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Doctor insights on: What Causes Sore Perineum

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Why is it that when I have sex without a condom I'm sore in the perineum area for days? I had an episiotomy 5 years ago, could that cause discomfort?

Why is it that when I have sex without a condom I'm sore in the perineum area for days? I had an episiotomy 5 years ago, could that cause discomfort?

Yes: Have your GYN MD take a look at the area for scar tissue from the episiotomy when it healed. He/she may have to do a revision of the area if it is the only source of your pain which can be documented by pressure on certain points of the old scar. ...Read more

Perineum (Definition)

Ther perineum is the area between the anus and the scrotum in men and the vulva in women. It generally refers to the surface anatomy, from the pubic symphysis to the coccyx. Perineal tears and episiotomy can occur in this region during childbirth. The anogenital distance is a measure of the distance between the anus and the base of the penis or vagina & used in the ...Read more


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Left side of perineum is sore/tight attimes. Could a tight muscle on left leg cause this? My hip seems slightly to twisted/uneven wasn't b4, imbalanc?

Left side of perineum is sore/tight attimes. Could a tight muscle on left leg cause this? My hip seems slightly to twisted/uneven wasn't b4, imbalanc?

Connected body parts: Good question! Yes, the various parts of your body certainly can and often do cause strains on other parts. The root of your problem may be in your hip, knee, or even your foot. Chiropractors and some DO's (osteopathic doctors), particularly those who specialize in PM&R (physical medicine & rehabilitation) can evaluate you and provide treatment. ...Read more

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I am terrified I may have contracted herpes from a one nighter. She performed unprotected oral. Now I have a sore perineum, very stressed please help?

I am terrified I may have contracted herpes from a one nighter. She performed unprotected oral. Now I have a sore perineum, very stressed please help?

Probably not herpes: Initial herpes occurs at the points of direct contact; oral-penlle sex would not infect the perineum. Maybe a slight chance if her mouth directly contacted the painful area, but even with vigorous and prolonged contact, the chance of new herpes from a single oral sex exposure is very low, probably around one in many thousand. But get care if the pain continues or if blisters or sores appear. ...Read more

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It's been 2 week since I hit my perineum from biking. Only sore when I have an erection. Did I damage my penis somehow? Or will this heal with time?

It's been 2 week since I hit my perineum from biking. Only sore when I have an erection. Did I damage my penis somehow? Or will this heal with time?

Penile pain: It is likely that you have a contusion? Bruise) that will rescue in time. It is not likely that thee was serious trauma and the fact that you are getting an erection is a good sign! ...Read more

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What's the best type of cream to use for sore vagina after rough sex, been kind of cut and its sore on the perineum?

What's the best type of cream to use for sore vagina after rough sex, been kind of cut and its sore on the perineum?

Variable: Vagisil is over the counter and used in this manner. However, replens (used for menopausal vaginal thin skin) or something similar may help as well. If these do not work, see your doctor for other treatment. ...Read more

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I have been diagnosed with IBS, and Fissure, and now my perineum has become very swollen and sore. What is happening?

I have been diagnosed with IBS, and Fissure, and now my perineum has become very swollen and sore. What is happening?

Perineum swollen: Hello ~ you are getting an infection down there and need some urgent antibiotics so please go and see your doc asap to get some antibiotics. You do not want this to progress thanks ...Read more

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I am three weeks postpartum and had second degree tearing, I have some redness in my perineum and anus area it's a bit sore as well. Is this normal?

I am three weeks postpartum and had second degree tearing, I have some redness in my perineum and anus area it's a bit sore as well. Is this normal?

Yes: It's normal for the area to be red, but if it's red and warm and swollen, that could be a sign of infection. If you are at ALL worried, no harm in getting it looked at by ob/gyn or family doctor. Better sometimes, to be safe, and make sure there's no infection. ...Read more

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There is an open cut or sore on my perineum that hurts when I use the restroom. I recently had a yeast infection. Could this still be that?

