Perineal pain

Pain in the perineum is common to people regardless of their age and gender, as its nature can be completely different. In addition, pain symptoms can be accompanied by other signs of a disease, for example, problems with urination. Among other things, pain in the perineum can be acute, sharp, strong, aching, constant, periodic, and so on. Therefore, the answer to the question "why?" can only be determined by establishing a diagnosis.

Which doctors should you see if you have perineal pain:

• gynecologist;
• urologist;
• proctologist;
• oncologist.

Let's look at the causes of pain in the perineum.

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Causes of pain in the perineum

Diseases that cause pain in the perineum:

• inflammation of the urethra - urethritis;
• inflammation of the bulbourethral gland - couperitis;
• prostatitis;
• male diseases: orchitis, colliculitis;
• inflammation of the vagina - vaginitis;
• inflammation of the glands of the vaginal vestibule - bartholinitis;
• perineal trauma, childbirth is no exception;
• pregnancy period;
• pinched pudendal nerve;
• abscess, prostate cancer;
• diseases related to dermatology: papillomas, condylomas, furuncles;
• intestinal diseases: proctitis, hemorrhoids, etc.

Among the listed reasons, serious diseases requiring immediate consultation with a doctor are noticeable, including cancer, abscess, prostatitis, proctitis and many others.

It is obvious that pain in the perineum is not just the body’s reaction to the weather, but a signal of a specific disease.

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Pain in the perineum during pregnancy

As for pregnant women, perineal pain usually occurs from the 35th week of pregnancy. At this point, the baby puts pressure on the parts of the body below and around the fetus, including the back, perineum and legs. In this case, perineal pain is of a stabbing nature.

In the early stages of pregnancy, such pain threatens a possible miscarriage. Pregnancy is the period when a woman's body is completely rebuilt, preparing for childbirth, which means that the hip bones are spread apart, which is the cause of pain in the perineum during pregnancy.

Often the baby is in a position that puts pressure on the sciatic nerve. In this case, the pregnant woman feels a sharp pain that makes movement difficult and does not go away even at rest.

Regarding pain treatment, unfortunately, there are no such methods now, and the pregnant woman must endure the pain until the end of pregnancy. But, it is extremely important to monitor the woman's condition in this position, since pain in the perineum may mean varicose veins in this area.

Pain in the perineum before childbirth

It is impossible to call perineal pain before childbirth a normal phenomenon, but nevertheless, there is no particular reason for concern. It is clear that it is not easy for a pregnant woman before childbirth, and here there is also discomfort due to pain. During this period, it is not recommended to take painkillers, as their effect can affect the condition of the child. Yes, and besides, there is no point in using them, since the pain is caused by the pressure of the fetus on the pelvic part of the body. It is impossible to eliminate the pressure because the fetus has almost formed and is preparing for birth.

Pain in the perineum before childbirth warns of the imminent birth of the baby. However, the absence of painful signs in the perineum cannot prove the opposite, as not every pregnant woman experiences them.

Pain in the perineum after childbirth

Childbirth is a process that many women experience in a traumatic way, with possible ruptures and other phenomena. The type of pain depends on the severity of the injury. After childbirth, pain in the perineum can be either aching or sharp.

If the pain in the perineum after childbirth is caused by stretching and is accompanied by swelling, it goes away within a few days, and without medical assistance. If we talk about ruptures and stitches, the duration of pain is much longer. It is impossible to say the exact period of pain because everything depends on the number of stitches, the depth of the rupture and the individual characteristics of the woman's body. Regarding the stitches, I would like to add a few words about the rules of hygiene. No matter how painful it is, you need to wash more often than usual, since wounds (in our case, ruptures) are the best environment for the appearance and reproduction of infections.

Perineal pain in men

For some reason, many people think that pain in the perineum is specific only to women. But, as it turns out, this fact is not reliable, since men can also experience pain in the perineum.

What can cause perineal pain in men? There are several types of pain symptoms in the perineum:

• prostatitis;
• abscess;
• malignant tumor.

Before talking about treatment, it is necessary to establish an accurate diagnosis. The pain itself can be relieved by painkillers "Ketones", "Analgin" or other drugs that are preferable for a person suffering from pain.

If the diagnosis is known, and it turns out to be prostatitis, how to treat it?

There is no clear answer here either, since prostatitis can be both bacterial and non-bacterial. In addition, prostatitis is divided into categories:

• I - acute bacterial prostatitis;
• II - chronic bacterial prostatitis;
• III - chronic nonbacterial prostatitis;
  • III A - inflammatory chronic pelvic pain syndrome;
  • III B - prostatodynia;
• IV - asymptomatic prostatitis.

