Scrotum, Groin, and Pelvic Floor Pressure and Pain and Anxiety
Scrotum, groin, and pelvic floor pressure and pain symptoms, such as fullness, discomfort, burning, shooting pain, spasms, twitching, pain, discomfort, and irritation are common anxiety symptoms, including anxiety and panic attack symptoms.
This article explains the relationship between anxiety and scrotum, groin, and pelvic floor pressure and pain symptoms.
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Scrotum, Groin, Pelvic Floor Pressure and Pain Common Symptom Descriptions
- Pain, shooting pain, fullness, discomfort, pressure, or burning sensation in the scrotum, groin, or pelvic area.
- Scrotum, groin, and pelvic pain and discomfort can also be accompanied by an urgency to urinate or like symptoms of a bladder infection or Prostatitis.
- Incontinence (urge to urinate followed by leaking).
- Difficulty starting urination or slow urine flow.
- Feeling of incomplete bladder emptying.
- Difficult or painful bowel movements.
- Painful intercourse.
- Pain during or after ejaculation (men).
- Vaginismus in women.
- Pelvic floor muscle spasms.
- Pain in the lower back, hips, or coccyx.
- It feels like you have a heaviness, fullness, or pressure in your groin and pelvis, yet medical tests reveal nothing abnormal.
This symptom can affect one small area of the scrotum, groin, or pelvic area, shift and affect another area or areas, and migrate all over and affect many areas repeatedly.
Scrotum, Groin, and Pelvic pain can:
- Occur occasionally, frequently, or persistently.
- Precede, accompany, or follow an escalation of other anxiety symptoms or occur by itself.
- Precede, accompany, or follow a period of nervousness, anxiety, fear, and stress, or occur "out of the blue" for no reason.
- Range in intensity from mild, to moderate, to severe.
- Come in waves where it’s strong one moment and eases off the next.
- Occur for a while, subside, and then return for no reason.
- Change from day to day, moment to moment, or remain as a constant background during your struggle with anxiety disorder.
This symptom can seem more noticeable when undistracted, resting, trying to sleep, or waking up.
All the above combinations and variations are common.
To see if anxiety might be playing a role in your symptoms, rate your level of anxiety using our free one-minute instant results Anxiety Test, Anxiety Disorder Test, or Hyperstimulation Test.
The higher the rating, the more likely anxiety could be contributing to or causing your anxiety symptoms, including feeling like impending doom symptoms.
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Causes
Medical Advisory
Talk to your doctor about all new, changing, persistent, and returning symptoms as some medical conditions and medications can cause anxiety-like symptoms.
1. The Stress Response
Anxious behavior, such as worry, activates the stress response, which secretes stress hormones into the bloodstream, where they travel to specific locations to immediately prepare the body for emergency action – to fight or flee. This instinctual survival reaction is often referred to as the Fight or Flight Response [1][2][3][4].
Visit the “Stress Response” article to learn how it can affect the body.
Some of the stress response changes include:
- Quickly converts the body’s energy reserves into “fuel” (blood sugar) to instantly boost energy.
- Increases heart rate, respiration, and metabolism due to the boost in energy.
- Stimulates the sympathetic nervous system, increasing nervous system activity to be more sensitive and reactive to danger.
- Heightens most of the body’s senses to be more aware of danger.
- Shunts blood to parts of the body vital to survival, such as the brain, arms, legs, muscles, and vital organs, and away from parts less essential for survival, such as the stomach, digestive system, and skin. It accomplishes this by constricting blood vessels in certain parts of the body and dilating them in others.
- Tightens muscles to make the body more resilient to injury.
- Suppresses the immune system so that most of the body’s resources are used for emergency action.
- Masks pain and discomfort so our attention isn’t diverted away from fighting or fleeing.
- Taxes the body’s energy and nutritional resources harder and faster than usual.
- Causes an urgency to empty the bladder, so you don’t have to do that when dealing with an emergency.
- Creates a sudden urge to void the bowels in preparation to fight or flee.
Many stress response changes can cause scrotum, groin, pelvic floor pressure, fullness, and pain. For instance:
- Pelvic floor muscles can tighten, causing tension and pain.
- A sudden urge to void the bowels or urinate can be experienced as pressure or pain.
