Hold the crotch after. Causes of crotch discomfort in women. Pain with pain in the groin

Men and women are also addressed to the urologist. One of the frequent symptoms in both cases is pain in the crotch and genital organs. The examination, in the presence of such complaints, always shows a serious pathology, since the pain of a person is the most main signal Health problems.

Reception of the urologist - 1000 rubles. Reception gynecologist - 1000 rubles. Consultation doctors according to the results of ultrasound, analyzes - 500 rubles.!

Crotch pain in men and women

In the crotch area there are external genital organs, urethra, anal hole. Therefore, pain in this zone is most often associated with diseases of these systems. There may be a lot of reasons for pain.

To identify the main factor provoked pain, helps clarify the localization of sensations and a clear definition of pain. Consider the main causes of painful sensations in the crotch area.

Causes of acute crotch pain

The occurrence of acute, cutting pain in the genital zone may indicate the following diseases and conditions:

  • . A man with exacerbation of prostatitis is experiencing intensive pain that applies to the head of the penis and to the anal hole.
  • Urethritis. Characteristic feature Pain in the inflammation of the urethra is an increase in discomfort during the empty of the bladder.
  • Abscess of the prostate gland. The pain is very strong and has one-sided character, from the side of the suppuration. Patients note the discomfort in the spinal and rectum. The condition accompany the difficulty of urination, constipation, hyperthermia (temperature increase) in the field of inflammation.
  • Prostate cancer. Acute pain in the perineum - a sign of the late stage of oncology (prostate cancer).
  • Infringement of sex nerve. In the perineum concentrated many nerve endings. The pinching of any of them becomes the cause of acute sharp pain, which subsides when walking and enhanced in the sitting or lying position.
  • Pregnancy, period after childbirth. The pain in this zone in pregnant women can be caused by squeezing the sedellastic nerve (during pregnancy) and be a signal to the beginning of childbirth. Acute postpartum pain occurs in women who have received multiple gaps during childbirth.
  • Crotch injuries. Any mechanical damage - bruises, breaks, tissue cuts, etc. , cause sharp pain.

Causes of pulling pain

In men, male, pulling crotch pain accompany chronic prostatitis, urethritis and inflammatory processes of seed tuberca (colliculitis). Inflammation with pulling constant sickness, increasing in the defecation process, includes kraiver. If the pain in a man occurs after sexual intercourse and felt in the field of testicles, you need to be checked on varicocele.

In women, drawing pain is observed during pregnancy and can be caused by the syndrome of chronic pelvic pain. Crotching and cringers can develop when inflammation of the mucous membrane of the vagina (vaginitis).

Pain in the genitals

The painfulness of the internal and external genital organs is a symptom that can touch both women and men. In the case of women, the main cause of pain and discomfort in the genital organs - diseases of the reproductive system - inflammation of uterus, uterine pipes, ovaries and vagina. Another reason is the pathology of the clitoris and sex.

As for men, the soreness in the genital organs (sexual dick, testicles) can cause diseases associated with the prostate gland, seed bubbles and seed-handing paths. Consider the most common causes of discomfort in genitals for representatives of both sexes.

Reasons for pain in the genitals in women

Painting in genital organs in women may occur in the following diseases and conditions:

  • . Pulling and other pains of different intensity at thenime of the abdomen and in the field of genital organs may not have a dangerous pathological basis, but to be a sign of menstrual syndrome.
  • Inflammatory diseases of female genital organs. Acute intense pain in this area, spilling over the entire lower zone of the abdomen, is characterized by inflammation of uterus and appendages (endometritis and). The patients are especially complaining about the localization of pain in the gossip zone. An important feature - soreness has a property to gradually increase. The pain is usually developed in the menstrual or postmenstrual period, and also often manifests itself in women after childbirth. It is often accompanied by an increase in body temperature.
  • Ectopic pregnancy, damage to the uterine tube. Pain in this case develops sharply and is characterized by special intensity, characterizing as acute. The condition is very dangerous and requires immediate medical intervention.
  • Offic tumors and twisting the legs of the cyst. Pains of tumor nature can manifest a long time as pulling and debug in the field of genital organs. In the later stages, pain syndrome is usually enhanced.
  • Endometriosis. The pathological growth of the mucous membrane, lining the uterus, is also accompanied by pain in the field of vagina and outdoor genital organs.
  • Injuries. Mechanical damage to genitals are accompanied by pronounced pain.
  • Bartolinite. The disease has an infectious nature and causes pain in the external genital organs, which is enhanced when walking.

Causes of pain in the genitals in men

Representatives of the strong floor are often faced with pain of sexual localization syndrome, which can be caused by various factors - ranging from excessive load, ending with tumor processes. The most common causes of male genital diseases are:

  • twisted eggs;
  • epididimitis, which is a consequence of infectious and inflammatory processes;
  • malignant and benign neoplasms of the testicles;
  • inguinal hernia;
  • varicocele - a condition associated with the expansion of venous structures;
  • spermotocele - a disease having a cystic nature;
  • peyroni disease accompanied by a penis depriving;
  • inflammatory processes, such as Balanit and Balanopostitis, etc.

Examination with pain in the perineum and genital organs in men and women

The treatment of any pathologies in the organs of the urogenital system is engaged in narrow-profile doctors: in men -

Crotch- This is a zone of a diamond form between the anus and the genitals.

Pain in the crotch in women is a symptom of many of a variety of pathological conditions.

Crotch is a place where the attachment of most pelvic muscles is carried out.

Therefore, it has many sources of reflected pain (i.e., the wint in women in a different place, the pain puts into the crotch).

Characteristics of crotch pain in women

When diagnosing a diagnosis, the doctor pays special attention to the characteristics of pain, establishing their appearance:

    • sharp (with a duration of up to several hours and sudden beginnings) or chronic, disturbing patients for several months;
    • pretty weakly pronounced or very painful;
    • do not change their intensity and deteriorating in sitting sitting / standing, with cycling ride;
    • sharp, buty, pulling, etc.;
    • spilled and localized, etc.

Causes of crotch pain in women

In women, the causes of such a state as pain in the perineum include violations:

    • gynecological;
    • urological;
    • neurological;
    • vascular and others.

Acute sharp pain in the perineum in women, having a connection with gynecological problems, may be a consequence:

    • inflammatory diseases of the uterus;
    • acute vulvovaginitis;
    • inflammation of the bartholine glands;
    • injuries or surgical interventions in the field of small pelvis and others.

Crotch pain in women It happens connected with the inflammation of the urethra and the rectum.

With infectious (bacterial, fungal, viral) diseases.

With skin diseases (furunculas, benign formations).

With the manifestation of chronic pelvic pain syndrome.

Pulling crotch pain in women Often characterize the flow of chronic process.

The same chronic urethritis, proctitis, etc.



Crotch pain in women Normally, it may be observed in the postpartum period, when ovulation.

Such pains are prone to spontaneous reduction in intensity.

Owelle pains can wear one-way character.

For example, pain in the crotch to the right in women for 2 to 3 days in the middle of the menstrual cycle.

Crotch pain in women during pregnancy

The usual are also painful sensations in the last weeks of pregnancy.

When the frozen is putting pressure on the surrounding fabrics, and the pelvis bones begin to move away.

Most often, such manifestations are stuck.

More intense pains are noted in the presence of pregnant varicose veins.

A sharp pain in this area against the background of pregnancy can be caused by the squeezing near the passing nerve of the fruit.

Increased sensations immediately before childbirth.


In the postpartum period, perineal pain experience almost all born women.

More intense symptoms are associated with injuries in childbirth, less intense - with edema, polishing of tissues.

Rales, seams are extended to preserve pain.

Syndrome of chronic pelvic pain in women

With this syndrome, stubborn pains at the bottom of the abdomen are given to the inguinal region and the crotch.

At the same time, it is not possible to identify the organic cause of the state.

The pain in the perineum is sweeping, pulling.

Inflammatory diseases of the small pelvis organs (walking)

Walking is a whole group of diseases.

Includes pathology such as salpingitis, ooforite, endometritis, pelvic peritonitis, dustariant abscess.

With this pathology of pain at the bottom of the abdomen, often having a link with menstruation, irradiate to the crotch area, as well as the crushes and lower back.

In the crotch can be felt itching, heat, sawing.

Vulvivaginal pain

Vulvivaginal pains that can be given to crotch include:

    • vulvention - pathology with inexplicable pains in the field of vulva;
    • dyspareania - pain during sexual intercourse;
    • vaginism - painful muscular cuts in the input zone in the vagina;
    • pains associated with walking, injury, neoplasms and other diseases.

Coccigenia

Coccigodinia - Pain in Copchik, often associated with the hypertonus muscles of the pelvic bottom and due to the usually injury of the nerve.

One of the status manifestations is the saspasm of the muscles of the perineum.

Forces patients to use special soft pillows if necessary for a long seating.

Causes of pain and discomfort in the crotch in women

A woman can meet with such unpleasant sensations in the perineum as itching, the burning of the crotch, crack, a feeling of cutting, pressure, acute or noving pain. There are many pathological changes in the body that cause these symptoms. Also, the discomfort of the crotch area in certain cases may be the norm.

    1. Pregnancy

During pregnancy up to 20 weeks, the diskship of the crotch women should be a fooling factor, as it can signal the possibility of miscarriage. Especially unpleasant sensations are accompanied by bloody discharges. During this period, the fruit is still quite small and its movement in no way with a woman. Therefore, any mechanical exposure to the fruit on the crotch area is excluded.