To treat category I prostatitis, you should initially take tests to determine the sensitivity of the flora to certain antibacterial drugs. Usually, antibiotics are included in the treatment: "Quinolone", "Tetracycline", "Trimetoprim - Sulfamethoxazole".

Methods of their application:

• "Quinolone" is a synthetic antibiotic that should not be taken without a doctor's recommendation, as it can cause a number of side effects: abdominal pain, nausea, vomiting, diarrhea, headache, fatigue, drowsiness. As for the dosage and duration of taking the medication, you can decide on this after consulting with your doctor.
• "Tetracycline" is an antibacterial drug. It is available in tablets and ointment. In this case, tablets are needed. Doses for adults: 2 mg - 4 mg 3 - 4 times a day. The daily dose should not exceed 8 mg. The treatment period is 5 - 7 days. Side effects: increased intracranial pressure, gait disturbance, loss of appetite, nausea, vomiting, dizziness, diarrhea, damage to the mucous membrane of the mouth and gastrointestinal tract, skin reactions, pancreatitis, skin pigmentation. Contraindications include: hypersensitivity to the drug, fungal diseases, liver problems, kidney problems, age under 8 years.
• "Trimetoprim - Sulfamethoxazole" is a combination of antimicrobial drugs: "Trimetoprim" and "Sulfamethoxazole". It is prescribed both for intramuscular injections and for oral administration in tablets. Everything depends on the doctor's recommendations. The same can be said about the dosages. Despite the presence of instructions, the attending physician independently establishes a course of treatment based on the results of the examination.

Antibacterial therapy in case of chronic bacterial prostatitis lasts from 2 to 4 months. At the very beginning of treatment, the infectious agent of the disease is eliminated, the immune state is restored, and only then attention is paid to the regulation of the functional activity of the prostate. With proper treatment, 60% of patients achieve complete recovery. But this does not mean that the remaining 40% should give up and accept the diagnosis. For them, treatment may be longer than 2 - 4 months. Options for surgical removal of the affected parts of the prostate are not excluded.

In this case, as in the previous one, medications for eliminating bacteria "Timethoprim - Sulfamethoxazole" and the like are used. In addition, anti-inflammatory drugs are needed: "Allopurinol", alpha-blockers: "Gitrin", "Flomax" and others.

• "Allopurinol" is intended to restore the genitourinary system, accordingly, using this drug has an effect on the kidneys, which means that the dosage and duration of treatment should be determined by a doctor.
• Alpha blockers are intended to treat prostate adenoma by relieving tension in the smooth muscle tissue of the prostate, increasing the flow of urine from the bladder. Their usual doses are as follows: one mixture 1-2 times a day.

The next category of prostatitis - without the presence of bacterial infections is more common than other types of prostatitis. Men of any age are susceptible to this disease. Symptoms in this case are inconstant, that is, "today it hurts, and tomorrow - not". It can be treated with folk remedies.

Let's consider asymptomatic stomatitis. The patient does not feel pain or other identification signs. Such a disease can be identified only after passing tests, where a high level of leukocytes in the semen is visible. The treatment period is on average 2 weeks, which consists of taking antibiotics.

Traditional methods for treating prostatitis:

1. They say that hazelnut can get rid of prostatitis just a week after the course of treatment. So, recipes for a decoction based on hazelnut: -

• hazel bark - 1 tablespoon per 1 glass of boiling water. Infuse the resulting liquid for half an hour. Take the strained broth a quarter of a glass 4 times a day;
• This recipe is similar to the previous one, only instead of hazel bark, hazel leaves are used.

It is better to alternate the intake of herbal infusions, for example, today - a decoction of hazel bark, tomorrow - from leaves. So, throughout the week.

2. It turns out that parsley can prolong male potency for many years, the main thing is to know how to cook it correctly. The most popular options for treating prostatitis with parsley:

• 1 tablespoon of parsley juice 3 times a day 30 minutes before meals;
• crushed parsley seeds, namely, 2 tablespoons of the prepared powder, pour one glass of boiling water. Let it brew for 15 minutes. Drink 1 tablespoon 4-6 times a day.

Abscess and malignant tumors are more serious causes of pain in the perineum. And, naturally, treatment requires more radical methods such as surgery, chemotherapy. Here, medications alone are not enough.

In addition, pain in the perineum in men and women is often associated with chronic pelvic pain syndrome. In this case, a person experiences pain in the lower abdomen, which radiates to the perineum. In this situation, treatment is symptomatic.

