Pain in the Perineum
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Try one of these related symptoms.
Pain in the perineum
Itchy vaginal area
Swollen perineum
Lump in groin area
Groin swelling
Burning tingling sensation in groin area
Sore between anus and vulva
Genital eczema
Buttock pain when sitting
Painful urination
Difficulty urinating
Perineum infection
About the Symptom
The female perineum is the area between the vaginal opening and the anus. Perineal pain refers to pain in this area.
Possible Causes
Generally, Pain in the perineum can be related to:
- Infection After Perineal Laceration Repair
When delivering a baby vaginally, it is common to have a tear in the perineum (the area between the anus and vulva). Depending on the type of tear, they can require stitches to repair and take some time to heal. Due to the good blood supply in that area, most of these will heal well and have no complications. Sometimes however, the stitches and wound may become infected, causing the area to be red, swollen, and painful. The wound may also open up as a result.
- Hidradenitis Suppurativa
Hidradenitis suppurativa is a chronic skin condition characterized by painful nodules and abscesses in the skin's folds.
- Candidal Vulvovaginitis (Yeast Infection)
This is a fungal infection by Candida that affects the vaginal area. Candida normally exists on skin and vaginal linings without issues. An infection occurs when the skin or vaginal lining changes in character, promoting Candida overgrowth. People with weakened immune systems or on birth control pills may be at increased risk.
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
- Are you experiencing pain between your genitals and anus?
- On a scale of 1 to 10, how severe was your pain between the genitals and anus at its worst?
- How long have you had pain in the space between the genitals and anus?
- How has the pain in the space between the genitals and anus changed since it started?
- Have you experienced pain in the space between the genitals and anus before?
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Feb 4, 2025
Following the Medical Content Editorial Policy
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- Pain in the space between the genitals and anus
- The area between the genitals and anus hurts
- Perineal pain (female)
- Perineum hurts
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
ACOG - Persistent Vulvar Pain
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2016/09/persistent-vulvar-painPrevention and Management of Obstetric Lacerations at Vaginal Delivery
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/09/prevention-and-management-of-obstetric-lacerations-at-vaginal-deliveryChronic Pelvic Pain
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/03/chronic-pelvic-painJerry G. Blaivas, Jaspreet Sandha, Chapter 7 - CLINICAL EVALUATION OF LOWER URINARY TRACT SYMPTOMS, Editor(s): Shlomo Raz, Larissa V. Rodríguez, Female Urology (Third Edition), W.B. Saunders, 2008, Pages 77-85, ISBN 9781416023395,
https://doi.org/10.1016/B978-1-4160-2339-5.50056-2