After 20 weeks, the child in the womb is intensively growing and developing. The mobility of the handles, the legs are becoming more active and stronger. Movement of the kid is most often the cause of short-term, acute, but not strong pain, sensation of pressure in the perineum.

As the happy moment of childbirth approaches the unpleasant feeling in the crotch area can be significantly intensified. The reason is quite large volume and weight of the fetus, which presses on the internal organs, muscles and bones of a woman. The severity in the crotch area is particularly sharpened in recent days before childbirth, which is due to the expansion of the bones of the pelvis. This process is provided for by nature to facilitate childbirth for both the baby and the mother.

Due to the growth of the fetus, a satellite nerve may occur, which is often the cause of severe pain of torment. This discomfort doctors is recommended to pull out without the use of treatment. After childbirth, everything is normalized.

    1. Generic injuries of varying degrees

The most common cause of unpleasant sensations in the crotch in women is postpartum injuries:

    • outdoor breaks of crotch tissues in the process of passing the childbirth of the child's head. The reason for this can be the insufficient elasticity of the muscles of the perineum or very fast labor. Hygienic procedures, urination is accompanied by a liquefying crotch.

    • forced cuts of the muscles of the perineal crotch in the target is conducting a doctor to prevent the break and facilitate wound healing in the future.
    • internal cervical breaks or vaginal muscles. This problem occurs more often from primary women. The opening of the cervixes of the uterus passes longer, the muscles of the vagina are inelastic. Purchas can begin with incomplete disclosure, which becomes due to the cause of breaks and cracks in the tissues, causing pain And burning up the whole area of \u200b\u200bthe crotch.

Half-life doctors recommend starting 2 months after complicated childbirth. The resumption of intimate relationships with a partner before can cause infection to the unexpected wounds. This leads to a recurrence of inflammation of crotch tissues.

Born a woman can experience unpleasant sensations, a feeling of burning and discomfort for some time until the wounds will not be lit and stretched muscles and ligaments. With the normal course of this process, the inflammation of the perineum goes.

    1. Infectious and inflammatory diseases

Itching, burning, the discomfort of the crotch of women can be caused by such inflammatory diseases:

    • colpit (vaginitis) - inflammation of the walls of the vagina is accompanied by pathologically strong secretions and stitching pains, burning in perineum, and in the vagina itself.
    • bartolinite is inflammation of glands at the entrance to the vagina and providing its lubricant. The inflamed and elapsed fabrics of individual sections of the crotch overlap the yield of the glands, which causes the fitness and formation of pus. The infection goes to the gland itself, an abscess is formed. The burning in the perineum in the inflammation of the bartholine glands occurs when walking, at the exit of the wheel masses, during the intercourse and subsides a few hours after the intercourse. All these symptoms are accompanied by an increase in temperature. It is interesting that the abscess is capable of opening without treatment on their own. This often entails recovery.
    • inflammation and cracks of the rectum are accompanied in most cases of diseases gastrointestinal tract. The consequence of this becomes, irregular chair (diarrhea or constipation), due to which the injury of the output passage occurs, there are sharp pain and burning in the crotch. Treatment of cracks of the rectum primarily consists in the diagnosis and treatment of the underlying disease. To facilitate the symptoms, removal of inflammation, removal of discomfort is prescribed candles and laxatives that dilute the carte masses.
    • genital herpes causes characteristic rashes on the genitals. The rash is bubbles filled with liquid that burst through time. Formed in the perineum after this ulcers, heal, covered with their crusts. When progressing the disease, there is a burning sensation of the perineum and the area of \u200b\u200brash, the strongest itch.
    1. Chronic pelvis pain

It is important to pay special attention to the fact that such syndrome is a symptom of a number of diseases and is accompanied by not only the disknowing of the crotch of women, but it becomes the cause of pain in the field of buttocks, the waist, the bottom of the belly. The presence of the syndrome is a good reason to appeal to the doctor to clarify the true causes that:

    • diseases of the gastrointestinal tract;
    • diseases of the urogenital system;
    • violations and pathology of the structure and articulation of pelvic bones;
    • tumors;
    • depressive condition after transferred violence, the strongest stress.
    1. Infringement of immature nerve (neuropathy)

Sexual (intenna) nerve is in the crotch area and provides communication between organs and tissues of a small pelvis with the central nervous system. His infringement causes an unexpected sharp pain attack in the perineum when walking, seats or in the lying position. At rest she disappears. When the genuine nerve is infrained, pain can move to the inner surface of the hips and accompanied by their numbness, sometimes there is numbness of genital organs, a deceptive feeling of discomfort and presence foreign bodies In the rectum or in the vagina. Urine incontinence may be observed.


Diagnosis of the disease is carried out by the blockade of sex nerve. The final diagnosis is made if, after the procedure, pain symptoms in the crotch decrease, and the general condition of the patient is improved. Treatment is applied by medication. With its inefficiency, it is necessary to resort to surgical intervention.

    1. Skin disease

The skin diseases of the crotch belongs to the fungus. The disease becomes the cause of a strong tooth and burning in the field of lesion. It manifests itself in the initial stages in the form of red spots with a clear boundary. The disease is more often evolving due to non-compliance with the rules of personal hygiene. Elementary, man suffering from mycosis stop can transfer infection with his own hands or towel to the paha area.

Interesting video:

The perineal fungus can develop in very complete people. Available disorders in the functioning of the pancreas and thyroid glands are also the cause of fungal lesion.

The reasons

  • prostate diseases - prostate (in men), most often - chronic prostatitis or inflammation of seed bubbles;
  • postoperative pain in the perineum - developing in women: after natural genera, with episiotomy;
  • damage to the urethra, for example, acute urethritis;
  • development of uluses (abscesses) as complications of prostatitis, other inflammatory diseases;
  • the defeat of one or more bulbous - the urethral glands - in men (kraiver);
  • traumatic damage to prostate - prostate gland and urethra - urethra;
  • inflammation / infringement of sex nerve;
  • damage to the skin in the crotch area (the presence of inflammatory processes of bacterial or viral, fungal etiology);
  • benign and malignant neoplasms (prostate cancer).

Classification

Depending on the cause of pain:

  • primary pain in the crotch area - arises as a result of neurological disorders arising at various levels;
  • secondary pain in the crotch area - occurs during irradiation ("return") pain attacks in the crotch area in case of diseases of such organs as a prostate iron - a prostate, uterus, a bladder.

Depending on the origin of pain:

  • visceral Pain Type - the main reason of this kind of crotch pain is irritation of nerve sensitive receptors - endings located directly in the walls of the organs located in the area of \u200b\u200bits projection (most often as a result of the narrowing of the wall of the vessels - spasm or, on the contrary, reversal, lack of oxygen - ischemia);
  • psycho-type pain - as a rule, it usually occurs in the absence of one or more pathological processes or functional disorders in the area of \u200b\u200bprojection; arises in persons with certain characteristics of character; may develop as a psychological reaction for the presence of a stress situation;
  • neurogenic type of pain - the main cause of its development is the damage to the nerves innervating the crotch area; Characterized by the appearance of burning and cutting pain, occurring even when performing light touches or change the ambient temperature.

Depending on the characteristics of pain:

  • top-like, or grapple-shaped, or spastic pain in the perineum: the leading causes are a limited narrowing of the lumen (spasm), dyskinesia (violation of ways to reduce paths), violation of the motility of the urinary tract and the anal hole and the predominance of the spastic (due to the narrowing) component of the pain;
  • stupid, or permanent, crotch pain: The main causes are inflammation of the organs with progressive dynamics (with localization in the crotch area).

Depending on the duration:

  • acute type of perineum pain - pain, the typical temporal characteristics of which - development for several minutes or hours (however no more than a day);
  • chronic type of perineum pain - pain, pain, typical temporal characteristics of which - development for 3 months and more.

Depending on the type of pain:

  • flying type of crotch pain - its most frequent causes is the traumatization of the crotch region, urological diseases, frequent constipation; In perineal pain in the crotch, you can often observe spasms - abbreviations - anus and / or perineum muscles,
  • the spastic type of crotch pain is pain in people suffering from intestinal diseases, for example, when alternating diarrhea and constipation processes.