There is an open cut or sore on my perineum that hurts when I use the restroom. I recently had a yeast infection. Could this still be that?

Possible: It is possible but this also could be herpes. See your GYN or PCP as soon as possible for a diagnosis and treatment. Hope you feel better soon ...Read more

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Testicular pain&swell when sitting, but not stand or lying down. The perineum is also sore could this be pudendal neuralgia? If so how is it treated?

Testicular pain&swell when sitting, but not stand or lying down. The perineum is also sore could this be pudendal neuralgia? If so how is it treated?

Possibly: Need exam to know for sure. There are many treatment options

Here are some resoucres:
http://www. Oswego. Edu/~msheppar/isc325/spuninfo/physician. Html
www. Pelvicpain. Org
www. Pudendalhope. Info ...Read more

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36 yr old female. Long-term constipation. Today I noticed pain/weird feeling in perineum area & there's a grape sized sore lump to the left side. Why?

36 yr old female. Long-term constipation. Today I noticed pain/weird feeling in perineum area & there's a grape sized sore lump to the left side. Why?

Thrombosis hemorrhoi: This sounds like a thrombesed hemorrhoid or an abscess If you have fever or chills or the skin surrounding the lump is pink and warm then you may have an abscess. If this is the case you should seek medical attention right away. Not treated an abscess can result in sepsis and long term complications like fistula and even incontinence. You should see a doctor such as a colorectal surgeon to tell ...Read more

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My perineum is infected due to a yeast infection it started as a very small sore & now it is like a big budge it doesn't hurt that bad but it looks bad?

My perineum is infected due to a yeast infection it started as a very small sore & now it is like a big budge it doesn't hurt that bad but it looks bad?

May not be yeast...: A yeast infection usually looks a bit different. Usually there is generalized itching and a discharge that looks a little like cottage cheese. It doesn't usually "start as a sore" and turn into a big bulge. There may be something else going on. You may want to get an exam and find out what it is. Best wishes! ...Read more

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I have a cut/sore on my perineum from having sex. It burns when I pee and it bleeds a little every now and then. What can I do?

I have a cut/sore on my perineum from having sex. It burns when I pee and it bleeds a little every now and then. What can I do?

See your OB_GYN: This cut or sore might be a herpetic infection. You should have it checked out as soon as possible. To be sure that that is not what it is. ...Read more

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I hit my perineum pretty hard (speed bump on bike), and it has been sore for a week or 2. Could this lead to erectile dysfunction?

Potentially: While pressure in the perineum can cause injury to the pudendal artery, it is generally chronic pressure from narrow saddles in cyclists which causes erectile problems. A single blow to the perineum is not likely to cause long-term arterial injury. ...Read more

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Hi I am a 30 year old woman, we have no STDs or etc, and basically when I have sex with my partner my perineum gets red and sore.?

Hi I am a 30 year old woman, we have no STDs or etc, and basically when I have sex with my partner my perineum gets red and sore.?

Lubricant: Most of the time this can be treated by adding a vaginal lubricant like KY or astroglide. Spending more time on forelay can help improve natural lubrication as well. If this does not help schedule a visit for an examination. ...Read more

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My perineum and posterior vaginal wall are hard, swollen and super sore. Could being in a sitting position for 12 hours driving bruise it?

My perineum and posterior vaginal wall are hard, swollen and super sore. Could being in a sitting position for 12 hours driving bruise it?

Possibly: Sitting for that long could have irritated your perineal area, especially if you were wearing clothing that was tight or restrictive. If the soreness and swelling do not start to improve in a day or two, though, consider that there may be other causes - minor trauma from sex, or an infection could also cause discomfort in that area. ...Read more

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I have a lump on my perineum that is swollen and has a whitehead and is sore, this has happened before but it went away. Any idea what it is?

I have a lump on my perineum that is swollen and has a whitehead and is sore, this has happened before but it went away. Any idea what it is?

