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Perineum Pain And More (Page 1)

I am a 30 year old and have been having pain in my perineum for the past several weeks. I thought it was brought on by my bike seat, but I have not been out riding in quite some time and still have the pain. The symptoms started like a unrinary tract infection, but I have been to both a family doctor and a urologist and neither one found any sign of infection. Recently, I have been feeling pressure and the feeling of twitching or fluid moving in the perineum area. I also have dull pain after ejaculation.

Has anyone else ever had these symptoms?
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First Helper Lanfran
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replied January 20th, 2008
I am a 19 year old male and have these same symptoms, especially when engaging in physical activity but am not sure what it's from. Just know you're not the only one out there with these symptoms. Good luck.
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replied December 19th, 2015
Biker Sore Perimeum
This is for all males that are having perineum pain related to physical activity. For the younger males, you need to address this pain now (don't wait until you start having erection problems) and be aware that the medical community is not all well informed in this area. Seek out advise until you have this issue under control. I biked 20 miles a day 20 years ago.

I've been down this or a similar road. I end up with a sore perineum that leading to perineum pain and extended penile numbness lasting [for day(s)] if I do not make any physical adjustments to what I am doing. Erections are difficult until the numbness and pain goes away. This is all directly related to extended race biking and exercise over a decade ago. I have had x-rays, MRIs/contrast, prostate biopsy, etc. and went to several MDs (neurosurgeon, sports, urologist, neurologist, and GP). Nothing unusual found. The treatments tend to focus on removing pain (Ibuprofen, gabapentin, etc.) I generally have fully recovery and normal erections when I stop all exercise activity and rest for an extended time. What appears to be happening is that the pain relievers are masking the physically damaging pressures when they are occurring, so when the pain reliever is absent there remains an even greater pain with penile numbness that lasts even longer. The perineum pain is the precursor to numbness leading to erection problems and lost in interest in sex because you just can't feel anything correctly. the urologist thought it was low testosterone, but no, it is from the loss of penile feeling. I have watched this pain and numbness progress over many years (decade). I stopped bicycling over a decade ago, and now leg or pressure based exercise (like fitness center weight machines) create the same pain and numbness. I have been successfully using Viagra before exercising allowing me to identify when I begin to lose feeling in my penis and to change my exercise routine on the fly. This is important because as a biker you never know that you have a numb penis until you get off of the bike, and its too late.

The damage sequence is this during exercise: 1st mild discomfort behind scrotum, then perineum pain, later a frost bite feeling on penis, then complete loss of feeling on penis. The Viagra allows separation from normal exercise muscle pain from the activity that is affecting nerves to the penis so activity adjustment may be made to avoid further pain and numbness, and be ready for sex as usual. If I have no perineum pain or penile numbness I do not need to use Viagra for erections . I hope this helps.
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replied May 28th, 2008
Experienced User
Perineum Pain
I'm 27 and I also get a pain between my anus and scrotum I only get it when i do an extreem sport or jump off a wall (!) So doesn't happen often lol ... I think its a hernia but what do I know? Its crippling I tell ya.

