Symptoms A-Z

Pain Between The Genitals and The Anus Symptoms & Causes

Understand pain between the genitals and the anus symptoms, including 5 causes & common questions.

This symptom can also be referred to as: perineum pain, saddle pain

An image depicting a person suffering from pain between the genitals and the anus symptoms

Pain Between The Genitals And The Anus Symptom Checker

Take a quiz to find out why you're having pain between the genitals and the anus

Contents

  1. 5 Possible Causes
  2. Questions Your Doctor May Ask
  3. Statistics

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 objects or by anal sex; and illnesses such as any type of inflammatory bowel disease or sexually transmitted disease.

Symptoms include pain and bleeding during and after a bowel movement, discomfort and difficulty with urination, and a visible tear resembling a crack in the anal tissue that may have a foul-smelling discharge.

Treatment primarily involves limiting constipation and thus straining by consuming more fiber and fluids, as well as easing anal irritation by soaking in a warm bath and gently cleansing the tissues of the anus. In some cases, medicated creams or suppositories may be prescribed.

Rarity: Common

Top Symptoms: rectal pain, pain when passing stools, painful rectal bleeding, hard stools, mild rectal bleeding

Symptoms that never occur with anal fissure: unintentional weight loss

Urgency: Self-treatment

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 of the last six months.

Chronic prostatitis can be caused by bacteria (chronic bacterial prostatitis) or inflammation without evidence of a bacterial infection (chronic nonbacterial prostatitis or chronic pelvic pain syndrome).

Symptoms include pain on urination, more frequent urination or urgency, difficulty urinating, pain in the pelvis or with sexual activity, erectile dysfunction, as well as low-grade fever and depression.

Treatment options include antibiotics and other medication, physical activity and physical therapy, psychological support, and surgery.

Rarity: Common

Top Symptoms: urinary changes, painful urination, testicle pain, frequent urination, penis pain

Urgency: Primary care doctor

Pain Between The Genitals And The Anus Symptom Checker

Take a quiz to find out why you're having pain between the genitals and the anus

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

Questions Your Doctor May Ask About Pain Between The Genitals And The Anus

To diagnose this condition, your doctor would likely ask the following questions:

  • 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?

The above questions are also covered by our A.I. Health Assistant.

If you've answered yes to one or more of these questions

Take a quiz to find out why you're having pain between the genitals and the anus

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 visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

Pain Between The Genitals And The Anus Symptom Checker

Take a quiz to find out why you're having pain between the genitals and the anus