Possible Abscess: Its difficult to say exactly what it is without an exam, but possibilities include either a perianal abscess or something called hidradenitis suppurativa where an infection develops around a hair follicle. You should consult with a dermatologist for the best treatment if it continues to bother your worsen. ...Read more

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The skin of my labia/vestibule area has been peeling and coming off when I wipe. The skin underneath seems normal, but my perineum is cracked and sore?

The skin of my labia/vestibule area has been peeling and coming off when I wipe. The skin underneath seems normal, but my perineum is cracked and sore?

Needs to be seen: Lumps, bumps, blisters and other skin abnormalities on the genitals need to be evaluated. An examination will be needed to know the cause and treatment. Yeast is the most likely possibility and over the counter fungal cream will fix it. Trauma from recent intercourse if possible. Herpes is an std which can cause this. Lichen sclerosis is a common skin disorder that does this. See an Obgyn ...Read more

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Symptoms for a year. Sore meatus, pain after ejaculation, ache in testicles & perineum. Seen urologist 4 tests. Found klebiella in sperm. Meaning?

Symptoms for a year. Sore meatus, pain after ejaculation, ache in testicles & perineum. Seen urologist 4 tests. Found klebiella in sperm. Meaning?

Prostatitis: Your symptoms are consistent with a chronic prostatitis. Most common type is non-bacterial and treatment can be more complex often requiring patience and trial and error with a variety of options. That said, the finding of klebsiella on semen/prostate fluid culture suggests a chronic bacterial prostatitis which requires long term antibiotic treatment and further assessment of lower urinary tract. ...Read more

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What are the gold standard tests needed to diagnose chronic non-bacterial prostatitis? 3wks of tight and sore perineum and scrotum, want to know why.

What are the gold standard tests needed to diagnose chronic non-bacterial prostatitis? 3wks of tight and sore perineum and scrotum, want to know why.

Here are some. ..: There has been no single gold standard for diagnosing chronic prostatitis. But the combo of a detailed Hx to review the onset, degree, duration, interval, evolution, progress, and resolution of the symptoms and their potentially related discomforts + physical exams + 3-/4-glass urine test as needed will definitely gain better insight on how to deduce more accurate Dx for more sensible Rx than ever ...Read more

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Reaccuring lumps around the perineum area, sore. Occasionally comes and goes. Tried antiseptic cream, sudocream and hydrocortisone.

Reaccuring lumps around the perineum area, sore. Occasionally comes and goes. Tried antiseptic cream, sudocream and hydrocortisone.

See a doctor: To make an accurate diagnosis, I recommend you to see your primary care doctor or a dermatologist when the lumps flare up. ...Read more

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I have itchy and sore perineum after having unprotected sex. My husband has developed itchy red spots on his thighs and stomach. Is this std? Which?

I have itchy and sore perineum after having unprotected sex. My husband has developed itchy red spots on his thighs and stomach. Is this std? Which?

Cannot diagnose: You both need to be seen by a doctor and have this examined. That will provide a more specific diagnosis. Good luck. ...Read more

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I have a lump on my perineum and I am not sure if it's some kind of hemorrhoid or something else. It is tender to the touch.

I have a lump on my perineum and I am not sure if it's some kind of hemorrhoid or something else. It is tender to the touch.

See provider: Please consider seeing a health provider to assess the lump to see if it is an abscess that may need draining. ...Read more

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Pain in penis tip, on and off, hasn't changed in a week. Was masturbating a lot (4 times a day) for awhile before this. Perineum is also tender.

Pain in penis tip, on and off, hasn't changed in a week. Was masturbating a lot (4 times a day) for awhile before this. Perineum is also tender.

As the saying goes,: As the saying goes, "everything in moderation." If a person was fine, and then did too much of something, and now has symptoms in the part of his body that was engaged in the over-activities, he can stop or reduce the activities to let his body recover. His primary care doctor can also evaluate to see if any treatment (other than time) would be helpful. Too much of a good thing can be bad. ...Read more