Help?!
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replied April 15th, 2012
weird pain
I'm 28... same thing, only when landing from a high-ish jump to the ground, or occasionally when on the john. brutal/scary for a few seconds (feels like somethings tearing or about to tear) and then goes away
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replied July 11th, 2008
perineum PAIN
48 yr old male who recently started having a very intense burning and painful sensation in my perineum, testes and penis. Freaking out, I went to an urgent care facility because it was something I'd never experienced before. The doctor put me on 28 days of cipro thinking I had a bacterial infection of the prostate. At 48 I could not believe I'd be having these problems but I dutifully took the poison and my symptoms eased somewhat, but did not totally vanish. The meds were brutal, sometimes I felt like I could not breathe, panic attacks, nausea I mean really bad, made it thru though. but the burning got worse when I finished the antibiotics! I had made an appt with my regular doctor after the initial diagnosis to let her in on what was happening with me. When I saw her 10 days after finishing the cipro, she checked me out, (Prostate) just fine, nothing abnormal and said she thought I had a yeast infection, never had one before! What do I know about yeast infection? She gave me Nystatin cream and it went away in 3 days. The first doc at the urgent care had me convinced this was the way it was going to be for the rest of my life pain ,maybe prostate cancer, I didn't sleep for more than a month because i just thought my prostate would have to be removed some day... just goes to show ya...get a second opinion. After all that...Nuts eh?
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replied October 12th, 2011
I too have this pain and, like you I went to the local hospital walk-in centre to have it checked out. Urine test showed a slight rise in the white corpusal count but little else. Earlier blood tests showed that the cea count was very high (should be 3.5 but was 11.6) Now I have to have a colonoscopy.
Could the perinium pain be causing the cea count to be reading high?
Another strange thing is that while I am sat down there is this ache in the perinium area but if I start to move around it becomes a weird and very odd sensation that is really unpleasant.
This all started last year when I happened to wade into cold water and got this sudden urge to urinate which I could not control. A small amount of semen-like fluid came out. This happened on a few occasions and I told my doctor who checked me out but could find nothing wrong. After each incident there was this tight perinium ache...so it as to be related.
Have you suffered any similar symptoms ?
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replied October 12th, 2011
I too have this pain and, like you I went to the local hospital walk-in centre to have it checked out. Urine test showed a slight rise in the white corpusal count but little else. Earlier blood tests showed that the cea count was very high (should be 3.5 but was 11.6) Now I have to have a colonoscopy.
Could the perinium pain be causing the cea count to be reading high?
Another strange thing is that while I am sat down there is this ache in the perinium area but if I start to move around it becomes a weird and very odd sensation that is really unpleasant.
This all started last year when I happened to wade into cold water and got this sudden urge to urinate which I could not control. A small amount of semen-like fluid came out. This happened on a few occasions and I told my doctor who checked me out but could find nothing wrong. After each incident there was this tight perinium ache...so it as to be related.
Have you suffered any similar symptoms ?
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replied October 27th, 2011
Inguinal Hernia
I've had the exact same symptoms & went through the same drama of having everything from the prostate to sexually transmitted infections tested for any infections or abnormalities. Every test came back negative.

I had a pelvic ultra sound which also came back all clear. I took 2 courses of doxycline & 2 courses of Azithromycin but had no relief from the pain.

I do martial arts (kick boxing) & read about Inguinal Hernia or Sports Hernia which can give symptoms that are often misdiagnosed as prostate problems. This type of injury is common in sports that involve kicking such as soccer or martial arts.

I eventually went to a Sports Physician who examined me & pin pointed an exact spot on my lower, left side pelvis that when pressed on, was very tender.

This doctor explained to me that damaged muscle or ligaments in this region can produce referred pain in the perennium region.

I'm having an MRI on this doctor's instructions to determine exactly what is going on & to reach a formal diagnosis. The doctor told me that a cortizone injection into the damaged area while undergoing a CT scan is one form of treatment for such an injury as well as phyiso.

The Sports Physician also told me it was a difficult injury to treat.

If you present with such symptoms and have eliminated all other pathology such as disease or infection, my suggestion would be to consult a Sports Physician because my experience has shown me that the injury is beyond a GP's knowledge.
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replied November 5th, 2011
perineal pain
I have a similar pain, with no help from PCP and urologist. Internet search suggest possible pudendal nerve entrapment.
http://www.ajronline.org/content/181/2/561 .full
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replied July 13th, 2008
Perineum Pain when jumping and sometimes sneezing
Unifier - Did you ever find out what was causing this? I have had the same perineal pain for the last 12 years. It happens when I jump if I don't absorb most of the jolt with my knees, and I even get it sometimes if I sneeze very hard.
I have asked my PCP a few times, but he does not seem to think it is anything to be concerned with.
Anyone have any thoughts?
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replied July 15th, 2008
perineum pain
I don't ever remember not jumping from something relatively high and not getting perineum pain. I always thought it was normal. However the last week I have had sharp pains in my perineum with a lot of lower across the back pain also. My urine which is normally light colored is now pretty dark. I have an appointment to see a urologist tomorrow. I hope he can figure it out quickly as the pain is at times relatively intense.
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replied July 15th, 2008
perineum pain
Thanks noiro. It would be great if you could post anything you learn.
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replied July 15th, 2008
Experienced User
omg
i get it when i sneeze as well (!) i really need to see the doc eh?
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replied February 20th, 2009
I have a similar issue
I however get anal cramps zaps every now and then too but the perineum hurts quite a bit especially when pressure is applied ... sports kill me when I cut quickly ... it's happening for a year from today which was a month plus after taking the screws out of my back. Turns out I have minor nerve damage at s1 but that doesnt really explain the perineum problem.
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replied March 26th, 2009
Perineum pain
gents i too have been having this pain for some time. i talked to my doctor today and i am going in for a check up on friday. the pain is dull when i pee and a little bit more after i ejaculate. It will also hurt when im just sitting or hanging around. i did a self check on my scrotum and then work my way down to my anus. The pain is coming from a quarter inch in my body about half an inch from my anus (taint area). I pushed on it to see my pain level and now its aching. Yeast infection, STD, cancer???? anyone 26/m.
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replied April 1st, 2009
'Taint no thang....I hope
I would be very interested to hear anyone's results...I've been having really tight cramping in my perineum for years whenever I sneeze sharply, and it has always made me worried but gotten filed into the "I hope that doesn't mean anything" drawer of my brain. I feel like it must also be connected to generalized tension in my perineum during erection and ejaculation. That has not been nearly as sharp a cramp but has been more consistent and perhaps increasing gradually over the past year.
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replied April 5th, 2009
I'm having that pain too...
Pain is usually between the scrotum and anal area. I thought I was the only one until i saw this website. Since I was in College I've had this and now I'm 26 and I still have it. If I touch the part between my scrotum and anus there is a tender part there and it has a slight bump. Wish a doctor or someone could answer these questions. Smile
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replied April 13th, 2009
Experienced User
OK - I am going to the doctors
Guys, its probably a hernia. I've been fobbed off by a doctor before so don't let them do this!!!

