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Published on: 3/17/2025

What Are the Common Causes of Perineal Pain in Men, and How Is It Treated?

Perineal pain in men is often related to issues like chronic prostatitis, pelvic floor muscle tension, or chronic pelvic pain syndrome. Treatment usually includes lifestyle changes, medications, and sometimes physical therapy to help ease the pain but should be evaluated by a physician.

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Explanation

Perineal pain in men can be caused by several different things. One common reason is chronic prostatitis or chronic pelvic pain syndrome, which can make the area between the legs feel sore or uncomfortable. Tight or tense pelvic floor muscles can also contribute to this pain. Other causes may include nerve irritation or problems with nearby organs that refer pain to the perineal area. To treat this pain, doctors usually start with basic care. Changing your daily habits might help, such as taking breaks to stretch and practicing good posture. Medications like pain relievers, anti-inflammatory drugs, or muscle relaxants can be used to ease the discomfort. Sometimes, doctors recommend pelvic physical therapy, where a trained therapist helps you learn exercises to relax the muscles and reduce pain. In a few cases, other treatments like nerve blocks or counseling might be suggested if the pain is very persistent. If your perineal pain lasts a long time or gets worse, it’s important to see your doctor so they can work with you to find the best way to feel better.

(References)

  • Andromanakos NP, Kouraklis G, Alkiviadis K. Chronic perineal pain: current pathophysiological aspects, diagnostic approaches and treatment. Eur J Gastroenterol Hepatol. 2011 Jan;23(1):2-7. doi: 10.1097/MEG.0b013e32834164f6. PMID: 21079515.

  • Schaeffer AJ. Etiology and management of chronic pelvic pain syndrome in men. Urology. 2004 Mar;63(3 Suppl 1):75-84. doi: 10.1016/j.urology.2003.11.002. PMID: 15013657.

  • Strauss AC, Dimitrakov JD. New treatments for chronic prostatitis/chronic pelvic pain syndrome. Nat Rev Urol. 2010 Mar;7(3):127-35. doi: 10.1038/nrurol.2010.4. Epub 2010 Feb 9. PMID: 20142810; PMCID: PMC2837110.

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