pain in the perineum may be experienced by pregnant women shortly before childbirth.

Pain in the perineal region may be accompanied by the mysterious chronic pelvic pain syndrome. This syndrome can occur in both men and women. The patient experiences pain in the lower abdomen, radiating to the perineum, but no signs of any disease can be detected. Such patients are given symptomatic treatment.

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

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

pregnancy

When the growing fetus begins to sink down, while exerting

pressure

on all surrounding tissues (nerves, muscles, ligaments). It is with a sprain that a woman experiences stabbing pains in the perineum.

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

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

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

Varicose veins of the perineum, which may have existed in a woman even before pregnancy, increase the pain associated with the pressure of a growing fetus.

Pain in the perineum before

is a signal of the imminent onset of childbirth. This pain signals that the child has already come close to the birth canal.

Postpartum pain in the perineum is experienced by almost all women. But the intensity of these pains is different depending on whether during childbirth

(rupture) of the perineum, or it was not.

Pain associated with swelling and stretching of the tissues of the perineum, go away on their own a few days after childbirth.

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

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

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

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

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

Prostatitis can sometimes cause pain in the perineum during intercourse.

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

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

In what cases should men and women with pain in the perineum go to the same doctors, since the pain syndrome is caused by the pathology of the organs that both sexes have.

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

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

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

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

If a woman or a man has a furuncle or growths of genital warts / papillomas in the perineum, then you should contact dermatologist (make an appointment) for their diagnosis, and then to the surgeon to remove them.

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

If a man or woman has pain in the perineal region, felt on the skin, and not in the depths of the tissues, combined with severe itching and swelling, and possibly rashes on the skin, then this indicates an allergic reaction, and in this case, speak to allergist (make an appointment) and a dermatologist. A dermatologist should examine the skin to exclude the presence of any serious disease and confirm the allergic nature of pain and pathological changes in the skin.

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

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

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

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

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

If pain in the perineum is combined with itching, inflammatory discharge from the genital organs (greenish, white, lumpy, etc.) or rashes in the vulva (pubis, labia, penis, etc.), then we are talking about genital infection (sign up) (genital herpes (make an appointment), candidiasis), in which case representatives of both sexes can contact venereologist (make an appointment) and, in addition, women - to a gynecologist, and men - to a urologist.

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

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

If a man has pulling, arching pains in the perineum after sex, which are also felt in the testicles, are combined with discomfort, heaviness and visible veins of the scrotum, increase when walking, spontaneously disappear after a few hours, then varicocele is suspected, and in this case it is necessary to contact surgeon.

If a man develops a pulling, aching pain or burning sensation in the perineum, which is present almost constantly, aggravated in the sitting position and during bowel movements, inflammation of the bulbous urethral gland (couperitis) or seminal tubercle (colliculitis) is suspected. In this case, it is necessary to contact a urologist or andrologist.

If a woman develops pain in the perineum, combined with itching, burning, pain and abnormal vaginal discharge, all of which are aggravated by urination, vaginitis is suspected. In this case, you need to contact a gynecologist.

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

If the pain in the perineum is associated with a past injury to this area of the body, then the doctor will prescribe Ultrasound (make an appointment) to assess the condition of tissues and identify possible causes of pain. If ultrasound is not informative enough, it may be prescribed magnetic resonance imaging (make an appointment). Next, if serious illnesses pelvic organs were not identified, therapy for post-traumatic syndrome is prescribed, aimed at the most complete restoration of tissues. But if diseases of the genital, urinary organs or intestines were detected during ultrasound or tomography, then the person is referred to the appropriate specialist, who, in turn, performs the necessary examination and prescribes therapy.

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

General blood test (sign up);
Bacteriological culture of the separated furuncle;
Analysis of blood or genital secretions for the presence of human papillomavirus (PCR or ELISA method) (enroll) .

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

When a man or woman has growths of papillomas or genital warts in the perineum, the doctor prescribes a blood test and / or genital secretions for the presence of the human papillomavirus in order to understand whether the process of their formation is chronic or due to a simultaneous decrease in immunity. If papillomas / condylomas appeared due to a decrease in immunity, then they are simply removed surgical method and no specific treatment is given. But if the process is chronic, then after the removal of growths, antiviral and immunomodulatory therapy is necessarily prescribed, which is necessary to prevent the formation of papillomas and condylomas again.

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

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

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

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

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

General blood analysis;
General urine analysis;
Three glass urine sample;
Urethral swab (enroll);
Bacteriological culture of urine and urethral discharge;
Analysis of blood or urethral discharge for the presence of pathogens of sexual infections ( for chlamydia (make an appointment), mycoplasmas (sign up), gardnerella, ureaplasma (sign up), Trichomonas, gonococci, Candida fungi) by PCR or ELISA;
Ultrasound of the bladder (make an appointment).