Signs

With acute or chronic prostatitis:

  • fever and chills;
  • local body temperature increase;
  • pain prone to irradiation in low part backs;
  • lower abdominal pain;
  • pain in the pelvic region;
  • lumbalgia, or pain in the lumbar region;
  • crotch pain;
  • frequent night calls for urination - Nicturia;
  • frequent and painful urination;
  • the presence of pain in the groove and scrotal regions;
  • difficulty urination (up to acute urine delay);
  • dysuria (thread / burning in urination);
  • periodic or constant isolation from the urethra - urethra;

With urethritis, or inflammation of the urethra:

  • crotch pain;
  • selection of inherries from the urethra - urethra;
  • painful urination;
  • muciation and redness of the edge of the outer hole of the urethra;

When you catch, or inflammation of the bulb - urethral gland:

  • crotch pain;
  • secretions from the urethra after walking;
  • pain, increasing when urination and seat;
  • soreness when pressed on Cooper's gland;

When collikulite, or inflammation of the seed tuberca - in men:

  • the presence of uncomfortable sensations and pain in the groin area;
  • the presence of uncomfortable sensations and pain in the crotch;
  • feeling of a foreign body in the field of rectum;
  • frequent false urges for defecation;
  • blood in the urine and in sperm;
  • painful urination;
  • sexual dysfunction;

With acute orchitis:

  • sharp increase in body temperature;
  • irradiation of pain in the groin;
  • irradiation of pain in the lumbar (lumbar) region;
  • an increase in the testicle on the lesion side;
  • smooth, hyperemic leather eggs on the side of the lesion;
  • crotch pain;
  • amplification of pain when performing physical exertion;
  • chills and headache;
  • In chronic orchitis:
  • periodic pain in the testicular;
  • pain in the perineum on the side of the defeat;

With vagnit, or colpit, - inflammation of the vagina:

  • pathological abundance of sex tract;
  • constant unpleasant sensations and / or itching in the vagina region;

With bartoline, or inflammation of the glands of the vagina, - in women:

  • redness of the skin of a small sexual lip;
  • irradiation of crotch pain;
  • thickening of the output of the gland the thread of the vagina;

In crotch injury:

anamnesis injury:

  • rectum pain;
  • pain in the crotch region;

When infringement of sex / sink nerve:

  • pain in the sedanistic - straight hole;
  • pain in the crotch two or one-sided;
  • pain that gives in side into the lower buttocks, into the inner of the hip;

With prostatic gland abscess:

  • high temperature accompanied by sweating, chills, frequent pulse - tachycardia;
  • irradiation of pain in the rectum;
  • the difficulty of defecation and urination processes;
  • one-sided localization of crotch pain;
  • sharp, pulsating pain in the crotch;
  • acute stool delay and urine;

For prostate cancer - prostate gland:

  • characteristic difficulty when urination;
  • an increase in urination time;
  • the presence of frequent urges to urine that do not bring relief;
  • urine delay;
  • the presence of pain in the crotch area of \u200b\u200ba spastic nature;
  • constant feeling of the incomplete empty of bladder;
  • when urination is an intermittent or thin stream of urine;

In furunculach (furunculese):

  • the appearance on the skin of changes in the form of tubercles, rashes, painful during palpation;
  • crotch pain;

With hemorrhoids:

  • pain in the rectum;
  • hemorrhoidal bleeding;
  • leav of hemorrhoidal nodes;
  • crotch pain;
  • bleeding after defecation;

With the cracks of the rectum:

  • pain in the crotch region;

When projection (inflammation of the rectum):

  • pain in the crotch region;
  • pain in the field of anus and rectum;
  • the difficulty of defecation and urination processes;

With paraproxy (inflammation of the fiber that surrounds the rectum):

  • the difficulty of defecation and urination processes;
  • chronic perineal pain;
  • the presence of a fistula;

In the syndrome of chronic pelvic pain:

  • pain in the crotch region;
  • pain in the field of anus, pelvis and rectum;
  • the pain below navel;
  • pain length - 6 or more months;
  • the pain is not cyclical.

In what diseases arises

  • kuppert;
  • acute or chronic prostatitis;
  • urethritis;
  • chronic pelvic pain syndrome;
  • orchit;
  • collikulitis;
  • vaginitis (Colpit);
  • injury in the process of childbirth;
  • infringement of sexual / sled nerve;
  • prostate cancer;
  • the abscess of the prostate gland;
  • skin diseases: Condylomes, furunculae, papillomas; hemorrhoids;
  • proctitis;
  • cracks of the rectum;
  • paraproktitis.

Table of contents [show]

Crotch - a plot formed by soft tissues. In men, it is located between the front edge of the rear passage and the root of the scrotum. This is the so-called narrow concept of the crotch, which are used by the doctors clinicians. Anatomas under the cride meant the area in the form of a rhombus, which is located between the elite of the tailbone and the lower edge of the pubic bones. It closes the exit from a small pelvic, forming it a diaphragm. Through the diaphragm in men passes the rectum and the urethra.

The pain in the perineum in men occurs with the defeats of the organs of the small pelvis and the urinary sphere. These diseases include:

  • urethritis of various origin;
  • kuppert;
  • collikulitis;
  • injuries;
  • infringement of sex nerve;
  • prostate diseases - prostatitis, abscesses, malignant education;
  • inflammatory and purulent diseases of the crotch skin;
  • paraproktitis, hemorrhoids and its complications;
  • oncological formations of small pelvis;
  • defeat of the small pelvis organs with metastases from primary foci, located in other organs and systems.

As can be seen from all the listed, pain in the perineum can be explained as "harmless" diseases and quite serious pathology, which requires immediate appeal to the doctor.

The nature of pain syndrome with different pathology

It's obvious that the nature of the painful syndrome will differ in different processes:

  1. For acute urethritis - inflammation of the urethra - the pain sharp, is intensified when urinating. In the chronic process, it is more regarded as a feeling of burning in the course of the channel.
  2. Colliculitis - Inflammation of the seed tubercle, which is located in the back of the urethra. In this case, pain is localized in the crotch and is distinguished by a constant character. It is not associated with urination.
  3. Kuverit - Inflammation of the bulky-urethral gland. Very often is a concomitant pathology with urethritis. If iron is not clogged, then patients complain of moderate pain. If the outflow of the edge of the gland is difficult, purulent kupperate develops. It is accompanied by acute pain, localized near the root of the penis. The disease is accompanied by an increase in body temperature and general weakness.
  4. Crotch injuries There may be the most different character - stupid, torn, crushing, cutting. Depending on the degree of damage, they may be accompanied by damage to the urinary organs - injury, a supervision, gap, disorder, the formation of hematomas, urinary illuminations, bleeding, acute urination delay. The clinical picture depends on the degree of severity. In case of light damage, patients may complain about stupid pain in the perineum and lower abdomen, discomfort when urination. If the damage is serious, the intensity of pain increases, it becomes acute, painful. Often pain is accompanied by false urges to urination, acute urine delay, hematuria.
  5. Infringement of sex nerve May develop suddenly and accompanied by sharp pain. Patients complain about pain in the perineum, rectum or genitalia, which is enhanced with the act of defecation, long-term seat. Often it is accompanied by a convulsive syndrome, sensitivity disorders in the innervation zone, a feeling of tingling or crawling goosebumps.
  6. Prostatitis accompanied by acute or stupid pain, which increases with sexual intercourse and ejaculation.
  7. For malignant prostate formations The pain syndrome is manifested, as a rule, in the late stages of the development of the disease. Pain, localized in the crotch, has a stupid or acute character. Its intensity over time increases, often irradiages in the spine and hips.
  8. Prostate abscess, punctures, paraporates accompanied by a sharp pain with severe intoxication syndrome.
  9. For hemorrhoid And its complications pain is localized in the anus area.

If you have questions, you can contact our doctors on the site, consultation is free.

A detailed examination of the patient and the study of the history of the disease will help the doctor to put a preliminary diagnosis. In doubtful cases, the patient shows an additional survey. It will help to establish the exact cause of complaints and start appropriate treatment. This approach significantly improves the patient's forecast even in the most serious situations. Therefore, if you are bothering pain in the perineum, you should not postpone the visit to the doctor.

Arsenal actions that can be taken with perineal pains, not so wide. Unnwalid anti-inflammatory drug - Nurofen, Panadol, Meloxico, Diclofenac. In most cases, it will only take pain, but will not cure the disease. Also before clarifying the diagnosis cannot use folk methods Treatment, apply warming compresses and any physiotherapeutic procedures. It can only aggravate the situation, and sometimes even cause complications. Therefore, at the first opportunity consult a doctor. He will be able to adequately assess the situation and prescribe treatment directed to eliminate the cause, not a reduction in symptoms.

Ledding, you can make such conclusions:

  • the pain in the perineum is caused by diseases of the small pelvis;
  • processes causing pain sensations may be traumatic, inflammatory, neoplastic genesis;
  • without consultation of a specialist and applying additional diagnostic methods, put the correct diagnosis is very difficult, and often it is simply impossible;
  • self-medium can seriously harm.

Do not feel carelessly. Do not ignore even the most minor symptoms - they can be a signal about a serious impairment in the body. Take care of yourself and your health!

Introduction

Since the crotch is the location of the external genital organs, the output opening of the urethra (

) and the rear-purpose opening of the rectum, pain in this area are associated with diseases or injuries of the listed organs. Concrete reasons

pain in the crotch enough.

The character of pain in the perineum with various diseases of the puffy, sharp pain in the crotch area in men are most often connected with sharp prostatitis. In this disease, pain may be given to the seats, to the head of the penis, in the rear pass. A strong, sharp pain causes acute urethritis. Such pain is enhanced when urination.

The abscess (suppuration) of the prostate gland is also accompanied by a sharp, severe pain that gives in the seats and in the rectum. It is characterized by its one-sided localization: it hurts stronger from the side where the purulent focus is located. The picture of the disease is complemented by a difficult urination, a stool delay. The body temperature is significantly increased.

The strongest pains in the crotch are accompanied by the late stages of development of prostate cancer. Drugs are appointed to the patient to facilitate such pains.

Suddenly emerging sharp pain in the crotch is characteristic of infringement of sexual (steno) nerve. Such pain slightly decreases if the patient is calm. When walking, as well as in the positions sitting and lying the pain is enhanced. The infringement of the nerve can cause a sense of numbness of the inner surface of the thigh.