- Blood is shunted away from the pelvic floor muscles when a stress response is active, which can be experienced as pressure, fullness, and even pain for some people as muscles and blood vessels constrict to redirect blood flow.
The degree of stress response is proportional to the degree of anxiety. The more anxious you are, the more dramatic the stress response changes.
An active stress response due to anxiety is a common cause of scrotum, groin, and pelvic floor pressure and pain symptoms.
As long as the stress response is active, it can cause acute scrotum, groin, and pelvic floor pressure and pain symptoms.
2. Hyperstimulation
When stress responses occur infrequently, the body recovers relatively quickly from its changes. However, frequently activated stress responses, such as from overly anxious behavior, can prevent the body from completely recovering. Incomplete recovery can leave the body in a state of semi-stress-response-readiness, which we call “stress-response hyperstimulation” since stress hormones are powerful stimulants.
Hyperstimulation is also often referred to as “hyperarousal,” “HPA axis dysfunction,” or “nervous system dysregulation” [5][6][7][8].
Visit our “Hyperstimulation” article for more information about the many ways hyperstimulation can affect the body and how we feel.
Hyperstimulation can cause the changes of an active stress response even though a stress response hasn’t been activated.
Just as an active stress response can cause acute scrotum, groin, and pelvic pressure and pain symptoms, hyperstimulation can cause chronic scrotum, groin, and pelvic pressure and pain symptoms.
As long as the body is hyperstimulated, even slightly, it can cause symptoms of any type, number, severity, frequency, duration, and at any time, including this symptom.
Chronic tight muscles, changes in blood flow, and urges to urinate and have a bowel movement can cause chronic scrotum, groin, and pelvic floor pressure and pain symptoms, as well as tension, shooting pains, fullness, spasms, uneasiness, burning, numbness, and twitching.
It’s also common for anxious people to “clench” their pelvic floor muscles when stressed or anxious, especially when sitting, which can cause and aggravate this symptom.
Hyperstimulation is a common cause of scrotum, groin, and pelvic floor tension, pressure, and pain symptoms.
3. Inflammation
While acute anxiety and stress responses can mask pain and discomfort due to how adrenaline affects the body, chronic anxiety and hyperstimulation can cause issues with chronic inflammation anywhere in the body, including the scrotum, groin, and pelvic floor.
4. Infection
Hyperstimulation suppresses the immune system, allowing intruders to invade the body. As long as the body is hyperstimulated, infections can become more prevalent and persistent, including in the urinary tract and prostate, causing scrotum, groin, and pelvic floor pressure and pain symptoms.
5. Fungus
Hyperstimulation can also allow fungus, such as Candida, to grow, causing issues with chronic pressure and pain symptoms, especially in warm areas, such as the scrotum, groin, urinary tract, and pelvic floor.
6 Pain amplification
While acute stress responses mask pain and discomfort, chronic stress responses (hyperstimulation) can increase pain sensitivity, causing a heightened awareness of pain in the scrotum, groin, and pelvic floor regions.
Any combination of these factors can cause scrotum, groin, and pelvic floor pressure and pain symptoms.
Hyperstimulation is a common cause of chronic scrotum, groin, and pelvic floor pressure and pain symptoms.
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7. Other Factors
Other factors can create stress and cause anxiety-like symptoms, as well as aggravate existing anxiety symptoms, including:
- Medication
- Recreational drugs
- Stimulants
- Sleep deprivation
- Fatigue
- Hyper and hypoventilation
- Low blood sugar
- Nutritional deficiencies
- Dehydration
- Hormone changes
- Pain
Select the relevant link for more information.
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Treatment
When this symptom is caused or aggravated by other factors, addressing those factors can reduce and eliminate scrotum, groin, and pelvic floor pressure and pain.
When this symptom is caused by an anxiety-triggered stress response, calming yourself will end the active stress response and its changes. Acute scrotum, groin, and pelvic floor pressure and pain will subside as your body recovers from the active stress response.
Keep in mind that it can take up to 20 minutes or more for the body to recover from a major stress response. But this is normal and shouldn’t be a cause for concern.
When chronic scrotum, groin, and pelvic floor pressure and pain are caused by hyperstimulation, eliminating hyperstimulation will end this anxiety symptom.
You can reduce and eliminate hyperstimulation by:
- Containing anxious behavior.
- Reducing stress.
- Regular deep relaxation.