First of all, general blood and urine tests, a three-glass urine sample, a smear from the urethra and sowing of the discharge of the urethra are prescribed. These tests allow in the vast majority of cases to identify the cause of urethritis, complete the examination and begin treatment. But if with the help of such primary tests it was not possible to identify the causative agent of the infectious-inflammatory process, then the doctor prescribes a blood test or urethral discharge for the presence of pathogens of sexual infections (for chlamydia, mycoplasma, gardnerella, ureaplasma, Trichomonas, gonococci, Candida fungi) by methods PCR (sign up) or IFA. Ultrasound of the bladder is prescribed only in cases where the doctor suspects that urethritis has been complicated by cystitis.

When a member of either sex suddenly has a sharp pain in the perineum, combined with burning, strong sensitivity and sensation of a foreign body in the pelvic organs, numbness on the inner surface of the thigh, and the symptoms are aggravated by walking, sitting and lying down, the doctor suspects an infringement of the pudendal nerve. In this case, the diagnosis is made mainly on the examination data and characteristic symptoms. Additionally, to identify the cause of the pinched nerve, the doctor may prescribe magnetic resonance imaging. And in order to determine the speed of the signal along the nerve and the response of the muscles to the impulse - electroneurography, which allows you to understand which surrounding organs or tissues put pressure on the nerve and provoke pain.

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

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

The above studies and analyzes are mandatory assigned and performed in the first place, and they give the doctor enough wide range information about the state of the terminal intestines. Based on the information received, the doctor makes a preliminary diagnosis and, if necessary, prescribes additional examinations. For example, if hemorrhoids are detected, then only anoscopy (make an appointment). But if proctitis, paraproctitis, rectal fissures are suspected, then anoscopy is prescribed, sigmoidoscopy (make an appointment)/colonoscopy (make an appointment). If the pathology is severe, there are fistulas, adhesions, etc., the doctor may also prescribe specific and rarely used studies, such as fistulography (sign up), probing, etc.

If pain in the perineum bothers a woman after childbirth, then the doctor prescribes and performs an ultrasound scan, as well as gynecological two-handed examination (make an appointment) in order to identify deformities, strictures of internal soft tissues that can provoke pain.

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

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

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

General blood analysis;
General urine analysis;
Blood test to determine the level of prostate-specific antigen (PSA) (enroll);
Finger examination of the prostate;
Examination of the secret of the prostate;
Bacteriological culture of urine and prostate secretion;
A smear from the urethra;
Ultrasound of the prostate (make an appointment) and testicles (sign up);
Puncture of the testicle or prostate with a fence biopsy (make an appointment).

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

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

If, according to the results of primary tests, an inflammatory disease is detected, then the doctor prescribes a smear from the urethra, a study of prostate secretion, urine culture and prostate secretion in order to identify the causative agent of the infectious-inflammatory process. Additionally, ultrasound is performed to assess the condition of the genital organs.

If a man suffers from pulling, arching pains in the perineum after sex, which radiate or are simultaneously felt in the testicles, are combined with discomfort, heaviness and visible veins of the scrotum, increase when walking, spontaneously disappear after a few hours - the doctor suspects varicocele, and prescribes the following tests and examinations:

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

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

When a man has a pulling, aching pain or burning sensation in the perineum, which is present almost constantly, aggravated in the sitting position and during bowel movements, cuperitis or colliculitis is suspected, and the doctor prescribes the following tests and examinations:

General blood analysis;
General urine analysis;
Three glass urine sample;
Microscopy of prostate secretion and urethral smear;
Bacteriological culture of prostate secretion, urethral discharge and urine;
ureteroscopy;
radiopaque urethrography (make an appointment).

First of all, the doctor prescribes a general blood test and urinalysis, microscopy of the prostate secretion and a smear from the urethra, as well as bacteriological culture of the prostate secretion, urethral discharge and urine. These tests allow you to identify the causative agent of the infectious-inflammatory process. Further, ureteroscopy is necessarily prescribed and performed, during which it is possible to diagnose colliculitis and distinguish it from cuperitis. After ureteroscopy, if cooperitis is detected, urethrography is performed to confirm it.

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

Bimanual gynecological examination;
Examination of the genital organs in the mirrors;
Vaginal smear for flora (make an appointment);
Bacteriological culture of the vaginal discharge;
Detection of causative agents of sexual infections (chlamydia, mycoplasma, gardnerella, ureaplasma, trichomonads, gonococci, Candida fungi) in the blood and vaginal discharge by PCR and ELISA.

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

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

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

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

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

Why there is discomfort in the perineum in men and how to remove an unpleasant symptom, the article will tell.