In some cases, there may be sharp pain in the crotch in pregnant women (see below).

Strong, sharp pain occurs with any crotch injuries:

  • bruises;
  • hematoma;
  • subcutaneous muscle breaks;
  • firearms or wounds applied with cold weapons.

Since the mass of nerve endings focuses in the crotch area, the pain during injury can be so strong that the patient flows into a faint condition.
Pulling, buty pain

The pain of this character occurs in the perineum in chronic prostatitis, chronic urethritis, collikulite (inflammation of the seed tubercle in men). Often pain in these diseases is described by patients as burning in the crotch. These pains, although not too intense, are long or even constant.

Permanent marsh pain in the perineum, amplifying during defecation and in a sitting position, is accompanied by kurait (inflammation of the bulb-urethral gland in men). This disease is usually a complication of urethritis. Pains when catering can increase dramatically if the jointing gland is developing.

A permanent pain in the perineum associated with an edema and stretching of tributes can be worn.

Crotchair's crotch pain is more often observed in women, for example,

vagini

(Colpitis) - inflammation of the mucous membrane of the vagina. These pains are combined with pain in the vagina, and with abundant discharge from it.

Bringing, rather intense crotch pains may experience pregnant women shortly before delivery.

Pain in the crotch area may be accompanied by mysterious chronic pelvic pain syndrome. This syndrome may occur both in men and women. The patient experiences pain at the bottom of the abdomen, which goes into the crotch, but the signs of any disease cannot be identified. Such patients are prescribed symptomatic treatment.


In addition to diseases of the vagina and chronic pelvic pain syndrome, discomfort and pain in the crotch area are often marked in women during pregnancy.

Painfulness in the perineum most often appear in pregnant women after the 35th week

pregnancy

When the growing fruit begins to drop down, while in this

pressure

on all surrounding fabrics (nerves, muscles, ligaments). It is when tensile ligaments, a woman is experiencing stuck pain in the crotch.

If such pains occur on early time Pregnancy, you need to fear the possible miscarriage.

In the process of preparing the female organism, the pelvis bones are moved, which can also cause pain in the perineum.

Sometimes the fruit in the womb takes such a position that he squeezes the nerve passing nearby (for example, a sedal). The woman at the same time is experiencing a sharp pain that makes all the movements, and not subsidizing even alone. Unfortunately, in this case, doctors cannot have any help: pregnant is forced to endure pain and wait when the position of the fetus will change.

Varicose expansion of the perineum veins, which may have had a woman even before pregnancy, enhances pain associated with the pressure of the growing fetus.

Crotch pain in front

is a signal about the imminent start of childbirth. This pain signals that the child came close to the generic paths.

Postpartum pain in the crotch is experiencing almost all women. But the intensity of these pain is different depending on whether it was during childbirth

(gap) perineum, or it was not.

Pains associated with swelling and stretching of crotch tissues are independently a few days after childbirth.

If the crotch rupture occurred in childbirth, and seams were imposed on it, painful sensations are saved much longer. The intensity of these pains from different women is different.

Itching and pain in the crotch is accompanied by genital herpes.

Itching and painful sensations described as a burning sensation may occur in the perineum under various allergic reactions, sugar diabetes, in the diseases of the liver (hepatitis, cirrhosis, etc.), with diseases of the urinary tract.

Such seemingly a minor factor as wearing synthetic underwear may cause painful itching and burning in the crotch area. In addition to the skin's allergic reaction, synthetic underwear due to the "greenhouse effect" creates favorable conditions for the development of all sorts of inflammatory and infectious diseases.

When walking, the pain in the perineum arising or enhancing when walking, people are felt with the hill injuries (injuries, fractures). In men, it is difficult for walking, combined with pain in the perineum, arise when inflammation of the testicles (orchitis) or their appendages (epididit), during the water of the testicles.

Prostatitis can sometimes cause crotch pain during sexual intercourse.

In women, the cause of pain in the perineum during and after sex is most often Barolinitis - inflammation of the bartholine glands. These glands are located on the eve of the vagina, and produce its lubricant. Pain with bartoline is pulsating, and continue a few hours after sexual intercourse, then subscribe.

Men with complaints of crotch pain should initially consult a urologist or a proctologist. Perhaps necessary will be the help of a dermatologist or oncologist.

In which cases, men and women in crotch pain should be contacted to the same doctors, since pain syndrome is due to the pathology of bodies available from representatives of both sexes.

2. In which cases, women and men need to handle in crotch pain to the doctors of different specialties, since pain syndrome is due to the pathology of organs specific to the male or female.

So, women and men must contact the doctors of the same specialty if the pain in the perineum in aggregate with other symptoms indicates the urethritis, the crotch injury, the infringement of the immature nerve, furuncula, papillomas, or kondilomas in the crotch, hemorrhoids, the rush, Practice, paraproititis, allergic reactions, smoking injuries.

If an injury is inflicted in the crotch area (injury, blow, wound, breaks, etc.), there is a sharp and very strong pain. In such a situation, it should be immediately called "ambulance" and hospitalized to the hospital, since various organs and tissues may be damaged when injuring the crotch, so strongly, without qualified medical care, a person will die.

If the crotch pain occurs from a person after a while after the injury (including after childbirth), it is recommended to contact surgeon doctor (sign up) and rehabilitologist (sign up)So that they jointly have developed a plan for the necessary rehabilitation therapy.

If a woman or men in the crotch area has a boil or kondil / papillom growing, then you should contact dermatologist's doctor (sign up) For their diagnosis, and then to a surgeon to remove them.

If a man or woman has a sharp, acute pain in the perineum, is also felt in the smoking, it is intensified when walking and weakened in the standing position, it appeared after traumatic exposure to the cockeble area (for example, a blow, fall, etc.), this indicates The injury of the tailbone. In this case, you should contact doctor-traumatologist (sign up) or surgeon.

If a man or woman has pain in the crotch area, felt on the skin, and not in the depth of fabrics, combined with a strong itching and edema, and also, possibly rash on the skin, then this indicates an allergic reaction, and in this case it follows speak to allergist doctor (sign up) and dermatologist. The dermatologist should inspect the skin to eliminate the presence of any serious illness and confirm the allergic nature of pain and pathological changes in the skin.

If a woman or a man has severe pain and burning in the perineum during urination, which is combined with frequent urges on urination, the separation of urine with an admixture of mud, blood, this testifies to uretrite, and in this case should contact doctor-urologist (sign up).

If in the perineum in a man or woman suddenly there is a sharp pain, which is combined with burning, strong sensitivity and feeling of a foreign body in the field of pelvic organs, and also causes numbness on the inner surface of the thigh, intensifying when walking, sitting and lying, does not decrease in positions time, this testifies to the infringement of an intense nerve, and in this case it is necessary to contact neurologist doctor (sign up).

When the pain in the crotch area in a man or a woman is combined with pain in the anal hole or in the rectum, unpleasant sensations during defecation, possibly with the release of mucus, blood or pus from the rectum, chill and high body temperature - suspected disease of the intestinal terminal departments ( hemorrhoids, the cracks of the rectum, punctures, paraporates), and in this case should contact proctologist doctor (sign up).

In all other cases, besides the above, men and women in the occurrence of pain in the perineum should contact the doctors of different specialties, as pain sensations are provoked by diseases of specific genitals.

When the pain in the perineum occurs in women during pregnancy or after childbirth, you should contact gynecologist (sign up).

If the pain in the perineum is combined with itching, discharge from genital inflammatory organs (greenish, white, merciful, etc.) or rashes in the field of external genital organs (pubis, sex lips, penis, etc.), this is about sex infection (sign up) (genital herpes (sign up), candidiasis), and in this case, representatives of both sexes can be addressed to venerer's doctor (sign up) And, moreover, women are to the gynecologist, and men to the urologist.

If the pain in the perineum is combined with pain at the bottom of the abdomen that do not have a clear localization that occur periodically passing on their own, over time not increasing, not combined with any other symptoms on the part of the genital organs (inflammatory discharge, rash, itching, bleeding and etc.), then a chronic pelvic pain syndrome is suspected, and in this case, women need to contact a gynecologist, and men to a urologist or andrologist (sign up).

If men have pain in the perineum or at the same time felt at the bottom of the abdomen, in the rectum, combined with pain in the testicular, increasing the scrotum, the feeling of the foreign object in the rectum, poor well-being, possibly with difficulty, frequent or painful urination, increased body temperature, increases When walking and tension, a tumor or inflammatory disease of male genital organs (orchitis, epididimitis, prostatitis, prostate abscess, adenoma or prostate cancer) is suspected. In this case, it is necessary to contact the urologist.

If the men appear pulling, sawing pain in the perineum after sex, which are also felt in the testicles, are combined with discomfort, weight and visible midges, enhanced when walking, spontaneously disappear after a few hours, then varicocele is suspected, and in this case it is necessary to contact Surgeon.

If a man appears, a pulling, still pain or burning in the perineum present, present almost constantly, amplifying in the sitting position and during defecation - the inflammation of the bulbous-urethral gland is suspected (kuritis) or seed bumps (colliculitis). In this case, it is necessary to contact a urologist or an andrologist.

If a woman has pain in the perineum, combined with itching, burning, pain and abnormal discharge from the vagina, and all the symptoms are enhanced when urinating - vaginitis is suspected. In this case, it is necessary to contact a gynecologist.