Perineal pain in women

Pain in the perineum in women, as well as in men, can occur due to certain diseases:

1. urethritis - inflammation of the urethra. Its symptoms: pain, burning during urination. The pain is present not only at this moment. The causes of urethritis are quite diverse:

• hypothermia;
• poor nutrition;
• traumatic sexual intercourse;
• gynecological diseases that disrupt the vaginal microflora;
• urolithiasis;
• medical interventions, such as a bladder catheter or cystoscopy.

Treatment of urethritis in women is carried out by two doctors - a gynecologist and a urologist. The exact method of treatment can be said after the factor of the disease occurrence is identified. The therapy is based on three stages:

• regeneration of the functions of the urethral wall;
• restoration of the natural vaginal microflora;
• normalization of the immune system.

2. Couperitis is a disease common to both men and women. Nowadays it is quite common and almost impossible to detect. If we analyze the diagnosis in detail, then for women it is an inflammation of the Bartholin glands; for men it is an inflammation of the bulbourethral glands in the urethra. The disease has two courses: acute and chronic. In the case of acute couperitis, the symptoms are as follows: discomfort in the anus, difficulty urinating, high body temperature, chills. If the disease has become severe, a small abscess forms in the perineum. It is possible that the resulting abscess causes pain in the perineum.

Chronic couperitis differs from acute couperitis in that in this case there are many abscesses.

In both situations, the pain in the perineum is nagging and constant. The pain intensifies after each urination. Patients also complain of discomfort after sexual intercourse.

How to treat rosacea in women?

Cooperitis is treated with antibacterial therapy (as with urethritis), iontophoresis of potassium iodide. The entire course of treatment is under strict medical supervision. Self-medication for couperitis is contraindicated.

3. Vaginitis is a gynecological disease, inflammation of the vaginal mucosa.

What are the causes of vaginitis?

• some types of STDs: trichomoniasis, gonorrhea, chlamydia, mycoplasmosis, and so on;
• weakened immunity due to the presence of infectious diseases;
• disorders associated with the endocrine function of the endocrine glands, for example, kimax, ovarian diseases, obesity, diabetes mellitus, and so on;
• abortions, insertion of foreign objects into the vagina, etc.;
• inadequate hygiene practices, including sexual intercourse;
• antibiotic abuse;
• allergic reaction to vaginal medications, such as suppositories, condoms;
• streptococci, staphylococci and other bacteria.

Currently, most cases of the disease are caused by mycoplasma and chlamydia.

Vaginitis symptoms look like this:

The acute form of vaginitis occurs with the presence of profuse purulent discharge.

Vaginitis caused by trichomaniasis has a distinctive feature - discharge with a fishy odor.

Fungal vaginitis - white discharge with a curd-like consistency.

In addition to discharge, all types of vaginitis are characterized by itching, swelling and redness of the genitals. Intimate contacts can cause pain. When urinating, a woman feels a burning sensation. The disease is accompanied by pain in the back and lower abdomen.

The chronic stage is the most serious and the course of treatment is longer. Itching and discomfort in the vaginal area are practically not a concern. However, relapse is not excluded.

Treatment of this disease consists of initially eliminating the causative agent of vaginitis. During the entire course, it is necessary to completely abstain from intimate contacts. Checking the partner and possible further treatment, otherwise, the woman's treatment may be pointless, since her partner can infect her again. Local treatment can be carried out using folk remedies, which in this situation is the best therapy:

• sitz baths with warm chamomile infusion;
• thick, purulent, mucous discharge is easily eliminated by douching the vagina. To do this, you need to prepare a solution of bicarbonate of soda: teaspoons per 1 glass of warm water. After 20 minutes, do the same manipulations only with potassium permanganate;
• discharge caused by trichomonads and similar are eliminated in the following way: zinc sulfate: 2 teaspoons per 1 liter of warm water; copper sulfate: 1 teaspoon per 1 liter of water. Douche with the resulting solutions daily, preferably at night;
• As soon as the discharge has stopped, use a decoction of oak bark for douching: 1 tablespoon of oak bark per 1 glass of boiling water. Cover the decoction with a lid and let it cool to room temperature.

4. Bartholinitis can develop for various reasons, but most often they are caused by microbes: gonococci, Escherichia coli, staphylococci, and so on.

How does bartholinitis manifest itself?

The general picture looks like this: weakness, malaise, high body temperature. External changes in the genitals are characteristic: redness, swelling, abscess formation. If the abscess breaks through, the woman's general condition normalizes.

There is a chronic form of the disease. Here even the formation of a cyst is possible. After treatment the disease may return.

Treatment methods.

If bartholinitis is purulent, then the only effective solution is surgery.

The acute stage is treated less radically: the patient needs rest. Local therapy: cold, antibacterial agents (depending on the factor), warm sitz baths with the addition of potassium permanganate solution - 1: 6000.

