Pelvic Pain Support Network
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Intense burning in perineum and sharp sensation in urethra

Hello everyone.

Does anyone else suffer from intense burning and pain in the perineum that builds in intensity when urinating? I also have sharp nerve pain in the perineum and urethra.

Exercise and sex tend to exacerbate the symptoms. The whole area - back to my behind - is on fire and spasming.

I have started using a wand after two physio sessions. My pelvis reacted angrily to these 'interventions'. The symptoms flared-up also after a nerve block injection.

I take pregabalin and codeine, but neither offer much relief.

Does anyone have any suggestions that might make life a little more bearable?

I would appreciate any advice, as I am out of ideas.

Thank you.


7 Replies

I have the same problem, and what helps the most and fastest is Xanax 0.5, it seems to relax the muscles and calm the nerves temporary, however this is not a cure, it just helps when the pain immediately. Besides this, stop sex for few weeks and regularly keep stretching your pelvis and legs. Walking 30 minutes a day just before urinating is almost as good and pain free as Xanax. Good luck.


Hi ...I suffer the same ...carry on with the physio and wand they do help but it's not a quick fix


Thank you. I will speak to my doctor about Xanax and will persevere with the wand and physio. Do either of you use opioids or norotryptiline? I really appreciate your advice. And it is a comfort to know that others are in the same boat.


I have had it 14 year's and had you name it I have done it . So last week after a flare up that lasts weeks I had a second visit to the doctor's a was lucky enough to see a difference doctor .

I was already on dulxertine 60 mg and clonsapan 3 x 0.5 mg a day and it just wasn't working . Doctor altered. Prescription too ... Dulxertine 80 mg in two spits 40 mg morning 40 mg of night . The clonsapan stayed the same 3 x 0.5 mg . Then added 50 mg morning and night of pregablin . And bingo first time I have been in almost no pain in 14 years i am a 72 year old man .

Hopefully it my help you are others

Good luck with it as it's hell to live with . Regards pamdella


Thanks, Pamdella. I will ask my GP about a combination of drugs to help. My pain specialist recommended Duloxetine. I didn't know one could use it with Pregabalin. I think some sort of anti-anxiety/anti-panic drug might also be good for relaxing the muscles and calming the nerves.


150 mg of Lyrica a day helped me and .5 mg nightly of Clonazepam. Rocky68


Look up Pudendal Nerve Pain, perineal branches


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