If a woman has pulsating crotch pain after sex or spontaneously, combined with swelling of the sexual lips, tested and painful seal at the entrance to the vagina, increased inguinal lymph nodes, chills, weakness and increasing body temperature, then bartolinite is suspected. In this case, it is necessary to contact a gynecologist or surgeon.

If the pain in the perineum is associated with the injury transferred in the past, the doctor will prescribe Ultrasound (sign up)To assess the condition of the tissue and reveal the possible causes of pain syndrome. If ultrasound is not informative enough, it can be assigned magnetic resonance tomography (sign up). Further, if there were no serious diseases of the small pelvis organs, the therapy of post-traumatic syndrome is prescribed, aimed at the complete restoration of tissues. But if during the ultrasound or tomography, diseases of the genital, urinary organs or intestines were identified, then the person is sent to the appropriate specialist, which, in turn, produces necessary examination And assigns therapy.

If a man or woman on the skin of the perineum has boils, papillomas or condylomas, which provoke pain, then the doctor may assign the following tests and surveys:

  • General blood test (sign up);
  • Bacteriological sowing of a furuncular separated;
  • The analysis of blood or separated by the genital organs for the presence of a human papilloma virus (PCR or ELISA method) (sign up).

When a man or woman has a boil in the perineum, the doctor is usually prescribed only a common blood test for assessing the condition of the body and sowing a dispenser to determine the causative agent provoked the inflammatory process. Further, the furuncle is removed and an antibiotic is appointed to which a microorganism that caused inflammation is sensitive.

When a man or woman in the crotch, there are expanded by papilloma or kondil, the doctor prescribes a blood test and / or separated by the genital organs for the presence of a person's papilloma virus to understand the process of their formation is chronic or due to a simultaneous decrease in immunity. If papillomas / condylomas appeared due to the decrease in immunity, they are simply removed by the surgical method, and the specific treatment is not prescribed. But if the process is chronic, then after removal of growth, antiviral and immunomodulating therapy is necessarily prescribed, necessary to prevent the formation of the formation of papillomal and the royal.

When a man or a woman after a traumatic impact on the cockeble area (injury, blow, etc.), sharp pain is felt simultaneously in the perineum and cock, it is intensified when walking, weakens in the standing position, the doctor prescribes the X-ray cochoral-sacral spine. X-ray (sign up) Allows you to identify the spock fractures and distinguish the bruise from the fracture. If the doctor suspects that the hill injury provoked the formation of extensive hematoma in soft tissues, then a magnetic resonance imaging can be prescribed to an x-ray.

When the representative of any gender appears pain in the perineum, very sensitive outside, and not in the depth of tissues, combined with itching and swelling, and maybe with skin rashes - the doctor suspects an allergic reaction and prescribes the following tests and surveys:

  • General blood analysis;
  • Blood test to the IGE concentration;
  • Skin allergic samples by the Test or Scarification method (sign up);
  • Analysis of increased sensitivity to various allergens using a determination of the concentration of specific IGE in the blood (on guinea pig, rabbit, hamster, rat, mouse, latex, orange, kiwi, mango, pineapple, banana, apple, peach, ambrosyi ordinary, full, ordinary, Mary White, plantain, thistle, Russian, spikelet, scented, rye many years old, Timofeevka, rye cultural, Bucharnik woolly, on home dust and ticks of home dust).

To identify the allergic nature of crotch pain The doctor necessarily assigns a general blood test and any samples for increased sensitivity to allergens (or skin samples (sign up), or determination of the concentration of specific IgE in the blood), as it is necessary to identify the substance provoking the reaction of hypersensitivity in humans. An analysis of the IGE concentration in the blood is rare, as it allows you to identify only the presence of allergies.

When a representative of any sex feels strong pain and burning in the perineum, which may be present constantly and enhanced or appear only when urinating, be combined with frequent urges on urination, the separation of urine with blood admissions, Muti - the doctor suspects urethritis and prescribes the following tests and surveys:

  • General blood analysis;
  • General urine analysis;
  • Three-fold urine sample;
  • A stroke from the urethra (sign up);
  • Bacteriological sowing urine and separated by the urethra;
  • Blood test or separated urethra for the presence of sex infections causative agents ( on chlamydia (sign up), mycoplasma (sign up), Gardnerners, ureaplasma (sign up), trichomonas, gonococci, candidate candidate) methods of PCR or IFA;
  • Ultrasound bladder (sign up).

First of all, general blood and urine tests are prescribed, a three-fold of urine sample, a stroke of urethra and sowing a divergent urethra. These analyzes allow in the overwhelming majority of cases to identify the cause of urethritis, complete the examination and begin treatment. But if with the help of such primary analyzes, it was not possible to identify the causative agent of the infectious and inflammatory process, the doctor prescribes the blood test or separated by the urethra for the presence of sexual infections (in chlamydia, mycoplasma, gardnerells, ureaplasma, trichomonas, gonococci, candidate fungi) methods PCR (sign up) or ELISA. Ultrasound of the bladder is appointed only in cases where the doctor suspects that urethritis complicated cystitis.

When a representative of any sex suddenly appears a sharp pain in the perineum in combination with burning, severe sensitivity and sensitivity of the foreign body in the area of \u200b\u200bpelvic organs, numbness on the inner surface of the hip, and the symptoms are enhanced when walking, seat and lying - the doctor suspects the infringement of an immature nerve. In this case, the diagnosis is made mainly on the inspection data and characteristic symptoms. Additionally, to identify the cause of the infringement of the nerve, the doctor may prescribe magnetic resonance tomography. And in order to identify the speed of the signal on the nerve and the response of the muscles on the pulse - an electronography, which allows you to understand which surrounding organs or tissue are put on the nerve and provoke pain syndrome.

If representatives of any gender pain in the perineum is combined with pain in the anal hole or in a rectum, unpleasant sensations during defecation, possibly with the release of mucus, blood or pus from the rectum, chills and high body temperature - suspected disease of the intestinal terminal departments (hemorrhoids , Cracks of the rectum, punctures, paraproatitis). In this case, the doctor appoints the following surveys:

  • Inspection of the anus and crotch area;
  • Finger rectal study;
  • General blood analysis;
  • Coprological analysis of feces (with a reaction to hidden blood);
  • Cal on eggs worm;
  • Analysis of the scene on the microflora (prescribed only in suspected dysbacteriosis);
  • A smear from the area around the anus (prescribed only if the fungal infection or genital herpes is suspected).

The above studies and analyzes are mandatory and implemented primarily, and it is they who give a doctor a rather wide range of information about the state of terminal intestinal departments. Based on the information received, the doctor puts a preliminary diagnosis and, if necessary, appoints additional surveys. For example, if hemorrhoids is revealed, then only assigned to anoscopy (sign up). But if it is suspected, punctures, paraproktitis, the cracks of the rectum, are appointed anososcopy, rectorOnoscopy (sign up)/colonoscopy (sign up). If the pathology is heavy, there are fistula, fascinations, etc., the doctor can also assign specific and rarely applied studies, such as fistulography (sign up), probe research, etc.

If the crotch pain is bothering a woman after childbirth, the doctor appoints and conducts an ultrasound as well gynecological two-handed research (sign up) In order to identify deformations, strictures of internal soft tissues, which can provoke pain syndrome.

When pain in the perineum is combined with itching, discharge from the genital organs of inflammatory character (greenish, white, merciful, etc.) or rashes in the field of external genital organs (pubis, sexual lips, penis, etc.), then suspected Field infection (genital herpes, candidiasis). In this case, the doctor prescribes smear from the urethra and vagina, bacteriological sevenches of the separated vagina and urethra, which allow you to identify the pathogen of infection. If the results of these analyzes are not detected by the causative agent of infection, the blood test, separated by the urethra or vagina for the presence of a pathogenic microbe (gonococcus, trichomonads, chlamydia, mycoplasma, ureaplasma, fungi clans, herpes viruses, etc.) methods of PCR and IFA .

When pain in the perineum is felt simultaneously with the pain at the bottom of the abdomen, it does not have a clear localization, it occurs periodically, it passes independently, it does not increase with a long existence, it does not combine with other symptoms from the genital organs (inflammatory discharge, rash, itching, bleeding, etc. .) - The doctor suspects chronic pelvic pain syndrome. Since this is a syndrome, in which a person is only experiencing pain, but he does not have any pathologies of internal organs, then this is a diagnosis of exception. In other words, a man or woman conducts a complete examination (common, biochemical blood tests, general urine analysis, blood clotting analysis, Ultrasound organs of a small pelvis (sign up), hysteroscopy (sign up), hysterosalpingography (sign up), tomography, colposcopy (sign up), RectorOnoscopy, strokes from urethra and vagina, study of the Secret Prostate (sign up), analyzes for sex infections and herpes viruses, cytomegalovirus (sign up), Epstein-Barr virus, etc.), and if it is not identified by any diseases, the diagnosis of chronic pelvic pain syndrome is made.