Medicines that are prescribed for the treatment of bartholinitis:

• a) antibacterial:
  • "Sumamed", "Azitrox", "Azithromycin", "Amoxicillin", "Ospamox", "Amin";
  • “Doxinate”, “Doxycycline”, “Doxibene”, “Medomycin”, “Solyutab”, “Unidox”;
  • "Klabax", "Klacid", "Clarithromycin";
  • "Dalacin", "Klimitsin", "Clindamycin", "Clindacin", "Klandafer", "Klinoxin";
  • "Septrin", "Groseptol", "Biseptol";
  • “Ophlocid”, “Ofloxacin”, “Ofloxin”, “Tarivid”;
  • “Aquacipro”, “Afenoxin”, “Arflox”, “Ciprofloxacin”, “Ciprinol”, “Liproquin”, “Proxacin”, “Recipro”, “Ciprinol”.
• b) sitz baths with the addition of:
  • solution of potassium permanganate. The color of the water should be slightly pink, since an excessive amount of manganese can disrupt the microflora of intimate areas;
  • chamomile decoction: 1 tablespoon of medicinal chamomile per 1 glass of boiling water. The potion is ready within half an hour;
  • Calendula infusion. Prepare in the same way as chamomile decoction.

Symptoms of pain in the perineum

The symptoms of pain can be absolutely different and may or may not have accompanying general ailments: fever, fatigue, drowsiness, etc. The pain in the perineum depends on the type of disease. It can be stabbing with itching, sharp periodic, sharp constant, aching, burning, etc.

If we talk about severe pain in the perineum in men, then most likely the diagnosis is acute prostatitis. But we can say for sure only after receiving the test results. In order to exclude absolute impotence, men should not look for a solution to the problem in search engines, but with a urologist and infectious disease specialist. The same pain can be provoked by urethritis, which intensifies during urination. Severe pain that affects the rectum can signal the presence of an abscess of the prostate gland. In this case, problems with stool are significantly noticeable; elevated body temperature. This phenomenon should not be neglected in any case, as it is a precursor to prostate cancer. Pain in an abscess can be eliminated with the help of narcotic drugs (which we will not talk about, since any medication with narcotic properties is prescribed strictly on the recommendation of a doctor).

A sharp pain in the perineum may indicate a pinched genital nerve. It subsides when a person sits or stands, generally does not walk or move his legs. When walking or lying down, the pain becomes unbearable. A pinched nerve can create a feeling of numbness in the thigh.

The pain radiates to the perineum

Pain symptoms in the lower abdomen in men occur less frequently than in women. They can indicate many diseases, so a visit to a urologist or andrologist is a must. Regardless of what kind of pain - sharp, dull, it can radiate to the groin, rectum and perineum.

Feeling pain in the perineum, a person often believes that the source of the pain is the perineum, forgetting that in fact the pain can radiate to the perineum.

If the pain covers the leg, genitals, perineum, and at the same time there is an urge to urinate, vomiting, then this is a likely sign that the patient needs to be urgently hospitalized in the urological, surgical department (if it is impossible to eliminate the problem at home) since these are symptoms of an attack of renal colic. The signs of this attack include unbearable pain that completely covers the person. The patient in this condition can fidget on the bed, crawl on the floor, "climb the walls" from pain. How to relieve pain in this position?

• narcotic analgesics: Bupremen, Pyritramide, Butorphanol, Bupresic and others;
• heating pads for the lumbar region;
• The spasm of the ureter is relieved by immersing the patient in a warm bath. This procedure provokes the passage of the stone.

In the absence of an attack, therapy is based on normalizing metabolism in order to avoid stone formation.

With diabetes, pain can also radiate to the perineum. During this period, the patient experiences diabetes, which causes pain in the perineum. In this case, the disease can last for decades, and sometimes a lifelong diagnosis.

Aching pain in the perineum

A nagging pain in the perineum is typical for men in the case of chronic inflammation of the prostate (chronic prostatitis), colliculitis, urethritis. Sometimes burning joins the pain in the perineum. These painful sensations cannot be called unbearable, but exhausting and tiring is a suitable interpretation, especially if they are constant.

If such pain in the perineum increases in a sitting position, then the diagnosis is probably couperitis. In this case, the pain can become more intense if purulent development occurs in the gland.

Pain with pulling and aching symptoms is typical for pregnant women and women who have just given birth.

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Pain in the perineum

Pain in the perineum and in its area can indicate many problems, but this does not mean that all of them are inherent in a person with pain symptoms. Each person's body is individual, and therefore each person tolerates the disease in their own way. But you should never turn a blind eye to the presence of pain, even minor ones.

Pain in the perineum may indicate the presence of an infection (chlamydia), an abscess, an injury, or skin inflammation. Even jeans that are too tight and stiff can rub and cause pain in the perineum with their seams.