- Relaxed diaphragmatic breathing.
- Regular light to moderate exercise.
- Getting regular good sleep.
- Eating a healthy diet of whole and natural foods.
- Avoiding stimulants.
- Passively-accepting your symptoms until they subside.
- Being patient as your body recovers.
Visit our “60 Natural Ways To Reduce Stress” article for more ways to reduce stress.
Recovery Support members can read chapters 5,6, 7, and 14 for more ways to reduce stress.
As the body recovers from hyperstimulation, it stops sending symptoms of hyperstimulation, including scrotum, groin, and pelvic floor pressure and pain.
However, eliminating hyperstimulation can take much longer than most people think, causing symptoms to linger longer than expected.
As long as the body is hyperstimulated, even slightly, it can present symptoms of any type, number, intensity, duration, frequency, and at any time, including this one.
Even so, since scrotum, groin, and pelvic floor pressure and pain are common symptoms of stress (acute and chronic), including anxiety-caused stress, it's harmless and needn't be a cause for concern. It will subside when unhealthy stress has been eliminated, and the body has had sufficient time to recover and stabilize.
Anxiety symptoms often linger because:
- The body is still stressed (from stressful circumstances or anxious behavior).
- Stress hasn't been sufficiently reduced or for long enough.
- The body hasn't completed its recovery work.
Addressing the reason for lingering symptoms will allow the body to recover.
As the body recovers from hyperstimulation and stabilizes, all chronic anxiety symptoms will slowly diminish and eventually subside, including this one.
Since worrying and becoming upset about anxiety symptoms stress the body, these behaviors can interfere with and stall recovery.
Passively accepting your symptoms – allowing them to persist without reacting to, resisting, worrying about, or fighting them – while doing your recovery work will cause their cessation in time.
Acceptance, practice, and patience are key to recovery.
Since the body can take a long time to recover from hyperstimulation, it's best to faithfully work at your recovery despite the lack of apparent progress. If you persevere with your recovery work, you will succeed.
You also have to do your recovery work FIRST before your body can recover. The cumulative effects of your recovery work will produce results down the road. And hyperstimulation has to diminish before symptoms can subside.
Eliminating hyperstimulation will bring results in time!
If you have trouble with eliminating hyperstimulation, the Recovery Support area has many resources to help with recovery.
Short-term Remedies
Even though eliminating stress and chronic stress (hyperstimulation) will eliminate this symptom, some people have found the following strategies helpful.
However, keep in mind that each person can have a unique symptom experience since each person is somewhat physically, chemically, psychologically, and emotionally unique. What might work for one person might not for another.
- Reduce stress – Since all anxiety symptoms are stress-related, reducing stress can alleviate this symptom. There are many ways to reduce stress. Recovery Support members can read about many natural stress reduction strategies in Chapter 14.
- Regular good sleep – Getting good sleep each night (6.5 to 8 hours per night) can significantly reduce stress, which can improve all anxiety symptoms, including scrotum, groin, and pelvic floor pressure and pain.
- Regular deep relaxation – Regular deep relaxation is a great way to reduce stress and overall stimulation. As stress and stimulation diminish, so will anxiety symptoms, including this one.
- Regular light to moderate exercise – Regular exercise reduces stress and can relax and tone tight muscles. However, we don’t recommend strenuous exercise since it stresses the body.
- Apply heat: Use a warm pack or heating pad over the pelvic area for 15-20 minutes. This can provide immediate relief and help relax tense muscles.
- Practice pelvic floor relaxation: Focus on consciously relaxing your pelvic floor muscles. This can help trigger the calming parasympathetic nervous system.
- Relaxed diaphragmatic breathing: Engage in slow, relaxed breaths to reduce tension and promote relaxation throughout your body, including the pelvic area.
- Gentle stretching: Perform light stretches targeting the pelvic region to help release muscle tension.
- Use over-the-counter pain relievers: Take ibuprofen or acetaminophen as directed to reduce inflammation and pain.
- Mindfulness techniques: Practice mindfulness or meditation to help manage stress and anxiety, which can contribute to pelvic tension.
- Take a warm bath: Soaking in warm water can help relax muscles and provide relief from pain and pressure.
- Avoid tight clothing: Wear loose-fitting clothing to reduce pressure on the affected area.
- Gentle massage: Carefully massage the surrounding areas to promote blood flow and muscle relaxation.
