Pelvic Pain: Causes and Solutions for Discomfort While Sitting

There is a noticeable sharp pain in the perineal area while sitting (a tingling sensation)?

Hello Doctor: The issue I am currently facing is that after sitting for about five minutes, I experience a noticeable pressure sensation in my perineum, and sometimes a feeling of discomfort that makes it difficult to sit comfortably.
When watching a movie, I need to get up 2 to 3 times; otherwise, I can't sit still due to the pressure sensation, which feels like something is about to fall out.
I have visited two hospitals for internal examinations and urinalysis (Wanfang Hospital and Cathay General Hospital), but no issues have been found, and the root cause remains elusive.
I exercise twice a week.
Recently, I have also experienced intermittent sharp and stabbing pain in an area about a finger's breadth above the right inguinal region.
I previously had an HPV infection, which recurred once and was treated with ointment (it has been over a year without recurrence).
I also had a miscarriage at three weeks of gestation.
I am eager to find the cause of these symptoms for treatment and understanding, but I am at a loss.
I hope you can provide some advice regarding these conditions.
Thank you.

Lisha, 20~29 year old female. Ask Date: 2019/06/27

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for not being able to provide a diagnosis based on what you've described.
It could be inflammation, and since you mentioned having had an HPV infection and a termination of pregnancy within the last three weeks, those factors should not be related.
If you continue to experience discomfort, I recommend seeing a gynecologist for a thorough examination.
Wishing you good health.

Reply Date: 2019/06/27

More Info

Pelvic pain can be a complex issue with various underlying causes, especially when it manifests as discomfort while sitting. Your description of experiencing a significant pressure sensation in the vaginal area, along with intermittent sharp pain near the triangular region, suggests that there may be multiple factors at play.
Firstly, it is important to consider the anatomical structures involved. The pelvis houses several organs, including the bladder, uterus, and rectum, as well as muscles and ligaments that support these organs. Discomfort while sitting can often be attributed to pelvic floor dysfunction, which may involve tightness or weakness in the pelvic muscles. This dysfunction can lead to a sensation of pressure or heaviness, particularly when sitting for extended periods.

Given your history of HPV and a previous pregnancy termination, it is also essential to consider any potential residual effects on your pelvic health. HPV can lead to changes in the cervical tissue, and while you mentioned that you have not had a recurrence, it is advisable to continue regular gynecological check-ups to monitor any changes. Additionally, any history of pelvic surgery or trauma could contribute to scar tissue formation, which might be causing pain or discomfort.

Another potential cause of your symptoms could be related to the bladder or urinary tract. Conditions such as interstitial cystitis or bladder inflammation can lead to pelvic pain and pressure, particularly when sitting. Since you have already undergone examinations that ruled out urinary tract infections, it may be worth discussing these conditions with your healthcare provider.

Musculoskeletal issues should also be considered. Pain in the pelvic region can arise from issues with the lower back, hips, or sacroiliac joints. If you have been engaging in physical activities or exercises, it is possible that you may have strained a muscle or ligament in the pelvic area, leading to discomfort while sitting.

In terms of management, there are several strategies you can consider. First and foremost, pelvic floor physical therapy can be highly beneficial. A trained physical therapist can help you identify any muscle imbalances and teach you exercises to strengthen or relax the pelvic floor muscles. This therapy can also provide techniques for managing pain and improving overall pelvic function.

Over-the-counter pain relief options, such as NSAIDs (e.g., ibuprofen or naproxen), may help alleviate discomfort. However, it is crucial to use these medications as directed and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

Additionally, lifestyle modifications can play a significant role in managing pelvic pain. Incorporating regular gentle exercises, such as walking or swimming, can help improve circulation and reduce muscle tension. Practicing good posture while sitting and using supportive seating can also alleviate pressure on the pelvic region.

Lastly, if your symptoms persist or worsen, it is essential to seek further evaluation from a specialist, such as a gynecologist or a urologist, who can provide a more comprehensive assessment and explore additional diagnostic options, such as imaging studies or further laboratory tests.

In conclusion, pelvic pain while sitting can stem from various causes, including pelvic floor dysfunction, musculoskeletal issues, or bladder-related conditions. A multidisciplinary approach involving physical therapy, pain management, and lifestyle modifications can be effective in addressing your symptoms. It is crucial to continue seeking medical advice until you find a resolution to your discomfort.

Similar Q&A

Understanding Pelvic Pain: Causes and Solutions for Women

Hello doctor, I often experience pain near the pelvis during my menstrual period. When I sit down and then try to stand up, the pain becomes unbearable, and I need to adjust my position to stand up slowly. Additionally, after my boyfriend uses his fingers, I feel pain in my lower...

Dr. Wu Xianghui reply Obstetrics and Gynecology
"Vaginal infections" can cause abnormal discharge, perineal itching, unpleasant odor, burning sensation during urination, frequent urination, and bleeding. In more severe cases, it may lead to abdominal pain or fever. "Treatment methods" vary depending on the ...

Understanding Chronic Pelvic Pain: Causes and Solutions

Hello, doctor. I have been experiencing persistent pelvic pain for a long time, making it difficult for me to stand or sit for extended periods. It feels like my lower back is about to break, and I don't have any symptoms of frequent urination or bladder infections. If someo...

Dr. Shi Guozheng reply Orthopedics
Pelvic pain should first be evaluated for any gynecological issues. Next, it is important to assess the spine for abnormalities, such as spondylolysis or spondylolisthesis. Consulting an orthopedic specialist for further examination is advisable.

Understanding Coccydynia: Tips for Relief and Proper Sitting Posture

Hello doctor, I have recently been experiencing sudden pain in my coccyx area. Whenever I sit, I feel an itching and aching sensation in the bones around my buttocks, which makes me constantly adjust my posture, but the discomfort persists, making it difficult to sit for long per...

Dr. Shi Guozheng reply Orthopedics
The cause of coccyx pain is often unclear; sometimes it can be due to trauma. Sitting on a chair with a cushion can help avoid direct pressure on the painful area. Applying heat to the affected area may also provide relief.

Understanding Pelvic Floor Muscle Pain: Causes and Relief Options

Hello, I seem to have irritable bowel syndrome. Recently, after experiencing constipation, I felt a lot of soreness around my rectum, which is very sensitive to touch, and I have trouble sleeping. It feels quite severe, so I went to the hospital for an examination. The doctor per...

Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like an issue with pelvic floor muscle coordination. Nerve root compression in the sacral region could also present similar symptoms. These problems often show little improvement with traditional treatment methods, so you might consider tr...