If a man has pain in the same time in the perineum, in the renomance, in the rectum, is combined with pain in the egg, an increase in the scrotum, the feeling of the foreign object in the rectum, poor well-being, possibly with difficulty, frequent or painful urination, increased body temperature, increase with walking and tension, then tumor or inflammatory disease of the male genital organs (orchitis, epidididimitis, prostatitis, prostate abscess, adenoma or prostate cancer) are suspected, and in this case the doctor prescribes the following tests and surveys:

  • General blood analysis;
  • General urine analysis;
  • Blood test for determination of the level of a prostatecific antigen (PSA) (sign up);
  • Finger examination of the prostate;
  • Study of the Prostate Secret;
  • Bacteriological sowing of urine and the secret of prostate;
  • Smear from the urethra;
  • Ultrasound prostate gland (sign up) and eggs (sign up);
  • Egg or prostate puncture with fence biopsy (sign up).

First of all, the doctor prescribes a general analysis of blood and urine, and also produces a finger study of the prostate gland. Based on the data obtained from these primary simple studies, the doctor puts a preliminary diagnosis and already knows exactly whether a person has a tumor or inflammatory disease of the genital organs.

Further, if the tumor disease is revealed, the doctor prescribes a blood test to determine the level of prostatecific antigen (PSA), an ultrasound of the prostate, bladder and intestines (sign up), as well as prostate biopsy (sign up). In some cases, magnetic resonance tomography can be prescribed to identify the presence of metastases or estimate the condition of soft tissues. When suspected of fistulas produced urethroscopy (sign up), cistoscopy (sign up), aososcopy.

If, according to the results of primary analyzes, the inflammatory disease was revealed, the doctor appoints smear from the urethra, the study of the secret of prostate, sowing urine and the secret of prostate to identify the causative agent of the infectious inflammatory process. Additionally, an ultrasound is used to assess the state of the genital organs.

If a man suffers from pulling, driving pain in the perineum after sex, which are given or simultaneously felt in the testicles, are combined with discomfort, weight and visible veins of the scrotum, enhanced when walking, spontaneously disappear after a few hours - the doctor suspects varicocele, and prescribes the following tests and Surveys:

  • Feeling of eggs in a horizontal, vertical position and when stretching;
  • Spermogram (sign up);
  • Mentography;
  • Ultrasound kidneys (sign up) and testicles;
  • Magnetic resonance tomography of the abdominal cavity (sign up);
  • Doppler Sign up);
  • Reward (sign up).

First of all, the doctor prescribes and conducts feeling of eggs, a spermogram and a marital, on the basis of which the diagnosis of varicocele is made. Ultrasound, Doppler and Remography of the testicles are considered additional methods of surveys, which are appointed at the discretion of the doctor, but do not have high informativeness. Ultrasound of the kidneys and magnetic resonance tomography of the abdominal cavity are prescribed only to identify the possible cause of varicocele, which is often the pathology of the kidneys, thrombosis of blood vessels, etc.

When a man appears, a pulling, buttiff or burning in the perineum, present almost constantly, amplified in the sitting position and during defecation - is suspected of a kurait or colliculitis, and the doctor prescribes the following tests and surveys:

  • General blood analysis;
  • General urine analysis;
  • Three-fold urine sample;
  • Microscopy of the secret of prostate and smear from the urethra;
  • Bacteriological sowing of the secret of prostate, separated by urethra and urine;
  • Urethroscopy;
  • X-ray contrast urertrography (sign up).

First of all, the doctor prescribes a general blood test and urine tests, a microscopy of the secret of prostate and strokes from the urethra, as well as bacteriological sowing of the secret of prostate, separated by urethra and urine. These analyzes allow to identify the causative agent of the infectious inflammatory process. Further, urestroscopy is assigned and produced, during which it is possible to diagnose collikulite and distinguish it from kuperata. After urethroscopy, if the ketter is identified, it is produced for its confirmation of urethrography.

When a woman is experiencing pain in the perineum in combination with itching, pain and abnormal vaginal discharges that increase in urination - the doctor suspects vaginitis and prescribes the following tests and surveys:

  • Bimanual gynecological examination;
  • Inspection of genital organs in mirrors;
  • Vagina smear on the flora (sign up);
  • Bacteriological seeding of the vaginal discharge;
  • Detection of causative agents of sex infections (chlamydia, mycoplasma, garardnells, ureaplasma, trichomonas, gonococci, candidate candy) in the blood and vaginal separated methods of PCR and ELISA.

All these surveys are prescribed immediately and at the same time, as they are necessary to identify the pathogen of the inflammatory process in the vagina.

When a woman suffers to pulsating pains in the perineum, which appear spontaneously or provoke sex, are combined with swelling of the sexes, tested and painful seal at the entrance to the vagina, increased inhabivable lymph nodes, chills, weakness and increasing body temperature - the doctor suspects Bartholinitis and is diagnosed with The basis of the inspection of the patient. After detection of bartolinite, treatment is carried out. If the process is a long-term current, prone to chronic, then bacteriological seeding of a bartoline separated gland is produced with the definition of sensitivity to antibiotics. This is necessary in order to assign antibiotics after opening the duct of the gland and removing the purulent contents in relation to the causative agent of the infectious and inflammatory process. Such a targeted appointment of antibiotics minimizes the risk of re-bartholinite in the future.

Home »Prostatitis» Symptoms » Itching and burning in the crotch, or harbingers of an adversity "intimate" ailments

If a man has a burning sensation in the crotch, you can not hide with a visit to the doctor.

After all, this is a clear sign of pathology, which can speak not only about the inflammatory process, but also about illness of malignant character.

Why occurs, discomfort in the perineum in men and how to remove an unpleasant symptom, tells the article.

Painful sensations in the intimate zone worried many representatives of strong sex. They arise for various reasons. The burning and itching is associated with irritation of nervous endings. They are not able to cause severe pain, but may be a symptom of serious pathology.

The most common causes of discomfort in the interias in men are the following:

  • urethritis and other diseases of infectious origin;
  • injuries of genital organs;
  • varicocele;
  • supercooling;
  • hernia;
  • bPH;
  • stones in the kidneys;
  • inflammation of prostate gland
  • venericual diseases. For example, syphilis or genital herpes;
  • long abstinence;
  • orchit;
  • osteochondrosis.

Also the cause of the occurrence of unpleasant sensations can be a pelvic pain syndrome. This condition is characteristic not only for men, but also for women. It is characterized by pain in the bottom of the abdomen, which gives to the crotch. Diagnose the disease in patients with such syndrome often fails. Therefore, doctors discharge the treatment that is aimed at the relief of unpleasant symptoms.

Most often, men meet urethritis, prostatitis and adenoma. Paints with different pathologies are slightly different. For example, with acute prostrate the crotch pain sharp, irradiates to the scrotum, member, urinary bubble area, anal hole. If prostatitis chronic, discomfort will be insignificant, the pain pulling, which is periodically decreasing, is enhanced. Often there is a burning between the legs and itching.

Normal and scorched prostate (adenoma)

Acute urethritis often flows with sharp and burning pains that arise at the beginning of urination. In many patients with venereal diseases, there is a burning sensation in the urethra or in the crotch. In varicocele (or varicose veins), pain syndrome appears after sexual intercourse. It is expressed weakly and after time it passes.

With extensive damage to the tissues in the intimate zone, there is a sharp pain and burning in the field of eggs in men and adolescents. Such pathology increases the likelihood of violation of the development of genital organs in children, which may eventually lead to infertility.

Orchitis cause viruses. Often it develops as a complication after rubella and vapotitis. With such disease, the body increases, the skin of the affected area is hyperemic, pain appears.

If discomfort occurs in the right or left part, this means that the damage is one-sided.

For hernia, the appearance of pain when walking. Malignant neoplasm at the first stages proceeds asymptomatic. But over time, after or during intercourse, burning and pain appear.

The causes of discomfort in the intimate area in men are different. With any unpleasant feelings, it is recommended to turn to a urologist or venereologist. And it is better to periodically undergo a prophylactic inspection to prevent the development of the disease.

How is the reception at the doctor?

The earlier the reason for discomfort in the perineum in a man will be determined, the treatment will be more effective, a chance will appear to avoid a number of complications. At the reception, the specialist should report on the nature of pain (pulling or sharp), the presence of itching, burning.

After communication and inspection, the doctor will send a patient for an additional examination. It may include:

  • blood test;
  • biopsy;
  • analysis of urine;
  • ultrasound procedure.

Only after complete diagnosis and detection of the reason, the competent doctor selects the treatment scheme. If the doctor after short communication, prescribed medicines without the examination, it is better to search for another specialist.

How is the treatment?

Selection of medicines and treatment diagrams are carried out depending on the diagnosis.

Effectively eliminates the pain between the legs in men with anti-inflammatory funds, which are accepted by a long course.

Also to relieve pain syndrome use painkillers. In some cases, the doctor discharges hormonal pills.

This is more relevant in the presence of benign neoplasms and hormonal imbalance. When progressing tumor processes, sometimes not to do without surgery.

If the pain and cutting in the perineum are caused by infectious, venereal diseases, the course of antibiotic therapy is needed. Medicines are injected intravenously or intramuscularly. If the pathology is serious, treatment is carried out in the hospital.

Tablets for dissolving oxalate stones

Remove the burning sensation with the prostate adenoma with the help of suppositories and rectal ointments. If the itch is caused by urolithiasis, antispasmodics and analgesics are used. In addition, the doctor discharges drugs that dissolve stones, taking into account the type of concrement.

For example, for dissolving oxalate stones in pharmacies, it is for sale, cystine - thiapramine and uralite, phosphate - Marilin.