The most important thing is to establish an accurate diagnosis and undergo the correct course of treatment.

Sharp pain in the perineum

Acute or sharp pain in the perineum is no joke!

If a man feels sharp pain, it may be acute prostatitis. But again, it is impossible to say for sure. The same symptoms are possible with purulent formations, both in men and women. Similar pain symptoms may be a sign of acute urethritis. In the latter case, the pain intensifies during urination. And is also accompanied by stool retention. The body temperature may reach its maximum level.

Sharp and severe pain in the perineum can sometimes indicate cancer or entrapment of the pudendal nerve. The possibility of injury or hematoma formation due to traumatic factors cannot be ruled out. As a result of injuries, a person may lose consciousness from pain shock.

Stabbing pain in the perineum

Mostly, women experience stabbing pain in the perineum in the last weeks of pregnancy. If the pain is not accompanied by unusual discharge, then there is no reason for the pregnant woman to worry, since the development and growth of the fetus will naturally affect its mother. As for discharge, a consultation with a gynecologist is extremely necessary.

Colpitis and vaginitis are characterized by symptoms: stabbing or shooting pain in the perineum, vaginal discharge. During pregnancy, these diseases are more dangerous than in the normal state. So, in more detail:

1. Colpitis during pregnancy:

• Symptoms:
  • the vaginal mucosa becomes swollen and turns red;
  • the pregnant woman feels itching and burning in the genital area;
  • pressing and distending pain in the pelvic area and lower abdomen;
  • purulent discharge.
• What is the danger of colpitis during pregnancy:

Colpitis itself does not pose a particular danger, but its consequences are terrible because the infection can affect not only the general condition of the pregnant woman, but also her fetus. In addition, the inflammatory process in the vagina can cause a miscarriage or premature birth.

• how to treat colpitis during pregnancy? Definitely, no self-medication, only a gynecologist and his strict supervision can competently resolve the situation. Any self-medication can affect the condition of the child and the future ability to conceive a child.

Antibiotics and chemicals are chosen by the doctor, as their incorrect use threatens unpleasant consequences for the child. In addition, the treatment includes physiotherapy, herbal infusions, acidic baths, the use of ointments and a special diet.

2. vaginitis during pregnancy. Here everything is much more complicated for the reason that not all medications are allowed for pregnant women such as "Clindacin", "Dalacin", "Nolin". Ineffective medications, but safe "Pimafucin" and "Nystatin".

If the pregnancy period is up to 15 weeks, then you can use Betadine, Vagotyl, Terzhinan (but, again, only on the recommendation of a doctor).

Aching pain in the perineum

The pain may be accompanied by other symptoms, or it may simply ache, causing discomfort. If a man has a dull aching pain in the perineum together with pain in the testicles or in one testicle, then it is possible that this is a sign of hypothermia (sitting on something cold, for example) or prostatitis. In this case, tests and ultrasound are extremely necessary.

As for women, aching pain in the perineum most often refers to pregnant women. The causes and symptoms of such a consequence were discussed above.

It is impossible to say for sure what exactly could have caused the aching pain in the perineum, since each person's body reacts to this or that disease in its own way. For some, the inflammatory process is asymptomatic, while others writhe in pain. But no matter what your friends say, like "Yes, I had this. It's nothing serious" or online advisers, you cannot postpone a visit to the doctor.

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Shooting pain in the perineum

Such symptoms are typical for pregnant women who are about to become mothers. But there are situations when the cause of such a consequence can be diseases:

• an abscess can cause sharp shooting pain in the perineum;
• hematoma is the result of trauma;
• injuries;
• diseases associated with the rectum, such as hemorrhoids;
• consequences after childbirth;
• skin diseases, including an allergic reaction to underwear (here the pain in the perineum can be shooting if the irritation has the appearance of wounds).

In addition to the reasons listed, this phenomenon is typical for athletes when they strain their muscles, for example, when they do the splits incorrectly during training.

Pain in the perineum when walking

If the pain in the perineum increases when walking, then the following health problems may be its provocateurs:

• coccyx injury;
• orchitis;
• hydrocele;
• epididymitis.

Let's consider the diseases described above.

Orchitis is an inflammation of the testicles or testicle. It can develop on the basis of urethritis, prostatitis, vesiculitis, epididymitis, as well as on the basis of trauma or FLU. It can have an acute and chronic form.

Its symptoms: pain immediately appears in the affected testicle. Then, when the disease gains momentum, the patient feels pain in the perineum, in the lower back. The scrotum on the side where the inflammation occurred (right or left) doubles in size. Its skin acquires a smooth and red surface, becomes hot. This disease is also characterized by general malaise: weakness, temperature up to 39 C°, chills, fever, headache, nausea.

