If you are one of those people who have recently had vague pain in the perineal area.

If vague perineal pain is a concern for you.

If you want to get acquainted with the causes of vague perineal pain in men.

If you want to know what can be done to relieve and treat vague pain in the perineal area of ​​men.

We recommend that you read on with us. By reading the following article, you will be able to get acquainted with the causes of vague pain in the perineal area of ​​men and know what steps should be taken to relieve this pain.


Perineal pain can affect both men and women

In men, the term perineum refers to the area behind the scrotum that extends from the back of the scrotum to the anus. Pain and discomfort in the perineal area is very common in women, which can be due to injuries caused during a normal delivery. This discomfort is usually more related to women after the first delivery. But in this article, we intend to discuss the common and possible causes of perineal pain in men and ways to reduce pain and treat them.

What area is called the perineum in men?

Before addressing the causes of vague pain in the perineal area of ​​men, it is better to say what areas are called perineum in the anatomy of the male body?

The area that extends from the back of the scrotum to the anus in men is called the perineum. In general, in medicine perineum refers to the area between the external genitalia and the anus. There are a variety of reasons that can cause pain in this area of ​​the male body. In this article, we intend to introduce you to the possible causes of vague perineal pain in men and to some extent explain the ways of treatment and relief.

What are the causes of vague perineal pain in men?

As we have said, there are various causes for vague pain in the perineum in men. We will continue to name the possible and common causes of these pains.

  • Pelvic floor muscle dysfunction:

One of the most common causes of perineal pain in women is pelvic floor muscle disorders. We want to see if this cause can be one of the causes of vague pain in the perineal area of ​​men or not? The pelvic floor muscles are located at the bottom of the pelvis and actually support the structures inside the pelvis such as the bladder, etc. Dysfunction of the pelvic floor occurs when the muscles located in this area become very stiff. Due to the tightening of the muscles covering the pelvic floor, there will be pain and a feeling of tension in this area

On the other hand, pelvic floor dysfunction may be due to excessive weakening of the muscles and muscles of this area. Therefore, urinary incontinence may also occur.

In other words, urinary incontinence can be a result of excessive weakness of the pelvic floor muscles. People may also have a variety of bowel problems due to the inability and weakness of the pelvic floor muscles.

It is interesting to note that anyone can develop pelvic floor muscle dysfunction. However, according to statistics, the main group that suffers from this disorder are women after pregnancy and normal childbirth, and also in women and men, following a trauma, such as a fall or an accident, injury may occur following weak pelvic floor muscle weakness. In short, men with pelvic floor trauma and injury, such as falls, or accidents, may have pelvic floor muscle dysfunction that causes them to weaken.

In men, surgeries performed on the abdomen and pelvis can also cause damage to the pelvic floor muscles. If you are one of the men whose vague perineal pain is due to pelvic floor muscle dysfunction. You should know that doing specific exercises for the pelvic floor muscles will help you to strengthen the weakened muscles, and in cases where the cause is a weak pelvic floor muscle dysfunction, you will help to alleviate the problem and reduce the pain in your perineal area. It is very important to consult a doctor to learn how to do these exercises properly.

  • Referral pain:

Referral pain is pain that occurs in a part of the body and the pain can spread to another area that is not adjacent to the affected area. So one of the causes that can cause perineal pain in both men and women is referral pain. Among the causes that cause these referral pains are the following:

  • Inflammation of the colon or colitis
  • Inflammation and infection of the appendix or appendicitis
  • other problems that affect the lower parts of the intestine

It is natural that if you have colitis or colitis, depending on the type of inflammation and the clinical condition, special treatment will be done by the medical team.

It is also the treatment of choice for appendicitis and surgery and appendectomy, which is based on other problems that have occurred in the lower parts of your digestive system and have caused excruciating pain in the perineal area. Appropriate treatment measures will be taken by your doctor.

  • Infections:

Infections near the perineum can also be accompanied by swelling and pain in the perineum in men, including cases that occur at this time, including infectious cysts and abscesses in the trachea, as well as any part of the perineum.

