The region between the anus and the testicles is the perineum or perineal region. It is an area that has many nerve endings, which makes it susceptible to pain at that level. However, sometimes the pain is not intense enough to limit your routine, but it is perceived as heaviness in that area.
Several causes produce that feeling of “having a weight” on the perineum in men. In this FastlyHealarticle, we will explain the heaviness between the anus and the testicles and how they can occur.
Table of Contents
Discomfort between the anus and the testicles due to prostate problems
Prostatitis
Prostatitis is inflammation of the tissues of the prostate. It is the most common cause of heaviness in the perineum in men. It is generally infectious and often involves germs involved with sexually transmitted diseases (STDs). It most commonly affects men between 18 and 50 and can occur acutely or chronically.
Acute prostatitis occurs with intense intensity pain. Usually, the acute onset of solid character (like having something sharp pricking the area) may include fever, malaise widespread.
Chronic prostatitis is insidious. It produces the typical heaviness that does not limit activities but is highly annoying. The pain is dull and oppressive (like having a great weight on the perineum), and its intensity varies.
Characteristically, both forms are accompanied by severe acute pain during ejaculation, making sexual intercourse almost impossible to maintain.
Benign prostatic hyperplasia
It is a condition in which the prostate is enlarged. There is no specific inflammatory process, but the glandular tissue of the prostate enlarges and reduces the diameter of the urethra, thereby affecting urination.
The first evidence would be the decrease in the force and caliber of the urine stream and, later, the sensation of heaviness may be associated, which very rarely will present itself as acute or intense pain.
It is common after age 40, and its prevalence increases with age. It can also be present and not give perineal symptoms.
In more detail, you can find Benign prostatic hyperplasia in more facts in the article Benign prostatic hyperplasia: symptoms, degrees, and treatment.
Causes of heaviness between the anus and testicles related to the urinary system
Urinary infection / Interstitial cystitis
Urinary tract infections generally produce symptoms in the so-called “urinary tree” (kidneys and ureters) and the bladder. However, situations may occur that condition the appearance of symptoms at the perineal level. This is the case of chronic cystitis and interstitial cystitis. The bladder walls thicken and swell in an established, insidious way in this circumstance.
In addition to heaviness in the perineum, there may be pain or burning at the beginning of intermittent urination, intermittent fever, and changes in the urine color.
Calculations
The renal calculi or stones (such as they are commonly known) is the presence of crystal formations of various types of urinary level tree, from the kidneys to the bladder.
The pain of renal lithiasis is characteristic and of solid intensity, generally acute and stabbing, and may be accompanied by nausea and a desire to evacuate.
However, when it is presented in the form of grit, it forms sediment at the level of the urinary bladder that can produce that feeling of heaviness between the anus and the testicles without being expressed as acute pain. It can also be accompanied by burning at the beginning and end of urination.
Local causes of heaviness between the anus and testicles
Trauma
Trauma to the perineum may take time to evolve, and the feeling of heaviness in the area may remain for a long time.
As a consequence of direct trauma, a hematoma may be left as a sequel that will take time to be reabsorbed and cause discomfort, greater when walking.
Abscesses
Perineal abscesses are rare. However, as in any other region of your body, they can appear and cause symptoms.
In addition to the heaviness, the presence of a red, bright, painful, puffy, hot mass will be associated, which increases the sensation of pain with ambulation and, in many cases, makes sexual intercourse impossible.
Pudendal nerve entrapment
It is a painful syndrome produced by “entrapment” or impingement of the pudendal nerve. This nerve is responsible for the innervation of most of the perineum and genitalia, among other areas. It is frequent in cyclists and people who carry out their activity while sitting for long or after some trauma.
It produces the typical sensation of weight in the perineum, with brief periods of acute pain of varying intensity.
Resolution is surgical, but it is relatively uncomplicated and straightforward.
Pelvic floor dysfunction
It can arise as a complication of any of the above that dysfunction occurs in the pelvic floor, in the musculature that constitutes this area and part of the perineum.
Muscles may be contracted, very relaxed, and weak, or spasms may occur at this level.
Stress has been attributed to be the cause of this dysfunction, in conjunction with the reasons already explained.
This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor if you present any condition or discomfort.
If you want to read more articles similar to Heaviness between the anus and testicles: causes, we recommend that you enter our category of Male reproductive system.
I am a Surgeon with a diploma in comprehensive ultrasound and surgical care residency, an area I am specializing in. During the exercise of my profession, I have realized the need for patients to know the diseases they suffer, and I can tell you that a large part of their complications is due to a lack of information. Being a health web writer allows me to transmit my experience, without borders, to all those readers eager for knowledge, educate them in the prevention of diseases and promote a healthy lifestyle.