perineum pain / lump

Corfu, Greece

#1 Jan 20, 2011

I am a 35 yo male, generally healthy and in good shape. For the past 2-3 years i suffer from pain (feels inflammatory) in the perineum area, that comes and goes. I think the first symptoms started after a long period (about a year) of very intense sexual activity. During this time i am sure i had some kind of injury due to very frequent ejaculation, and since then my perineum area feels very tight.

About 2 years ago i noticed a small lump (smaller than a pea) between my scrotum and anus. This lump is immobile and feels hard. i canít really be sure of its internal size but i have not noticed any growth.

I never bothered to go to the doctor since my symptoms would come and go but during the past 3 months things got worst. More specifically i have the following symptoms:
-The perineum pain got worst and would not go away after a few days like it used to. I had to take anti-inflammatory drugs that did the trick.
-frequent nerve tingling in the perineum area
-mild ed / lost of libido (might be because of stress)
-low semen volume and reduced ejaculation force
-feeling i can't empty my bowels completely (mild)
-tightness/stiffness in my perineum area

Those symptoms get worst if i sit on a chair for a long period of time and after intense sexual activity.
I went to my doc about a week ago and he thinks its prostitis. i have scheduled some sperm cultures and std tests for next week but i already had a perineum MRI to check out the lump. The mri diagnosis reports to a varicose problem but regarding the perineum area nothing notable was found, which me and my urologist find strange since we both can feel the small lump... Unfortunately my doctor cannot read the MRI so i am still worried about that lump.

I would appreciate any ideas/ suggestions about this problem

Thanks in advance

Sault Sainte Marie, Canada

#2 May 8, 2011
I am 33 and have been separated for 4 years now. I also have a hard pea sized lump close to my anus on my perineum. I too have been much more sexually active.
My symptomes are exactly as mentioned above:
-tightness in my perineum area(especially when sitting
-difficulty in starting to excrete
-difficulty in starting to urinate
-low semen volume
-numbness and lower libido
-also some impotency

Portland, OR

#3 Nov 29, 2012
Did either of you ever get an answer on this? I have identical symptoms and am going to doctor in 2 days finally. Tried almost everything from cranberry juice to probitotics to aspirin to saw palmetto. Also just had all my std testing done today so i'll know more in a few days. it is somewhat worrisome...

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