If the urethra is struck by the fungi of the Candida family, the doctor discharges antifungal medicines.

The elimination of discomfort in the perineum should be complex.

Therefore, during therapy, the patient is often prescribed vitamins, minerals and other drugs that strengthen the immunity. Hepatoprotectors also use to protect the liver from the negative impact of the received tablets.

After medication therapy, the doctor polls, examines the patient. To refuse to re-diagnose with the disappearance of unpleasant symptoms is not recommended. After all, some fungi, viruses show resistance to antibiotics and after discontinuation of treatment are re-activated.

Prostatitis: how to reveal and cure?

The inflammation of the prostate gland is observed in the majority of men after 35 years. The burning and itching with prostatitis occurs at the initial stages of the disease due to the narrowing of the urethra. When the disease progresses, additional symptoms appear, the pain syndrome is enhanced.

Below are the signs that indicate the development of pathology:

  • itching in the field of urethra, which becomes stronger when urination;
  • the appearance of blood clots in urine;
  • winding urine;
  • pulling pain in groin;
  • hypertension;
  • reduced potency, libido. If not to treat chronic prostatitis, premature ejaculation, impotence;
  • the feeling that the bladder is not completely emptied. Also characterized by imperative urge at night;

With the development and exacerbation of the disease, the body temperature rises to 38.5 degrees. At the same time, severe pain in the scrotum, sometimes giving up to the lower back.

Many patients who are diagnosed prostatitis are asked whether to get rid of the disease without surgical intervention. After all, inflammation of the prostate gland is a serious pathology that threatens cancer and infertility. If the disease is not launched, there is a chance to cure it with medicines. But in this case an integrated approach is important.

Use the following methods, how to remove the burning in prostate and the disease itself:

  • physiotherapy. Doctor appoints prostate massage. For this, special stimulants are used;
  • microclizm with decoges from different healing herbs. They allow not only to remove pain, but also to relieve inflammation;
  • antibiotics. Prescribe them only when itching and burning is associated with development bacterial infection. Fluoroquinolones and macrolides have proven well established;
  • anti-inflammatory non-steroidal drugs. Effectively eliminate inflammation and improve urin current;
  • alpha Adrenoblocators. Means are considered auxiliary. They reduce blood pressure and remove increased prostate muscle tone;
  • biology active additives . Usually their doctor discharges in the chronic course of prostatitis. Davits effectively remove unpleasant manifestations of disease and reduce the risk of exacerbations. In this group, the urological chinese plaster ZB Prostatic Navel Plasters is considered the best, which has repeatedly proven its effectiveness in practice.

It is useful to understand which drugs are used to treat inflammation of the prostate gland. But, to assign independently any medicines should not be, as it is fraught with the development of complications.

Video on the topic

Urologist, dermatovenerologist about possible causesah the emergence of itching in groin in men:

Thus, any unnatural and unpleasant sensations in the prostate area are a signal that the body is not all right. But even with normal well-being, men who care about their health, it is recommended to regularly undergo a prophylactic examination. And if there is discomfort (burning, itching, pain) in the field of intimate organs, you should immediately contact a specialist: urologist, venereologist or proctologist. The ability to conceive a child depends on the timely treatment.

Prostatitis - This is a fairly frequently found disease among men who stepped over their thirty-year-old frontier, but sometimes the disease is diagnosed and at all young guys. This disease most often appears unexpectedly, but most of the representatives of the strong gender to certain pores simply do not pay any attention to the characteristic symptoms of prostatitis.

With the described disease, there is inflammation of the prostate - a special gland in a male body located above the bladder and responsible for the production of some part of sperm. The inflammatory process can be triggered by infection or other factors. The acute form of the disease is characterized by sudden symptoms, the ignoring of which leads to the development of chronic prostatitis.

Signs of this ailment can detect both completely young guys and men in the already old age. The first symptoms of prostatitis can be completely lowered. As soon as the microbes fall into the prostate, it occurs in it the process of micro inflammation, which can develop for years until the patient will finally suspect the presence of a parable, which is likely to be in chronic form.

Each man must listen carefully to his well-being and alert, finding the following characteristic signs characteristic of prostatitis:

  • chills, fever;
  • pain in the pelvis area and at the bottom of the back;
  • tangible pain and thread during urination;
  • lubricated or on the contrary, irreparable urination;
  • the presence of a certain amount of blood in the urine;
  • feeling of constant fullness of the bladder;
  • violation of the sexual sphere;
  • erection problems;
  • infertility.

Remove blood stagnation in the area of \u200b\u200ba small pelvis and remove some painful symptoms will help hirudotherapy. How and where the leeches are put with prostate, you can learn on this page.

Pain

Pain can be called the most first alarming signal of a possible prostatitis. First of all, it is necessary to try to determine the nature of pain: cutting, pulling, gulp, driving, etc. To some extent, the nature of the pain makes some representation and the causes of the disease. More informative can only be a place in which a man is experiencing these discomfort. Most often, with the prostate pain is localized:

  • in the crotch area (between the anal hole and the base of the penis);
  • in the pubic area;
  • in the urethra;
  • in the scrotum;
  • in a sacrum or lower back (you can confuse with a radiculitis).

For each man, as a rule, is characterized by one painful picture, which is repeated in exacerbations. And someone can hurt only in one place, and at someone immediately in all of the above places. Bearing can be given in the stomach, in foot, etc.

As already mentioned, an experienced doctor is already on the nature of pain can make an assumption about the form of the disease. For example, an ever-changing place, running around, is usually characteristic of noncommunicable chronic prostatitis. If the painful sensations are cut, constant, with a susceptible feeling of burning, which decreases after taking antibiotics, then these signs indicate the infectious nature of the ailment.

The second common attribute of prostatitis can be a rapid urination, the amount of urine, in which decreases. In the event that a man is experiencing rapid urge, but urine stands out a lot, we are talking about some other disease. The urges themselves are also somewhat different from normal - become sharper, urgent, and their strength is not entirely proportionated to the allocated amount of urine.

Most often, with the proven impairment in the sexual sphere, it is primarily characterized by a sharp decrease in the usual duration of sexual intercourse, premature ejaculation. Moreover, once failed sexual act can not yet signal the presence of pathology, since when inflammation of the prostate, the violations occur systematically. This symptom can well be combined with a decrease in the amount of sperm during ejaculation, because in the norm, this value is more or less permanent.

In addition, men may have difficulties with the achievement of orgasm and the weakening of organic sensations. Moreover, this symptom can manifest itself both independently and in tandem with other above signs. An explicit symptom of inflammation will be a weak, unseen orgasm in combination with a feeling of burning sensation during ejaculation.

Among other things, during the exacerbations of chronic prostatitis, men can disorders an erectile function. Out of exacerbations, prostatitis does not have any negative impact on the erection.

One of the implicit violations with prostatitis can even become infertility. This is due to the fact that the inflammation of the prostate gland ceases to produce ejaculate, liquid part of the sperm. If it also produces pus, then such a sperm will not have almost no fertilizing ability. Usually after successful treatment of prostatitis, the sperm improves and the conception is again becoming possible.

Young men under 35 years old prostatitis, as a rule, flows in acute bacterial form. The diagnosis of an acute bacterial (infectious) prostatitis doctor can deliver if the results of laboratory tests indicate the presence of infection in the patient's body.

The primary symptom of acute prostatitis in this case will be difficult to urinate, as the inflammation has undergone and increased prostate will be comprehended by urethra. The second feature of the infectious prostatitis in the acute stage is the deterioration of potency in which a man may not have a normal erection or orgasm.

In addition, the inflammatory prostatitis in acute form can manifest itself with the following symptoms:

  • feeling of weakness, drowsiness;
  • temperature increase;
  • pain in the crotch area, groin;
  • difficulties and pain when urination and defecation.

In the chronic prostateness of infectious origin, the symptoms of the illness are bothering the patient to a fairly lesser extent. The clinical picture can be very volatile: signs of the disease become brighter, then almost completely disappear. At the same time, a man can feel:

  • some decrease in sexual activity;
  • sexual intercourse increased or vice versa reduced in time;
  • premature ejaculation may occur;
  • small difficulties in urination;
  • periodic discomfort and burning in groin, crotch, urethra, as well as urination and defecation;
  • general weakness of the body;
  • during defecation, the secret of the prostate gland is allocated.

Unconfective or abacterial prostatitis can be inflammatory or unreactive. In the first case, the men will present the same symptoms as in the chronic disease of the prostate, and an increased number of leukocytes will be detected in laboratory tests. In the second case, the leukocyte level is usually normal.

Common symptoms of non-infectious prostatitis are considered:

  • pain in the scrotum;
  • burning and pain appearing when urinating;
  • students of the urinary bubble emptying;
  • significant voltage in the sphincter zone.

There is another type of prostatitis - asymptomatic, the flow of which takes place without any characteristic features in the presence of inflammation.

Any man who finds at least one of the above signs should apply for a consultation to a urologist and pass all the necessary laboratory tests. After that, an adequate course of treatment will be appointed, which will help to cope with an unpleasant disease.

Pain in the perineum cannot but cause feelings of anxiety. First, because they are related to the reproductive function, and secondly, because it makes it difficult to walk, which means that the human activity is very essential.

