PERINEUM PAIN IS ONE OF THE MOST COMMON SYMPTOMS IN MUSCLE BASED PELVIC PAIN CONDITIONS. The perineum area located between the anus and the scrotum in men and between the anus and the vagina in women. The perineum refers to the area between the anus and genitals, extending from either the vaginal opening to the anus or the scrotum to the anus. This area is near several nerves, muscles, and organs, so it’s not uncommon to feel pain in your perineum. Injuries, urinary tract issues, infections, and other conditions can cause perineum pain. Read on to learn more about the potential causes and how to identify them. Injuries to the perineum are fairly common. Accidents, falls, and blows to the groin can cause bruising, bleeding, and even tears in the perineum. This can lead to throbbing and intense pain, followed by weeks of tenderness. It can also result in damage to the nerves and blood vessels in the perineum, which can cause bladder issues or problems during sex. An abscess is a painful pocket of pus that can develop anywhere on or in your body. They happen when bacteria enter your body and cause an infection. Your immune system sends white blood cells to the area, which can cause pus to form in the area.