Here are some treatments you can try to help reduce the discomfort, pain, or swelling that might accompany a perineum lump: Prostatitis can happen when the prostate gland becomes swollen, which can push against the perineum and cause a lump to appear. The main cause of a perineum lump in people with penises is prostatitis. When the perineum is repaired after birth, you may experience bumps, swelling, and itchiness around the perineum as the tissues heal. During some births, doctors make an incision from the vagina through the perineum called an episiotomy to make it easier for a child to come out. Swelling around the perineum is common during the third trimester of pregnancy. It doesn’t typically cause any pain or discomfort, and it’s most commonly diagnosed in young children. This is a skin tag that sticks out from the tissues of the perineum. Vulvodynia refers to pain around your vulva that can last for long periods of time, sometimes resulting in swelling around your perineum. This happens to people of all sexes, but it’s most common in people with vulvas. Interstitial cystitis happens when the muscles around your bladder get inflamed, sometimes resulting in swelling near your perineum. Swelling from a UTI can make your perineum swollen or tender. They’re more common in people with vulvas because the urinary tract is much shorter, and infectious bacteria can get in more easily. UTIs happen when your urethra, bladder, or kidneys get infected. Here are some possible causes of perineum lumps that are more common in people with vulvas: It may get bigger and more painful or tender over time.īoth benign and cancerous tumors are more common in your 30s and 40s. CancerĪ cancerous tumor can grow on the skin of the perineum or in the tissues underneath, resulting in a lump. HematomaĪ perineal hematoma happens when blood pools in the blood vessels under the skin of your perineum, pushing up the skin and causing a lump. This can result in swelling near your perineum. AbscessesĪn abscess happens when an opening in your anus gets filled with infected pus. However, they can fill with fluid over time and become large enough to make it difficult to sit. These are fluid-filled sacs that can develop in the anus, though they don’t typically cause any symptoms. Many common STIs, like herpes and pubic lice, can cause red bumps around your genital and anal area, including on your perineum. You may notice them as tender or painful lumps close to your perineum. Hemorrhoids happen when blood vessels near your anus or rectum get swollen. A perineum lump may appear where muscles are tight. This causes the muscles to involuntary tighten or contract when they’re supposed to be relaxed. Pelvic floor dysfunction happens when the muscles and ligaments around the bottom of your hips are injured, strained, or weakened. Impacts to the groin area during physical activity or from falling on your rear can bruise, tear, or rip your perineum, causing a lump there.Ī lump can also result from chronic injuries to the nerves, blood vessels, and skin from pressure caused by sitting for long periods of time. Here are some of the possible causes of perineum lumps regardless of sex: Injuries We’ll start with common causes in all sexes, and then we’ll get down to the specific causes of perineum lumps in people with vulvas and people with penises. But others are more common in people with vulvas than in people with penises. Some causes of perineum lumps are common to all sexes.
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