The disease may go away on its own within 2-4 weeks. But you shouldn't count on such an outcome, since the lack of timely treatment can cause suppuration in the affected area, which in medicine is called an abscess.

As for the treatment itself, its main rule is complete rest, bed rest. Diet is mandatory: no spicy and fatty foods, alcohol. Antibiotics are prescribed: Aminoglycosides, Cephalosporins, Macrolide enzymes - Erythromycin, Sumamed, Tetracyclines - Doxycycline, Metacycline, absorbable drugs, vitamin E, local application of a cold compress, antibacterial drugs Vidokcin, Microfloxacin, Norilet, Noroxin, Ospamoks, Oflocid, Renor, Forcef. At the end of the treatment, thermal procedures and physiotherapy. But, initially, the factor that provoked the occurrence of orchitis is eliminated.

In folk medicine the following methods of treatment are known:

Decoction 1:

• Ingredients: St. John's wort, chamomile and elderberry flowers, lingonberry leaves, black poplar buds;
• method of preparation: all components should be in equal proportions, that is, one to one. The mixture of plants should be crushed. Now about the doses: 2 tablespoons of the resulting herbal collection are poured with half a liter of boiling water, infused for 8 hours;
• Directions for use: 2 tablespoons 5 times a day.

Decoction 2:

• Ingredients: hop flowers 100 g;
• Method of preparation: pour 0.5 l of boiling water over the plant. Infuse the decoction for half an hour;
• Directions for use: half a glass twice a day.

Lotions of cabbage leaves soaked in vinegar or crushed flax seeds.

Hydrocele or hydrocele is a process where fluid accumulates in the sinuses of the testicle or testicles. The consistency of the fluid may consist of:

• blood;
• exudate - pus of an inflammatory nature;
• transudate - a fluid of a non-inflammatory nature;
• liquid - after hernia removal;
• consequences of operations: varicocele, impaired venous blood outflow from the testicle;

This disease can be:

• congenital and acquired;
• acute and chronic;
• one-sided and two-sided.

Hydrocele (testicles) is typical for young people 20-30 years old and newborns.

Symptoms of hydrocele: the inflamed testicle increases in size. The testicle itself is usually not palpable through the skin. The skin becomes elastic. The pain in the testicles is of a nagging type. Sometimes the general body temperature increases. As a result of the abundant accumulation of fluid, discomfort appears during walking and wearing underwear. Also, with an excessive amount of fluid, the wall of the testicle can rupture. During which the scrotum increases, and the pain becomes acute. The pain also radiates to the perineum, especially when walking.

And now about the treatment of hydrocele. Drug therapy and folk remedies are useless. Only a surgical method, or more precisely, the removal of accumulated fluid from the testicle, will bring results.

Epididymitis is a type of inflammation of the epididymis, which is possible at any age, even in children. It has several forms: chronic and exacerbated. The nature of the disease can be as follows: serous, purulent and infiltrative. It can manifest itself against the background of an infection from the bladder, intestines, prostate, which gets into the epididymis. Sometimes the causative agents of the disease are FLU, tuberculosis, tonsillitis, etc. Such a complication can be caused by perineal injuries, including surgery. Infections related to STDs: chlamydia, gonococci, mycoplasma, ureaplasma, trichomonas are some of the causes of epididymitis. In addition, hypothermia can provoke the occurrence of such a disease.

Let's move on to the symptoms. Epididymitis is characterized by sharp pain in the testicle and perineum, which intensifies when walking. The scrotum in the area of inflammation is enlarged and swollen; it acquires a red color; the skin becomes smooth, even glossy. The body temperature rises to 39 C° plus fever, headache and joint pain. Unlike testicular torsion, the pain weakens when the scrotum is raised.

Chronic epididymitis may be asymptomatic or have mild symptoms. However, chronic epididymitis makes itself known during walking - pain in the testicle.

Treatment depends on the form of the disease. Naturally, a normal adult with such a problem will definitely go to the hospital, where he will be prescribed antibacterial therapy - to eliminate the pathogen, anti-inflammatory therapy.

Acute epididymitis is treated with antibacterial drugs, broad-spectrum antibiotics, painkillers, cold compresses on the perineum; children are prescribed sulfa drugs, for example, "Bactrim". This also includes bed rest. In addition, in this case, it is recommended to wear tight swimming trunks or a suspensory. Treatment includes following a diet that prohibits the consumption of spicy, fatty, fried, smoked foods. When the pain subsides, physiotherapy is prescribed:

• microwave therapy,
• laser therapy,
• magnetic therapy.