Types of crotch pain in men

For large quantities Ailments that can cause pain in the crotch, types of unpleasant sensations may be different. In general, pain here can be divided into:

  • sharp;
  • chilling;
  • drawing.

Before talking about the types of pain in connection with certain diseases, it is necessary to clarify that the concept of perineum can have a wide and narrow character. IN this case This word is used to name the location of the outer genitals, as well as the openings of the rear pass and the urethra.

Spicy pain signal

Since pain always signals about malfunctions in the body, then acute pain shows very serious illnesses. The most serious of them in the case of acute pain in the perineum - prostate cancer in men (in late stages). In a situation of such pathology, the patient prescribe the most serious painkillers, right up to drugs.

Such a severe disease, as an abscess associated with the suppuration, can also cause pain in the perineum in men, having acute character. In this case, this again refers to a violation of the tests of the prostate gland, as a rule, with a one-sided character of sensations, localizing where abscess develops. Pain may radiate in the rectum and in other organs. Binding is accompanied by a high temperature and requires a speedy medical intervention.

In men, acute pain causes prostatitis - inflammation of the prostate gland. If we talk about this organ more, then, having a muscular nature, it highlights a special substance - a secret - to maintain the activity of men's genital cells, spermatozoa, at the proper level. In addition, the specified substance contributes to the protection of spermatozoa from various negative factors.

Prostatitis refer to the number of the most common male diseases. Having a very diverse nature, both in acute and chronic form, it brings a lot of experiences and problems with sick. Therefore, sharp pain in the crotch, accompanying prostatitis, should be seriously alert.

Representatives of both sexes as a factor of pain in the crotch area may have inflammation of the urethra mucosa - urethritis. The unpleasant sensations in this case will be more active in urination.

The crotch pain of the specified nature is possible in other cases, for example, in situations of injuries, various hematomas, muscle breaks, bruises, firearms, etc. or as a result of the infringement of sex nerve.

There are many nerve endings in this area, so the pains here are very intense and unpleasant. In situations, they can even lead to a trust of the patient. Therefore, such states, which, among other things, can be accompanied by bleeding, require immediate intervention of the specialist.

Women's pain

Stitching and pulling pain. If we talk about such a type of pain, as negative sensations in a cringe of a crossing character, then more often they are found in women. For example, with such a disease, like vaginitis. Introducing the inflammation of the mucous membrane of the vagina, vaginitis, among other things, is accompanied by unpleasant sensations in the vagina itself, as well as abundant discharge from it.

A stitching and still pain is possible in a state of pregnancy.

Pulling or mining pain in the perineum is very often caused by chronic diseases. In this case, they are long, if not permanent. Of course, the path of getting rid of them is the treatment of chronic ailments.

The pulling pain is caused by quite common chronic cystitis or urethritis, which has already been said. The sensations about which are in question, can be postpartum and different.

Sexual differences

Many organs of the specified and adjacent regions among the representatives of both sexes are similar. Therefore, specific sensations in the perineum, including caused by diseases of adjacent systems (for example, the gastrointestinal tract), they also look like in many ways. However, due to the fundamental biological difference in the reproductive system of two categories of people, the causes of pain here too can be fundamentally different. Basically, the differences are associated with the problems of the prostate gland.

Focusing on pregnancy problems in the aspect of crotch pain, this moment is associated with more complex reproductive processes of a woman designed to enter the child. In addition, it is known that pain in the perineum in the stages of bearing, childbirth and in the postpartum period are often normal, so it is difficult to separate them from pathology.

Often at the 35 week of tooling a woman can begin to experience unpleasant stabbing pain in the area that we are talking about. This is due to the normal process of omitting the fetus that has pressure on various biological tissues (for example, muscles and nerves). At the same time, if such pain appear earlier, they may indicate miscarriage.

There are cases when the fruit in the womb squeezes some nerve (often sedined), which causes a sharp pain. The future mother has this pain to tolerate, because health workers can not be able to help her in such a situation. You should wait for changing the position of the child.

It is known that before childbirth there is a preliminary native pelvic bones, which in some women also causes pain.

If we talk about the generic process itself, it is important that the pain in the specified region serves as a signal about its beginning. Do not miss this moment - it means to contribute to the normal course of childbirth and the absence of pathologies in a child. Therefore, on the eve of the approximate date, RO is worried about everything that is completely natural. However, the usual stretching, edema differ with the rupture of crotch tissues. If the gap and the doctors have occurred, then the seams are put, then the process of healing, like the pain itself (intensifying in this case when urination), will be longer.

Etiology of the manifestation of itch

Itching is a sign, quite often accompanying pain in the crotch. He may indicate:

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To fully understand the symptoms and eliminate it in the case of pain only can only doctor. In the case of pain in the perineum, most likely a consultation may be needed:

  • gynecologist - a doctor who attending female diseases (especially in the case of pregnancy);
  • urologist - a doctor holding male problems;
  • proctologist - a specialist in the pathologies of the colon and the rear pass;
  • dermatologist - a doctor specializing in skin diseases;
  • and even oncologist engaged malignant formations.

It is necessary to dress warmly, use condoms during sex. Good advice There will be a regular prophylactic inspection. The doctor can reveal a threat timely, which is able to provoke not only perineum pain, but also the progress of the disease itself. And most importantly - do not forget about hygiene.

The pain between feet in women is definitely causes justified concerns. First of all, the state of the urogenital system is concerned. However, is there always pain in the perineum associated with diseases of this kind? To make an assumption about the nature of the sensations formed, their features, the nature of the localization, the degree of intensity, etc. The pain itself cannot be dangerous, on the contrary, should be treated as a signal indicating the problem. But already from the problem will depend on whether there is a threat of health in the current circumstances or not. Among the possible reasons can cause pain in the crotch, include:

Therefore, the degree of danger of pain between the legs should be considered in the context of initial reasons. For example, pain sensations arising during pregnancy should be attributed to the inevitable costs of this state. Of course, in this case, the risks should appreciate the doctor leading pregnancy. After childbirth, such symptoms may occur as a consequence of stretching. Like other injuries, these reasons will be held independently after a while. However, not always inaction and expectant position are the best tactics.

Possible diseases

Pain in the crotch in women may be a symptom of inflammation of any organ or gland in the field of pelvis. Therefore, the reason may be inflammation:

At the same time, the intensity and nature of pain will depend not only on the inflamed organ, but also from the stage of the inflammatory process. If the diseases in the system of organs in which they can develop, the diseases of the following systems may result in painful sensations in the perineum:

  • sexual;
  • urinary;
  • nervous;
  • digestive;
  • lymphatic;
  • muscular.

Of course, most often, still we are talking about inflammatory processes in the urinary and sexual systems. Usually, the pulling pain between feet in women occurs during sluggish and chronic inflammation. If the process goes into an acute form, then pain becomes stronger, other symptoms are added to it, for example, an increase in body temperature, weakness, sometimes traces of blood in the urine.

If the localization of pain is characterized by an explicit displacement into one of the sides, it is likely that the reason lies in the disease of one of the ovaries. It can be both inflammation and cyst break, and possibly cancer. In the first two cases, pain will be intensified with sexual intercourse, long-term seat, walking, carrying, drawing. In the second - pain intense, permanent, with time amplifying.

The sharp pain between feet in women is most often due to injury, as well as urolithiasis. With such a character of pain, it is necessary to immediately pass the survey. If there was an injury, for example, a blow, how deep damage should be damaged if the internal organs suffered whether the need to eliminate the consequences, for example, open the hematoma and remove blood clots.

If the reason lies in the urolithiasis, then sharp pain indicates the seriousness of the situation. Most likely, a large concrement was formed in the urinary system organs, which must be removed to facilitate the state of the woman and avoid mechanical injury to the urinary tract. Often, with timely appeal, it is possible to avoid surgical intervention, cutting the stone with the help of conservative therapy. Smaller particles will subsequently bring up with urine.

What do symptoms say?

If you drop various mechanical damages caused by friction, shocks, squeezing, etc., the reasons for which are usually well known, it can be concentrated directly on diseases characterized by a whole list of symptoms. Possible growths, warts, furunculae and other problems that are determined during visual inspection will also be lowered. It is important to assess what other symptoms are combined between the feet in women. Based on the overall symptomatic picture, it can be assumed what kind of disease was the cause of unpleasant sensations. The most common diseases from this point of view can be found in several characteristic symptoms, for example:

  1. Cystitis. Arise frequent urges To urination, after the process, the feeling remains that the bladder is not empty. Appears. Blood impurities may appear in the urine, the body temperature increases during acute states.
  2. Urethritis. It becomes itching and, allocations from the urethra (sometimes with pus and blood), and the pain at the bottom of the abdomen.
  3. Vaginitis, vulvovaginitis. Itching, burning in the field of external genital organs, the ethnic phenomena is there, sometimes an increase in temperature.
  4. Uterine cancer, ovaries. Isolation and, sometimes blood, abdominal pain and with sexual intercourse, decreased appetite, weakness.

And each of the mentioned diseases, among other things, is accompanied by painful sensations of varying degrees of intensity in the crotch area. Even a specialist cannot establish a cause without resorting to a number of diagnostic procedures. It is not possible to do this on your own. Meanwhile, in the overwhelming majority of cases, the delay leads to complications and long-term (and not always successful) treatment. Therefore, the pain between the legs is not a danger, but a real assistant that allows you to learn about the brewing problem in time and take appropriate measures.