Painful sensations in the intimate area disturb many members 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 region in men are the following:

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

Normal and enlarged prostate (adenoma)

Orchitis is caused by viruses. Often it develops as a complication after rubella and mumps. With such a disease, the organ increases, the skin of the affected area is hyperemic, pain appears.

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

Hernia is characterized by the occurrence of pain when walking. A malignant neoplasm in the first stages is asymptomatic. But over time, after or during intercourse, burning and pain appear.

How is the appointment with the doctor?

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

blood test;
biopsy;
Analysis of urine;
ultrasound procedure.

How is the treatment going?

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

The pain between the legs in men is effectively eliminated with the help of anti-inflammatory drugs, which are taken for a long time.

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 you can not do without surgery.

Tablets for dissolving oxalate stones Prolit

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

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

Elimination of discomfort in the perineum should be comprehensive.

Prostatitis: how to identify and cure?

The following are signs that indicate the development of pathology:

itching in the urethra, which becomes worse when urinating;
the appearance of blood clots in the urine;
cloudy urine;
drawing pain in the groin;
hypertension;
decreased potency, libido. If chronic prostatitis is not treated, premature ejaculation, impotence develop;
feeling that the bladder is not completely empty. Also characteristic are imperative urges at night;

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

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

The following methods are used to remove burning sensation with prostatitis and the disease itself:

physiotherapy. The doctor prescribes a prostate massage. For this, special stimulants are used;
microclysters with decoctions of various medicinal herbs. They allow not only to remove 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. Funds are considered auxiliary. They lower blood pressure and relieve the increased tone of the prostate muscles;
biologically active additives. Usually their doctor prescribes for chronic prostatitis. Dietary supplements effectively remove the 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 drugs are used to treat prostate inflammation. But, you should not prescribe any medications yourself, as this is fraught with the development of complications.

pain

Pain can be called the very first alarm signal of possible prostatitis. First of all, it is necessary to try to determine the nature of pain sensations: cutting, pulling, pressing, bursting, etc. To some extent, the nature of the pain allows you to get some idea about the causes of the disease. Only the place in which a man experiences these unpleasant sensations can be more informative. Most often, prostatitis pain is localized:

in the area of the perineum (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 sciatica).

For each man, as a rule, one pain picture is characteristic, which is repeated during exacerbations. Moreover, someone can get sick in only one place, while someone can immediately in all of the above places. The pain is able to give to the stomach, leg, etc.

As already mentioned, experienced doctor already by the nature of the pain can make an assumption about the form of the disease. So, 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 burning sensation present, 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 in which decreases. In the event that a man experiences frequent urges, but a lot of urine is released, we are talking about some other disease. The urges themselves are also somewhat different from the normal ones - they become sharper, more urgent, and their strength is not quite commensurate with the amount of urine excreted.

Most often, with prostatitis, violations in the genital area are characterized, first of all, by a sharp decrease in the usual duration of sexual intercourse, premature ejaculation. Moreover, a single failed sexual intercourse cannot yet signal the presence of a pathology, since with inflammation of the prostate, violations 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 both independently and in tandem with other symptoms 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 influence for an erection.

One of the implicit disorders in prostatitis can even be infertility. This is due to the fact that the inflamed prostate stops producing ejaculate, the liquid part of semen. If she 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, 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 an infection in the patient's body.

The primary symptom of acute prostatitis in this case will be difficulty urinating, as 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 be manifested by the following symptoms:

feeling of weakness, drowsiness;
temperature increase;
pain in the perineum, groin;
difficulty and pain with urination and defecation.

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

some decrease in sexual activity;
sexual intercourse increased or vice versa 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, the secretion of the prostate gland occurs.

Non-infectious or non-bacterial prostatitis may be inflammatory or non-inflammatory in nature. In the first case, the man will have the same symptoms as in chronic disease prostate, and in laboratory tests of prostate secretion, an increased number of leukocytes will be detected. In the second case, the level of leukocytes is usually normal.

Common symptoms of noninfectious prostatitis are:

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

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

Any man, having discovered at least one of the above signs, should consult a urologist and pass all the necessary laboratory tests. After that, an adequate course of treatment will be prescribed, which will help to cope with an unpleasant disease.

What diseases cause pain in the perineum

Which doctors to contact if there is pain in the perineum

Pregnancy

Birth injuries of varying degrees

Infectious and inflammatory diseases

Chronic pelvic pain

Pudendal nerve entrapment (neuropathy)

Skin diseases

WHO SAID THAT INFERTILITY IS HARD TO CURE?

How is the appointment with the doctor?

How is the treatment going?

Prostatitis: how to identify and cure?

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How is the appointment with the doctor?

How is the treatment going?

Prostatitis: how to identify and cure?

Related videos

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