When I was in the libray last week I went to piss.. During which I got these shooting pains down there between my balls and anus. It is the same pain I usually get when I jump off a wall or a central reservation.

I suddenly 'felt' that I needed to place my hand down there and comfort the area. And when I did, I felt a bulge where there was no bulge before. I don't evn know why but I felt the urge to 'push' this bulge inwards and the pain went. After the pain went, I notices by touching the area that there was a frickin hole there!!

It has to be a hernia. Do you think the doctor will give a s**t now? I hope so, I mean if not I will loose all hope in modern medicine!!

Rob
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replied June 2nd, 2012
my friend do you know who becomes a doctor in this country today. It is all rich kids no matter how qualified they are, lots of dumb rich privileged kids go to med school and somehow come out with a diploma.
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replied April 19th, 2009
Perineum Pain
I'll join the club, good to know I'm not alone out there. I've had this problem for about 10 years; pain in the perineum area between the anus and scrotum where a section of the urethra passes.

The first time I was aware of it was when I jumped down from a low wall as in the original post. I think I might have jumped down from something once since but have avoinded doing so thereafter as the pain was so excruciating on each occasion albeit short lived.

I occasionally experience nearly as intense pain randomly every once in while for a few seconds whilst urinating during which I can barely remain standing which has caused several misses I'm afraid to report! Sorry for the gorry details but I just want to make sure I give an accurate account for people to be able to compare symptoms.

I can also occasionally feel an ever so slight amount of pain when I sneeze as some others have commented and I think it has worsened slightly over the years as I now find it too uncomfortable to ride a bicycle and even certain hard chairs are not too comfortable although bearable.

I sometimes feel a slight discomfort at various stages during sexual arousal.
The other symptoms I experience which could be related is slight burning sensation in the urethra near the tip of the penis on occasion while urinating as well as after ejaculation.

I have mentioned these symptoms to my GP before without getting anywhere but I think I will go back now with the list of all these sympoms and ask them for appropriate tests.

Thank you Unifier for your suggestion, I had not thought of a hernia. Although wouldn't it be quite painful most of time when moving about (which is not my case)? I also haven't noticed any abnormalities like holes etc... I'll report any new information from my GP and any test results.
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replied April 24th, 2009
No Pain - but occasional 'rumble'
Ran a search to see if other were experiencing something like this - and good thing I'm not alone. Though I have no pain, and am pretty sure its not hernia related. What I've been getting the past 2 weeks is an occasional series of twitching or rumbling in the perineum. Usually lasts about 10-15 minutes, with each twitch lasting about 3 seconds. Researched some other sites, and they are suggesting its a gastro issue. That makes sense, since I just started getting heartburn and all that fun stuff 2 years ago. I'm 33 now.