If the treatment does not bring positive results, then the epididymis is removed.

Pressing pain in the perineum

An unpleasant pain that presses directly into the perineum and presses on the anus indicates that the pregnant woman will soon give birth. If the pregnancy period is too short, then this is really a cause for concern, as there is a risk of miscarriage. For the 36th (and further) week, such a state of health is normal.

A pressing pain in the perineum in men can indicate various possible problems: prostatitis, perineal trauma, hypothermia.

As for non-pregnant women, the possibility of a "cold" is more than likely.

No matter how pressing or shooting the pain in the perineum is, you should not postpone a doctor's consultation. As we have already said, everyone copes with any disease in their own way. But basically, any pain in the perineum is directly related to diseases of the genitourinary system or intestines, for example, hemorrhoids.

Pain in the perineum after sex

Let's first consider the causes of pain in the perineum and testicles during and after sex in men. This fact may indicate varicose veins of the testicle or spermatic cord, called varicocele in medicine. With this disease, the pain in the perineum is not intense, but increases in a calm state, and subsides when walking. The duration of pain varies from several minutes to several hours. The pain goes away on its own. Prostatitis can also be a consequence of pain in the perineum during sex.

Varicocele does not require treatment at the very beginning of its development. But it is still worth eliminating the causes of stagnation in the small pelvis (constipation).

The second stage of varicocele, which is characterized by intense pain, drug treatment will not be enough. In this case, surgery is necessary to avoid the third stage.

Women experience pain in the perineum during and after intercourse, usually due to bartholinitis. The pain is pulsating and lasts for several hours after sex, and then disappears.

Pain in the perineum on the left

Pain in the perineum on the left side in men and women indicates an inflammatory process of the left appendages or testicle (ovary). In addition, with inflammatory processes of the kidneys, the pain can radiate to the perineum.

If we talk about men's health, the possibility of prostatitis of the left testicular appendage, varicocele of the left testicle, torsion of the left testicle, orchitis of the left testicle, infections, hypothermia and injuries of various origins cannot be ruled out.

Pain in the perineum on the left in women can signal all the diseases that were discussed in this article. Just like men, women can experience pain in the perineum due to hypothermia.

Among other things, a pinched nerve, muscle strain, joint injuries (dislocations, bruises) can provoke pain in the perineum, both on the left and right sides.

Dull pain in the perineum

Dull pain in the perineum may be a sign of skin irritations (sometimes accompanied by itching and burning), prostatitis, urethritis, colliculitis, couperitis. As for couperitis, when the gland suppurates, the dull pain is replaced by a sharp one.

Women complain of dull pain in the perineum, as a rule, either during pregnancy or after childbirth. In the first case, the growing fetus presses on the perineum, back, sacrum. Plus, the woman's body is preparing for childbirth, that is, the bones expand. In the second case, childbirth is stress for the body, the muscles stretch, pressure is exerted on the bones, joints. Often, women who have given birth suffer from hemorrhoids, which, by the way, is also a reason for pain syndromes in the perineum.

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Pain in the perineum after urination

Pain in the perineum during and after urination is typical for women after childbirth (or people who have undergone surgery in the perineal area) if stitches were applied. During this period, special attention should be paid to personal hygiene, since unhealed wounds are the best environment for infection to multiply.

Skin irritations in the perineum area can cause the same effect in both women and men. In this case, it is necessary to consult a dermatologist in order to avoid the penetration of various types of infections.

Men should take such symptoms more seriously, since pain in the perineum after urination can be a sign of prostatitis, couperitis, urethritis.

Pain in the perineum when urinating

Pain in the perineum during urination, similar to pain after urination, can indicate several possible problems such as:

• perineal trauma (here also surgical intervention, tears after childbirth),
• skin inflammatory processes;
• problems regarding men's health: prostatitis, couperitis, urethritis.

If during urination the pain in the perineum is accompanied by itching or burning of the genitals, then the possibility of gonorrhea or chlamydia cannot be ruled out. These same symptoms are typical due to hypothermia of the body, for example, a chilled bladder or kidneys can manifest themselves in this way:

• itching, burning, pain in the perineum when urinating, pain in the lower abdomen and in the lumbar region,
• difficulty urinating,
• large or small amount of urine,
• frequent or rare urination processes,
• swelling of the face, legs, arms (not always),
• elevated body temperature (not always),
• In case of inflammatory processes in the kidneys, vomiting is possible.

The list of additional symptoms and causes can be endless. But, in any case, this is a good reason to go to the doctor in order to prevent more serious consequences.

