Why do I experience pain between my testicles and anus when sitting?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Pain between the testicles and anus when sitting, known as perineal pain, is often caused by pelvic floor muscle tension, prostatitis, pudendal nerve irritation, or infection. Prolonged sitting can worsen these conditions by placing pressure on sensitive tissues and nerves. A proper medical evaluation is essential to identify the underlying cause and begin effective treatment.

Because perineal pain can stem from many overlapping conditions, pinpointing the cause on your own is difficult. A free, instant, online symptom check can help you clarify possible causes, understand urgency, and confidently plan your next steps before seeing a doctor.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Pain in the area between the testicles and anus, known as the perineum, can be caused by several factors. One possible cause is muscle problems in the pelvic area.

Another potential cause is infections, including sexually transmitted infections (STIs), which can affect the anus and rectum. These infections can lead to discomfort and pain in the perineal area. Abscess and other non STI related infections can also cause pain to the area.

If you are experiencing this type of pain, it is important to consult with a healthcare professional. You can start by using Ubie's free AI symptom checker to help identify potential causes based on your specific symptoms. They can perform the necessary tests to determine the exact cause and provide appropriate treatment. Remember, only a medical provider can give you a proper diagnosis and treatment plan.

(References)

Shrikhande A, Ullger C, Seko K, Patil S, Natarajan J, Tailor Y, & Thompson-Chudy C. (2021). A physiatrist's understanding and application of the current .... Pain Reports, 8407606.
Roll SC, & Kutch JJ. (2013). Transperineal Sonography Evaluation of Muscles and .... Journal of diagnostic medical sonography : JDMS, 3694581.
Assi R, Hashim PW, Reddy VB, Einarsdottir H, & Longo WE. (2014). Sexually transmitted infections of the anus and rectum - PMC. World Journal of Gastroenterology : WJG, 4223259.

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