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Pain Between the Genitals and the Anus Symptoms & Causes

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Last updated January 28, 2021

Perineal pain questionnaire

Use our free symptom checker to find out what's causing your pain.

The perineum pain between the genitals and anus can be commonly caused by anal fissures. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Read below for more information on causes and treatment options.

Perineal pain questionnaire

Use our free symptom checker to find out what's causing your pain.

Perineal pain symptom checker

5 possible pain between the genitals and the anus causes

The list below shows results from the use of our quiz by Buoy users who experienced pain between the genitals and the anus. This list does not constitute medical advice and may not accurately represent what you have.

Anal fissure

An anal fissure is a break, or tear, in the mucous membrane lining of the anus. The anus is the opening at the end of the digestive tract where stool leaves the body. A fissure is caused primarily by constipation, which leads to straining to pass large hard stools; trauma caused by insertion of objec..

Chronic prostatitis

Chronic prostatitis is inflammation of the prostate gland, located between the bladder and penis, which produces fluid that nourishes and protects sperm. Chronic prostatitis is distinguished from acute prostatitis in that chronic prostatitis has caused symptoms for at least three..

Perineal pain questionnaire

Use our free symptom checker to find out what's causing your pain.

Perineal pain symptom checker

Acute prostatitis

Acute prostatitis is a sudden-onset bacterial infection of the prostate gland in men.

Bacteria can spread to the prostate through a urinary tract infection, or through a sexually transmitted disease such as gonorrhea or chlamydia. Infection can also start after a medical procedure such as a urinary catheter insertion.

Most susceptible are younger or middle-aged men with a urinary tract infection or STD (sexually transmitted disease;) a pelvic injury from trauma or from bicycling or other sport; an enlarged prostate; or a recent prostate biopsy.

Symptoms include pain and difficulty when trying to urinate; pain on ejaculation; pelvic and abdominal pain; fever; chills; and nausea and vomiting.

These symptoms should be evaluated by a medical provider, because untreated prostatitis can lead to bacteremia of the blood ("blood poisoning,") prostatic abscess, and infertility.

Diagnosis is made through patient history, urinalysis, blood tests, and a physical examination which usually involves a digital rectal examination. Prostatitis does not cause prostate cancer.

Treatment is done with antibiotics, usually as an outpatient.

Rarity: Rare

Top Symptoms: penis pain, fever, urinary changes, painful urination, chills

Urgency: Hospital emergency room

Piriformis syndrome

The two piriformis muscles, left and right, each run from the base of the pelvis to the top of the thighbone. The two sciatic nerves, left and right, are each attached to the spine and run down between the pelvic bone and the piriformis muscle to the back of each leg.

If the piriformis muscle is damaged through sudden trauma, or through overuse as in sports, the resulting inflammation or spasm of the muscle can trap the sciatic nerve between the pelvic bone and the muscle.

Piriformis syndrome is most often found in women over 30.

Symptoms include pain over one or both sides of the low back, and shooting pain (sciatica) down one or both legs.

Diagnosis is made through physical examination and sometimes imaging such as CT scan or MRI.

Treatment involves rest; over-the-counter, nonsteroidal anti-inflammatory drugs; physical therapy; therapeutic injections; and, rarely, surgery.

The best prevention is a good regimen of stretching before exercise, to help prevent damage to the piriformis.

Rarity: Common

Top Symptoms: pelvis pain, butt pain, pain when passing stools, leg numbness, hip pain

Symptoms that never occur with piriformis syndrome: involuntary defecation, leaking urine

Urgency: Primary care doctor

Spinal stenosis

The spine, or backbone, protects the spinal cord and allows people to stand and bend. Spinal stenosis causes narrowing in the spine. The narrowing puts pressure on nerves and the spinal cord and can cause pain.

Rarity: Common

Top Symptoms: lower back pain, back pain that shoots down the leg, back pain that shoots to the butt, difficulty walking, thigh pain

Urgency: Primary care doctor

Perineal pain questionnaire

Use our free symptom checker to find out what's causing your pain.

Perineal pain symptom checker

Questions your doctor may ask about pain between the genitals and the anus

  • Do your symptoms worsen when sitting?
  • Have you had any changes in your weight?
  • Any fever today or during the last week?
  • Are you sexually active?

Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

Pain between the genitals and the anus symptom checker statistics

People who have experienced pain between the genitals and the anus have also experienced:

  • 5% Vaginal Itch Or Burning
  • 4% Rectal Pain
  • 4% Abdominal Pain (Stomach Ache)

People who have experienced pain between the genitals and the anus were most often matched with:

  • 60% Acute Prostatitis
  • 30% Chronic Prostatitis
  • 10% Anal Fissure

People who have experienced pain between the genitals and the anus had symptoms persist for:

  • 31% Over a month
  • 27% Less than a week
  • 22% Less than a day

Source: Aggregated and anonymized results from Buoy Assistant.

Hear what 2 others are saying
Pain in the butt and morePosted March 30, 2021 by L.
I have had pain between the genitals and right butt cheek and anus for five weeks now. Sometimes, spasms in my lower back feel like I have swelling in the right butt cheek. Saw a urologist, thinking it was something there, but everything checks out ok. The urologist thinks it could be an infection, so I am on antibiotics. A few years ago, I had surgery on my L5 and L4 disk, unsure if it's related to that. Still in pain. Not sure where to go from here.
Deep pain between anus and testiclesPosted December 18, 2020 by J.
Was diagnosed as chronic prostatitis..deep pain between anus and testicles. Took antibiotics for years, pain never went away. After an anal fissure appeared and couldn’t heal, doc recommended sphincterotomy. Had it and never had pain since. Check your anus, if it’s too tight or in spasm, the spasms might be giving you what you think is prostate pain but it ain’t. The op will leave you with incontinence, but it’s worth it, just a mild inconvenience compared to the agonizing pelvic pain I suffered most of my life.

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