Pain in the perineum

The crotch is understood as the area that is located between the external genitalia and anus (anus). It includes soft formations, muscles, fascia, which are located between the pubic bone, the upper part of the coccyx, and the ischial tuber. The perineum of a man and a woman is almost not different in form, it is in the form of a diamond. In women, it is slightly shorter, serves as a support for the pelvic organs and forms the bottom of the pelvis.

Pains in the perineum: features and causes

There are short-term and permanent pains in the perineum, situational, which occur under certain circumstances (during sexual acts, with bowel emptying). They can be sharp, be noisy or almost invisible.

Often the symptoms of pain can radiate into the pubic region, the coccyx region , the lower abdomen. The emergence of pain in these areas is associated with a change in the hormonal background, hypothermia, weakened immune defenses, prolonged or uncontrolled intake of medications (antibiotics). With exacerbations of prostatitis, pain can also occur, which in this case is strong, acute, and irradiate into the head of the penis, the sacrum. Chronic forms of this disease are also characterized by the appearance of such unpleasant sensations, which are of less intensity, but of greater duration. Pains in the perineum are the main symptom of prostate abscess.

Pains in the perineum in women

Pains in the perineum can be provoked by inflammatory diseases of the urethra. With urethritis, the pain syndrome is weak and unobtrusive (at the initial stages of the disease) and very intense (with chronic forms). The pain can be long-lasting and complicated by colliculitis, the inflammatory process of the seminal tubercle, which is located in the posterior part of the urethra. Painful sensations appear due to mechanical damage to the urethra and perineal zone during the passage of stones, bruises.

Pain in the perineum in pregnant women

The appearance of pain from 35 to 37 weeks is often a harbinger of an early delivery. By this time the hip joints diverge considerably, but the ligaments do not have this elasticity. Therefore, there are pains of a sharp, shooting character. The appearance of pain at earlier stages of pregnancy is a poor prognostic factor, as the threat of spontaneous miscarriage increases . Often the appearance of such unpleasant sensations can be associated with a growing fetus, which, perhaps, squeezes nerves (for example, sciatic). Pain can occur with varicose veins of the perineum and loosening of its ligaments.

During childbirth often there are painful feelings, which are associated with a traumatic effect on the muscles of the pelvic floor. Often there are gaps due to the passage of the baby's head through the mother's birth canal, the impact of the baby's movement on the pelvic muscles, which have a reduced elasticity. In some cases, the pain passes after childbirth.

Treatment of pain in the perineum

Detection of pain in the perineum of any intensity should lead to immediate access to the doctor. He will establish the source and prescribe the appropriate treatment. For diagnosis, the following methods are used: ultrasound, a vaginal smear or urethra. At breaks after childbirth, surgical methods are needed - suturing the wound of the perineum.

Pains in the perineum are a rather serious symptom that requires immediate treatment, otherwise the disease will go into a chronic form.