NO IDEA what the hell is going on and rarely go to the doctor. Hope it goes away soon. Any input appreciated!
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replied October 10th, 2011
I am having this exact issue, did u ever find out what it is?
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replied May 27th, 2012
Best thing for heartburn: AMERICAN HEALTH BRAND: Super Digestive Enzymes Plus. Be sure you get the "plus" That's the mint, which is very soothing. "And more palatable." "The plain ones taste like chalk!" Much better for you than antacids....and more effective.
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replied May 27th, 2012
Best thing for heartburn: AMERICAN HEALTH BRAND: Super Digestive Enzymes Plus. Be sure you get the "plus" That's the mint, which is very soothing. "And more palatable." "The plain ones taste like chalk!" Much better for you than antacids....and more effective.
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replied May 2nd, 2009
pain
i have suffered with this pain for the past 8 years, i have intense burning between my scrotum and anus sometimes i feel i want to pee but dont, if i touch it it hurts. i have been under the pain clinic at my hospital for 8 years and have never got a diagnoses, i use accupuncture on myself and a drug which is also used for epelepsy, most of the time it works but at present i am in aggony, any thoughts, scott 42
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replied October 16th, 2011
I have also suffered with this pain for 10 years. I think it started when I pinched my cyatic(sp?) nerve when I fell down the stairs. I was unable to walk for over a week, and had severe back pain for months after that. Around that time, i started experiencing severe discomfort and a constant need to urinate as well as a burning sensation in my genitals/scrotum, and lower back pain. I also have a lot of tenderness above the genitals on the left side and a slight tenderness in the lower abodmen above that. This pain has caused many sleepless nights and seems to increase with stress, alcohol, caffeine, and anxiety. I have only recently been able to work on the problem as I've only had insurance for about 2 years, but in that time, it was determined that I do not have prostatitis, no sexually transmitted diseases, and no bacterial infections. I went to a pain doctor that recently gave me a left trans abdominal block(a nerve block), but it has been 4 days, and I have experienced nothing but more pain, leading me to believe the block was done in the wrong area.

I'm hoping to get this all worked out, as my quality of life has severely worsened with lack of sleep and just regular day to day pain and discomfort over the last 10 years..
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replied November 30th, 2011
Perineum pain
Hey Berain 123: I have had perineum pain and rectal pain that renders me immobile, for over 6 years. It is getting very difficult to keep my spirits up. I have been to many doctors and taken many medications, and in the fall 2009 I met Dr. Renney in Sugar Land Texas who had me tested for pudendal nerve entrapment. The test, very painful, showed positive and I began physical therapy at the Womens Hospital. That treatment allowed me to at least return to work, and I can function through most of a day. The pain is still extreme, and urinating relieves the pressure for about 30 min. Sucks. The surgical procedure is barbaric and my research shows that it does not cure the problem.
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replied May 7th, 2009
Experienced User
get it sewn up by a physician!

good luck guys - eek!
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replied May 16th, 2009
similar
i have these similar sensations, tho like coolpapa20, i'm not in any noticeable amounts of pain. i also have been going to the urologist because of a prostate issue. it takes me a while to urinate. at any rate, my urolgist recommended i see a gastroenterologist because he suspects they're somehow tied. as in, a hypothetical: that same twitching somehow affects the overstimulation of the nerves in the anus, resulting in more frequent bouts of liquid-stage fecal matter, which looks like diarhhea but isn't? is that what he's suggesting? cause i've been experiencing exactly that.

also, i've been using elavil to treat the prostate issue and these symptoms began at the same time, ergo side effect?

but, unlike most of you, i don't jump off walls or even do sports. i, like the other man who mentioned he got these twitches from sitting or hanging around, am pretty much a couch potato by night/sit in an office chair by day.

might i suggest it has something to do with the amount of pressure we're putting on our lower most exposed reproductive/waste organs by either a) absorbing shock; or b) by lack of mobility combined with the pressure of focalizing the weight onto our "sitting bones" area, where our perineum also absorbs unnecessary weight?
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replied May 20th, 2009
Perineum pain
I have a pain in my perineum area? Any suggestions??
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replied May 30th, 2009
Advise for Minor Irritation of the Perineum
The Perineum is the area of skin between your legs between your genitals and your anus.

The Perineum can become irritated from over stretching during exercise, or from excessive pressures whilst on the loo.

If your the kind of person who reads a book while on the lav and you are experiencing the problems above, try spending a shorter period of time on the loo, use soft loo roll and hope fully your symptoms will go away.

If your exercising frequently and stretching a lot as part of this, make sure you keep the whole area including and around the Perineum as dry as possible, ensure the area is clean and dry before and after exercise- try not to let the skin dry atmospherically but by gently applying pressure with a clean towel. Talcum powder may help (putting a tiny bit in your underwear), but make sure it is not perfumed and the area is clean and dry before use.
It is very important that you warm up before/during exercise.


If your symptoms persist or get worse go to your GP immediately. If your experiencing pain in your penis or anus simultaneously, go to the doctor and explain in full detail the problems you are having. He/She canâspam�t help you if you donâspam�t tell them everything because of embarrassment.
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