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.
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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.
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This causes the muscles to involuntary tighten or contract when they’re supposed to be relaxed.
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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.