What could be causing pain between my anus and testicles as a male?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Pain between the anus and testicles in men, known as perineal pain, is most commonly caused by myofascial trigger points (tight, painful muscle knots in the pelvic floor) or chronic prostatitis. Other potential causes include urinary tract infections, sexually transmitted infections, or nerve irritation such as pudendal neuralgia.

Because these conditions share overlapping symptoms but require very different treatments, identifying the underlying cause early is essential to avoid prolonged discomfort or complications. Rather than guessing or waiting, take a free, instant, online symptom check to better understand your symptoms and confidently plan your next steps toward relief.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Pain in the area between the anus and testicles, known as the perineum, can be uncomfortable and concerning. One potential cause is painful myofascial trigger points, which are sensitive spots in the muscles that can lead to discomfort in nearby areas. Another possible cause is chronic prostatitis, a condition that involves inflammation of the prostate gland, which can result in pain in the perineal area. Other infections of the perineal region can cause pain to this area.

Possible Causes

Myofascial Trigger Points: These are painful spots in the muscles and can cause pain in the perineal area.
Chronic Prostatitis: This is an inflammation of the prostate gland that can lead to pain between the anus and testicles.

Management Options

Essential Oils: Some studies suggest that using essential oils might help reduce symptoms in people with chronic prostatitis.

If you are experiencing this type of pain, take our free AI symptom checker to get personalized insights about your symptoms, then consult a healthcare professional for a proper diagnosis and treatment plan.

(References)

Anderson RU, Sawyer T, Wise D, Morey A, & Nathanson BH. (2009). Painful myofascial trigger points and pain sites in men with .... The Journal of urology, 19837420.
Ying J, Zhou MJ, Chen HY, Chen L, Zhang W, Ji J, et al. (2019). Effect of Essential Oil on Patients with Chronic Prostatitis .... Chinese journal of integrative medicine, 29948596.
Souto-Ribeiro I, Woods L, Maund E, Alexander Scott D, Lord J, Picot J, & Shepherd J. (2024). Transperineal biopsy devices in people with suspected .... Health technology assessment (Winchester, England), 39364806.

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