One of the most common causes of perineal pain in men is prostatitis, while pelvic pain syndrome is one of the leading causes of perineal pain in women, notes New York Urology Specialists. The perineum is located between the urinary and excretory areas of the pelvis.
Pain in any of the pelvic organs can cause perineal problems, therefore doctors claim perineal pain originates from several causes, according to New York Urology Specialists. Prostatic abnormalities may inflame the perineum in men. Women who suffer from vulvodynia, a chronic burning sensation in the vaginal area, may experience perineal pain. Causes of perineal pain in both men and women include urethral syndrome, perineal pain syndrome, interstitial cystitis, anal fissures and ischiorectal abscesses. Two other causes are pudendal nerve entrapment syndrome and levator ani syndrome.
Prostatitis occurs when the prostate gland becomes inflamed due to bacterial infections or prostatic abscesses. An enlarged prostate may also lead to perineal pain, notes New York Urology Specialists. Urethral syndrome, levator ani syndrome and perineal pain syndrome all delineate pain the pelvic area lasting more than three months. Interstitial cystitis denotes chronic inflammation of the bladder. Pudendal nerve entrapment occurs in cyclists due to compression of the perineal area from prolonged sitting.
Many patients that have chronic idiopathic perineal pain suffer from some kind of obstructive problem in the colon that leads to trouble defecating, notes a 2011 study published by the British journal Colorectal Disease. Fecal incontinence also attributed to perineal pain in more than half of the 59 patients studied.