Our Services
Medical Information
Helpful Resources
Published on: 8/20/2026
What could be causing pain under my testicles and anus?
Pain between the testicles and anus (the perineum) is often caused by pelvic floor muscle tension, chronic prostatitis, or infections of the urinary or reproductive tract. Less commonly, it may signal nerve irritation, an abscess, or referred pain from nearby structures. Because symptoms overlap across many conditions, a healthcare provider should evaluate persistent or worsening pain to confirm the cause and guide treatment.
Not sure what's driving your discomfort? Pinpointing possible causes early can save you time, worry, and unnecessary trips to the doctor. Take a free, instant, AI-powered symptom check to explore likely conditions based on your specific symptoms and get clear guidance on your next steps.
Reviewed for medical accuracy: 07/15/2026
Quick answers
Frequently Asked Questions
4 answersThe most common questions people search after this page
- Most askedWhat could cause a sharp pain between the testicles and anus?
- What are the treatment options for pain in the area between the scrotum and anus?
- What causes pain between the anus and testes and how can it be addressed?
- How can a small boil near the anus be treated at home, and when should I see a doctor?
Concerned about your symptoms?
Explanation
Pain in the area under the testicles and anus can be caused by several conditions. One possible cause is painful myofascial trigger points, which are tight spots in muscles that can cause discomfort in nearby areas. This was discussed in the study by Anderson et al., which looked at men experiencing such pain.
Another potential cause could be related to chronic prostatitis, a condition that affects the prostate gland and can lead to pain in the pelvic region. Other infections of the perineal area, genitals or anus/perianal area can also cause perineal pain and need to be evaluated by a healthcare provider.
If you are experiencing this kind of pain, you can start by using a free AI symptom checker to help identify potential causes, but it's important to speak with a healthcare provider to determine the exact cause and appropriate treatment.
(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.
Shafik A, & El-Sibai O. (2000). The anocavernosal erectile dysfunction syndrome. II Anal .... International journal of impotence research, 11424966.
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.
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.