What causes pain between the anus and testes and how can it be addressed?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Pain between the anus and testicles (the perineum) can result from several conditions, including prostatitis, pudendal nerve entrapment, pelvic floor dysfunction, urinary tract infections, or complications from prior surgeries or infections. Because the causes vary widely, accurate diagnosis is essential—treatment depends entirely on the underlying issue and may include antibiotics, physical therapy, nerve treatments, or lifestyle changes.

Since perineal pain can stem from many overlapping causes, guessing isn't safe or effective. A free, instant, online symptom check can help you identify likely causes based on your specific symptoms, so you can make informed decisions about seeing a doctor and know what to ask when you do.

Reviewed for medical accuracy: 07/15/2026

Quick answers

Frequently Asked Questions

4 answers

The most common questions people search after this page

Concerned about your symptoms?

Start a symptom check

Explanation

Pain in the area between the anus and testes, also known as the perineum, can have several causes. One potential cause is related to past surgeries. Other causes include infections or pelvic floor dysfunction.

To address this pain, it is important to first identify the underlying cause. You can start by using Ubie's free AI symptom checker to help understand what might be causing your symptoms. A complete medical evaluation typically involves a physical examination and possibly imaging tests. Once the cause is determined, treatment options can be tailored to address it.

For example, if the pain is related to a past surgical procedure, a specialist might recommend specific interventions or therapies to manage the discomfort. It is important to consult with a healthcare professional to determine the best course of action based on individual circumstances.

(References)

Negri L, Albani E, Di Rocco M, & Levi-Setti PE. (2002). Aspermia and chronic testicular pain after imperforate anus .... Human reproduction (Oxford, England), 12407052.
Kumar KV, Rao BS, Shiradhonkar S, Jha R, Narayan G, & Modi KD. (2011). The right sided syndrome, congenital absence of kidney .... Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 21422633.
Brooks C, Hansen VN, Riddell A, Harris VA, & Tait DM. (2015). Proposed genitalia contouring guidelines in anal cancer .... The British journal of radiology, 25955229.

Tell your friends about us.

We would love to help them too.

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.