Cysts and abscesses in this area are usually swollen and very painful, and when infections occur in the perineal area, the infected area is red and swollen, and if there is a cyst or abscess, a bulge may be seen on the surface of the perineal skin. If you have a painful or swollen abscess or cyst in this area, you can use warm compresses or anesthetic sprays to control and reduce pain and discomfort in the perineal area.

Infectious cysts and abscesses also sometimes need to be drained and treated with appropriate antibiotics.

Therefore, avoid treating painful abscesses and painful cysts arbitrarily and be sure to see a doctor for proper treatment.

  • Hemorrhoids:

Hemorrhoids are actually swollen blood clots that line the inside surface of the anal canal. Internal hemorrhoids usually cause bleeding and external hemorrhoids, in addition to bleeding, can sometimes be itchy. Some hemorrhoids may become so swollen that they put pressure on the perineum in men. This pressure can cause pain in the perineum and cause excruciating pain in the perineum.

The pain will usually get worse when you defecate or just after defecation. Surgery is usually necessary in cases where a person has severe hemorrhoids. In less severe hemorrhoids, it is better to take special care, for example: use healthy and special diet, regular exercise, physical activity, weight loss and the use of anti-hemorrhoid ointments and the use of hot baths to prevent symptoms and reduce the severity of symptoms

  • pudendal nerve entrapment:

The pudendal nerve is located in a person’s pelvis, and if the membrane of this nerve becomes swollen for any reason or if the nerve gets stuck. For example, if the condition is caused by an injury or trauma or accident, it can cause pain that also affects the perineal area.

Usually the pain in these cases can occur suddenly. Sometimes the pain gradually increases and settles over weeks and months.

If it is diagnosed that the cause of the pain in the perineum of men is problems related to inflammation or entrapment of this nerve, massage of the area as well as the use of anti-inflammatory and pain-relieving drugs such as non-steroidal anti-inflammatory drugs can improve the person. However, it is recommended that people who experience these conditions see a doctor for better evaluation and treatment.

  • Prostate problems:

One of the most common causes of vague perineal pain in men is problems with or inflammation of the prostate gland. Inflammation of the prostate is called prostatitis, which is one of the most common causes of perineal pain in men. Sometimes inflammation of the prostate can be caused by a sudden injury or infection. In some people, the inflammation may have chronic symptoms. So know that prostatitis can be acute or chronic

The prostate gland is actually a walnut-sized gland that sits just below the bladder in men. The function of the prostate gland is to store sperm.

Inflammation and swelling of the prostate gland is called prostatitis. People with prostatitis will usually find it painful and difficult to urinate. Other signs and symptoms of prostatitis include perineal pain, pelvic pain, flu-like symptoms, and groin pain.

Men can get prostate at any age, but prostatitis is more common in younger men.

The causes of this inflammation are varied, but sometimes the specific cause may not be known. If the inflammation and infection of the prostate is due to bacteria. Antibiotic treatment prescribed by your doctor is necessary.

Most acute prostatitis is caused by a bacterial infection of the prostate. Infection can start with the entry of urine bacteria into the prostate

Prostatitis, due to its cause, as we said, can occur suddenly and may also resolve spontaneously or quickly through treatment, depending on the cause.

If a person has acute bacterial prostatitis, he or she will often get rid of the infection and inflammation by taking the appropriate antibiotics and following the course of treatment, but in some cases, antibiotics may not kill the bacteria and the prostatitis may recur, or it may become a chronic bacterial prostatitis that will be difficult to treat.

It is also good to know that if a person has nerve damage in the urinary tract following surgery or trauma to the pelvis and perineum, he or she may be prone to prostatitis due to bacterial infections.

Men with the following conditions are more likely to develop prostatitis:

  • Young or middle-aged men, generally men under the age of 50
  • Have a history of past prostatitis
  • Men with AIDS
  • Men with prostate biopsy
  • Men with pelvic trauma, such as when riding or cycling
  • men with bladder or vas deferens infections

Also, men who have a catheter inserted into their urethra to empty their bladder are more likely than others to develop prostatitis and infections.

So far there is no evidence that prostatitis can lead to prostate cancer, but if left untreated and not treated properly, prostatitis can be associated with the following complications:

  • Abscesses
  • Infertility is usually caused by chronic prostatitis
  • bacterial infection entering the bloodstream

So prostatitis or inflammation and infection of the prostate is one of the most common causes of vague perineal pain in men.

