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Health

Pain in the genitals

, medical expert
Last reviewed: 23.04.2024
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Pain in the genitals is an alarming symptom, both for women and for men. To understand what may be the causes of its occurrence, let us recall the anatomical structure of the genital organs.

The female sexual system consists of: 

  • internal organs - the uterus, fallopian tubes, ovaries and vagina; 
  • external genitalia - clitoris, hymen, large and small labia.

The male sexual system is divided into: 

  • internal, to which the prostate gland, testes and their appendages, the seminal ducts, seminal vesicles, bulbourethral glands;
  • external - scrotum with penis.

trusted-source[1], [2], [3], [4], [5], [6], [7]

What diseases cause pain in the sexual organs of a woman?

Pain in the genital area of a woman appears in diseases: 

  • the uterus or its appendages - is accompanied by a lower abdominal pain, is vague or local in nature. Pain can be given in the lower back, the femoral region, in the sacrum and rectum. It appears with varying intensity; 
  • acute pain in the female genital organs may be associated with inflammation of the uterus, appendages, ectopic pregnancy, the appearance of an ovarian tumor, damage to the fallopian tube, twisting the cyst's leg, endometriosis. Pain in the lower abdomen accompanies the first days of menstruation without pathologies of the genital organs; 
  • endometriometritis (acute inflammation of the uterus) and adnexitis (inflammatory disease of the appendages) show themselves pain over the pubic region and in the lateral parts of the abdomen. There is a gradual increase in pain with the achievement of its peak after a couple of hours. Pain in the genital organs is enhanced by palpation of the lower abdomen, weakness is observed, the temperature is 38-39 ° C. The onset of pain, as a rule, occurs during the period of menstruation or occurs after its termination, in the postpartum period, with abortion, because of the introduction of the contraceptive into the uterus; 
  • pain in the external genital organs may be a consequence of injuries, bartholinitis - the inflammatory process of the gland; 
  • trauma to the external genitalia occurs when falling on an object or in the process of giving birth. Contusion, birth trauma of the external genitalia lead to the formation of hematomas - tumors of a purple color; 
  • Bartholinite causes pathogens. The course of the disease begins with the appearance of a dense, sometimes invisible to the naked eye, at the entrance to the vagina. There may be blockage of the duct, suppuration of the secretion of the gland, which causes its increase. The process causes pain in the external genitalia, increasing during walking or sitting. Inspection reveals swelling, reddening of the labia. Suppuration can spontaneously open, bringing temporary relief until the next relapse.

Causes that cause pain in the genital organs of men

Pain in the male genital organs occurs with inflammation, trauma or neoplasm. Its main factors are: 

  • pathology of the scrotum, among which the torsion of the testicle is considered the most painful. The appearance of acute pain is often associated with physical stress. If you do not take emergency measures within a day, the pain in the genital area will subside because of the loss of sensitivity of the affected testicle. However, the next day presents a new pain syndrome, the appearance of puffiness and inflammation of the scrotal wall with the formation of phlegmon; 
  • epididymitis is characterized by an increasing, embracing the posterolateral part of the scrotum with pain. Surveys of young men reveal infections that spread sexually, or concomitant inflammation of the urethra. In men under 35 years, chlamydia (Chlamidia trachomatis) is considered to be the causative agent of epididymitis, in patients over 35 this disease often appears due to intestinal infections (Enterococcus, E. Coli); 
  • Tumor tumors in 95% of all cases are malignant. Most of the swelling around the testicle is considered benign. The tumor that appears is usually painless and requires immediate consultation of a urologist; 
  • hernia of the inguinal region looks like a scrotal tumor. During the examination, a thickening of the base of the scrotum is probed - the location of the hernial sac. Diagnosis by the auscultation method reveals peristalsis noise that occurs when the intestinal loop penetrates into the area of the hernial tumor; 
  • spermatoceles - cystic scrotal disease. Neoplasms accumulate in the epididymis and are painlessly probed in the form of a tumor located above the testicle. Patients feel discomfort, heaviness. Surgical intervention is not excluded; 
  • varicocele - the process of widening of the vein of the spermatic cord, which arises because of the failure of the valves of the testic vein or their absence from birth. An increase in blood flow down the vein leads to the appearance of a clustered plexus of veins; 
  • Peyronie's disease - a disease in which there is a curvature of the penis due to fibrous changes in the gallbladder. Accompanying a rare disease, pain in the genitals can be caused by a violation of the blood vessels or infection; 
  • balanitis - the inflammatory process of the head, and postitis - the prepuce sack. Often occur simultaneously, is called balanoposthitis. The disease appears after infection with bacteria, like local irritation from condensed smegma; 
  • pain in the genital area due to impaired blood supply often leads to the formation of necrosis, ischemia of the head. Such changes are more likely to affect diabetics; 
  • permanent or recurring pain, burning with urination is nothing but urethritis. The disease can be caused by infections, trauma or chemical factors; 
  • pain in the perineum and prostate gland is observed in many young men. They can be caused by infectious diseases, inflammatory or tumor processes, neurogenic changes; 
  • prostatodynia - used in medicine to describe cases in which the patient complains of pain in the genitals, but no pathological changes were detected. In this situation, a counseling psychologist is appointed.

trusted-source[8], [9], [10], [11], [12], [13],

Itching and pain of the genital organs

Itching and pain of the genitals can appear for a variety of reasons. Do not exclude the pathology of the genitourinary system, intestines, infectious diseases. Discomfortable sensations in the intimate area are harbingers of diabetes mellitus, liver dysfunctions (hepatitis, cirrhosis), manifestation of allergic reactions. Irritations, a desire to constantly comb the troubling place arise as a result of diarrhea or frequent urination. Of course, do not forget about the fungus flora, which leads to a number of diseases of the genital area. Mental, nervous disorders, stressful conditions, depression increase the possibility of the appearance of symptoms.

Itching and pain of the genitals cause venereal diseases. Genital herpes lesions have a wavy course: the appearance of burning, the formation of bubbles on the skin alternate with periods of "calm". The stage of exacerbation is attributed to a decrease in the protective functions of the body and is prescribed by immunomodulators.

Itching in the genital area appears due to parasitic diseases - scabies, pediculosis. Infection with scabies mites and pubic lice are characterized by skin irritations, redness, itching. You should remember the rules of personal hygiene, as pediculosis is transmitted during sexual contact, while sleeping next to the infected.

Fungus that causes inguinal epidermophythy is transmitted by sharing household items - washcloths, linens, if hygiene standards are not observed in the pool, showers, baths.

Pain giving to the genitals is a consequence of urolithiasis. All age groups are subject to the widespread disease, not excluding children. Stones in the bladder cause lower abdominal pain, giving to the perineum and genitals. Strengthening of painful conditions is observed during walking, urination.

Aching pain in the genitals indicates ectopic pregnancy, salpingo-oophoritis in women. In men and women, such pain sensations are observed with cystitis, urethritis. Aching pain in the genital area of men can be a harbinger of prostatitis, vesiculitis.

Pain in the genitals requires a thorough examination, including: 

  • visit a gynecologist, urologist, if necessary, a venereologist; 
  • conducting a general and biochemical blood test; 
  • examination of the smear.
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