Pain in the perineum when sitting

Pinched pudendal nerve is quite a painful phenomenon, especially when a person sits or walks. The pain in the perineum subsides when standing. Sometimes the patient feels that the inner thigh has gone numb. There is a lot of advice on this matter on the Internet, such as: hot or cold compresses on the painful area. In no case should such manipulations be performed, since the human nervous system is the most unpredictable of all the systems that it has. Folk methods and alternative therapy are also not relevant. Only a qualified specialist (neurologist, neuropathologist, neurosurgeon) should deal with this problem.

A woman after childbirth in a sitting position can also experience pain in the perineum. Here, the pain usually goes away on its own over time, when the traumatic consequences completely disappear.

Itching and pain in the perineum

Pain in the perineum in combination with itching may mean that a person has a yeast infection or another fungal disease. At this stage of development of medical technologies, thrush can be cured at home. Women are most often prescribed vaginal suppositories "Mikozhinaks", "Bifidin", "Acipact". In folk medicine, there are methods of douching: serum, soda solution (1 tablespoon of soda per glass of water), chamomile decoction.

To treat candidiasis (thrush) in men, the following methods are used: Flucostat ointment, Fluconazole, Kanefron dragee.

Itching and pain in the perineum are also characteristic of genital herpes. In addition, this disease has external defects - the formation of herpes-like ulcers on the genitals. Its treatment is much more difficult. And sometimes genital herpes becomes chronic. Genital herpes must be treated under medical supervision. It is treated with the following drugs:

• acyclovir,
• valacyclovir,
• famciclovir.

Pain and itching in the perineum are also possible in the case of an allergic reaction to underwear.

Sharp pain in the perineum

Acute, as well as sharp, pain in the perineum is indeed a reason for serious reflection and a definite visit to the doctor.

So, what diseases are typical for acute pain in the perineum:

• urethritis,
• prostatitis,
• abscess,
• chronic cooperitis, gonorrheal cooperitis, paracouperitis,
• pinched sciatic nerve,
• open and closed injuries,
• prostate cancer,
• vaginitis,
• Bartholinitis.

Any neoplasm, including cysts, in the perineum and genital area can cause acute pain in the perineum. In addition to the listed reasons, there may be those that are characteristic of acute pain. Each of these diseases, when treated independently, can only complicate the health condition and lead to irreversible processes. Before resorting to the use of any drugs, a complete diagnosis and prescription from a doctor are necessary.

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Diagnosis of pain in the perineum

There is no clear answer regarding the diagnosis of pain in the perineum, since pain in the perineum can have different causes.

If the pain is caused by skin diseases, then diagnosis and treatment are carried out by a dermatologist, who prescribes tests for the possibility of an allergic reaction and the presence of infection.

If cancer is suspected, the oncologist conducts a whole series of studies: ultrasound, chemical blood test for metastases, scraping and biopsy - for women.

If the pain in the perineum is caused by gynecological diseases, then naturally, the examination is carried out by a gynecologist. Here they use ultrasound, smear tests for cytology, scraping, biopsy, blood tests.

Men with such symptoms consult a urologist, where they also resort to ultrasound, urine, sperm and blood tests.

If a fall or blow occurs in the perineal area, the examination is carried out by a traumatologist.

If there is a suspicion of pudendal nerve entrapment, a neurologist, neuropathologist or neurosurgeon will examine the patient, where ultrasound is also used.

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Treatment of pain in the perineum

Almost any pain can be temporarily eliminated, including pain in the perineum, with the help of painkillers "Ketones", "Analgin", "Spazmalgon". But it will not be possible to get rid of pain forever, since if there is pain, then there is a cause.

If pregnancy is one of the reasons, then there is no point in treating perineal pain as the reason is pregnancy. In this case, the pain symptoms go away on their own, after childbirth. The same can be said about postpartum perineal pain - everything will go away when the woman's body is fully rehabilitated.

Other causes: prostatitis, urethritis, colliculitis, couperitis, thrush, abscess, pinched nerve, etc. - require therapeutic treatment. Only after this, the pain in the perineum will not bother.

Prevention of perineal pain

It can be said in two words: dress warmly and use a condom during intercourse. But, frankly speaking, this is not enough because there are congenital forms of the disease (for example, dropsy); pregnancy, surgery. In general, there are no absolute means that can prevent pain in the perineum.

A good piece of advice regarding prevention would be a preventive examination, and a regular one at that. A doctor can promptly identify a threat that can provoke not only pain in the perineum, but also the progress of the disease itself, for example, prostatitis, chlamydia or something else in that spirit. Yes, and most importantly, hygiene rules. Infections (staphylococci, streptococci, etc.) are the strongest provocateurs of all kinds of diseases. Therefore, compliance with all sanitary standards regarding personal hygiene and personal hygiene products is very important under any circumstances.