How is prostatitis diagnosed?

Rejecting other conditions as the cause of the symptoms can lead the doctor to diagnose prostatitis. Your doctor will usually ask about your condition, symptoms, and manifestations. He or she will also ask about your medical history, and you may have a rectal exam.

Among the important initial diagnostic tests in these cases are the following paraclinical procedures

  • Urine tests:

By performing a urine test, your doctor can analyze the signs of infection in your urine sample.

  • blood test
  • Prostate massage:

Sometimes it is necessary that if urine tests and blood tests do not help, the doctor massages the prostate to remove the secretions stored in the prostate from the urethra and send them to the laboratory for testing.

Types of prostate inflammation

Here are some common types of prostate inflammation.

  • Acute bacterial prostatitis and chronic bacterial prostatitis:

It is the most common type of prostatitis caused by bacteria and often the exact cause cannot be identified. In some men the symptoms last for a year and for others it can be more severe or mild.

  • Asymptomatic inflammatory prostatitis:

Prostatitis is another type of prostatitis that causes perineal pain in men. It is usually discovered accidentally during tests for other medical problems. There are no clinical signs or manifestations of this type of inflammation and often do not require treatment.

To diagnose prostatitis, your doctor may need to perform imaging procedures. These diagnostic imaging procedures include:

  • Prostate ultrasound
  • Simple x-ray photo
  • CT scan of the urinary tract and prostate

It should be noted that the images obtained from the CT scan give the doctor more accurate and reliable information than a simple X-ray image.

How is prostatitis treated in men?

Depending on the type of prostatitis, your prescription will be determined by your doctor, so the treatment of prostatitis depends on the underlying cause. The treatments that can be taken in general for prostatitis are as follows:

  • Antibiotics:

The most common treatment for prostatitis caused by a bacterial infection is antibiotics. If a person has severe symptoms, they may need an intravenous injection of antibiotics. It will usually take four to six weeks to take oral antibiotics, but treatment will take longer if you have chronic or recurrent prostatitis.

  • Alpha blockers:

These drugs relax the neck of the bladder as well as the muscles that connect the bladder to the prostate. With the use of alpha blockers, painful symptoms such as painful urination will be somewhat controlled and reduced.

  • Anti-inflammatory drugs:

Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed. Used properly, these medications can help reduce inflammation and swelling of the prostate gland, thus reducing symptoms as well as pain.

Aside from the above drug therapies, here are some steps you can take at home to reduce the symptoms of perineal pain following a prostate.

  • Temporarily limit or eliminate alcohol, caffeine, sour, acidic, and spicy foods that can irritate the bladder.
  • Consume large amounts of decaffeinated beverages, which will cause more urine to be produced, thus flushing the bacteria out of the bladder.
  • A person with prostatitis should avoid activities such as prolonged sitting or sports such as cycling and horseback riding that can irritate the prostate.
  • It is also recommended that the sufferer sit in warm water or use a blanket on the painful area on the surface of the body.
  • Acupuncture and biofeedback are also methods that may help a person with prostatitis with perineal pain reduce and control pain.
  • There are also herbal supplements on the market that are used by men with prostatitis. Needless to say, there is no evidence yet that these herbal remedies are effective in treating inflammation and infection of the prostate. It is best to consult your doctor before using these medicines and herbal supplements

When should we see a doctor with perineal pain?

If you are a man who has vague pain in the perineal area, it is very important that you see a doctor in the following cases:

If your pain is caused by cycling trauma, horse riding and falls and accidents

Be sure to see your doctor if you have severe perineal pain because in cases where there is severe perineal pain, there is often a need for faster treatment at the same time

In some cases, doctors refer a person to a physiotherapist for treatment to strengthen the pelvic floor muscles after examining the person with perineal pain and finding that the pain is not due to infection, inflammation, injury, or acute trauma.

The final word:

Pain in the perineal area can be very severe and prevent a person from engaging in daily routine activities. As you can see, the causes of perineal pain are very diverse. Some of these causes can be easily treated without causing any long-term damage.

It is very important not to deny the pain in the early stages to avoid chronic pain and to see a doctor to check the pain.


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