- Maintain good posture: Pay attention to your posture, as poor posture can contribute to pelvic floor tension.
- Avoid sitting on hard surfaces: Sitting on hard surfaces can irritate the pelvic floor, aggravating this symptom.
- Avoid stimulants – Stimulants bring about their stimulating effect by causing the secretion of stress hormones. To reduce stress and symptoms, we need to decrease stimulation, not increase it.
- Eat a healthy diet – An unhealthy diet of high sugar, high fat, and fast foods can fuel anxiety and hyperstimulation symptoms. Eating a healthy diet of whole and natural foods can help the body recover.
Additional Comments
Sitting for long periods can cause and aggravate this symptom. If your work requires you to sit a lot, we recommend getting up every 30 minutes to move around or walk. Standing up and walking will help to loosen tight groin and pelvic floor muscles despite long hours of sitting.
Try changing your work position regularly. For example, rather than sitting all the time, you should stand up to perform your tasks intermittently. The alternation between standing and sitting can help alleviate tense groin and pelvic floor muscles.
Also, you should exercise your pelvic floor muscles to be more flexible and resilient to tension.
Recovery Support
The Recovery Support area of our website contains thousands of pages of important self-help information to help individuals overcome anxiety disorder, hyperstimulation, and symptoms.
Due to the vast amount of information, including a private Discussion Forum, many of our Recovery Support members consider it their online recovery support group.
Therapy
Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist.
Addressing your underlying factors (Level Two recovery) is most important if you want lasting success.
Addressing Level Two recovery can help you:
- Contain anxious behavior.
- Become unafraid of anxiety symptoms and the strong feelings of anxiety.
- End anxiety symptoms.
- Successfully address the underlying factors that so often cause issues with anxiety.
- End what can feel like out-of-control worry.
All our recommended anxiety therapists have had anxiety disorder and overcame it. Their personal experience with anxiety disorder and their Master's Degree and above professional training give them insight other therapists don't have.
If you want to achieve lasting success over anxiety disorder, any one of our recommended therapists would be a good choice.
Working with an experienced anxiety disorder therapist is the most effective way to treat anxiety disorder, especially if you have persistent symptoms and difficulty containing anxious behavior, such as worry [9][10][11].
In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.
Research has shown that therapy is the most effective treatment for anxiety disorder, and distance therapy (via phone or the Internet) is equally, if not more effective, than face-to-face in-person therapy [12][13][14].
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Common Anxiety Symptoms
Additional Resources
- For a comprehensive list of Anxiety Disorders Symptoms Signs, Types, Causes, Diagnosis, and Treatment.
- Anxiety and panic attacks symptoms can be powerful experiences. Find out what they are and how to stop them.
- How to stop an anxiety attack and panic.
- Free online anxiety tests to screen for anxiety. Two minute tests with instant results. Such as:
- Anxiety 101 is a summarized description of anxiety, anxiety disorder, and how to overcome it.
Return to our anxiety disorders signs and symptoms page.
anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including scrotum, groin, and pelvic floor pressure and pain anxiety symptoms.
References
1. Chu, Brianna, et al. “Physiology, Stress Reaction.” StatPearls, 7 May 2024.
2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.
3. Elbers, Jorina, et al. "Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children." Pediatric Neurology, Dec 2018.
4. Yaribeygi, Habib, et al. “The Impact of Stress on Body Function: A Review.” EXCLI Journal, Leibniz Research Centre for Working Environment and Human Factors, 2017.
5. Z, Fatahi, et al. "Effect of acute and subchronic stress on electrical activity of basolateral amygdala neurons in conditioned place preference paradigm: An electrophysiological study." Behavioral Brain Research, 29 Sept. 2017.
6. Teixeira, Renata Roland, et al. “Chronic Stress Induces a Hyporeactivity of the Autonomic Nervous System in Response to Acute Mental Stressor and Impairs Cognitive Performance in Business Executives.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, 2015.
7. Pluess, Michael. “Muscle Tension in Generalized Anxiety Disorder: A Critical Review of the Literature.” NeuroImage, Academic Press, 7 Apr. 2008.
8. Wei, Marilynn. “5 Ways Stress Hurts Your Body, and What to Do About It.” Psychology Today, Sussex Publishers, 7 May 2015.
9. Hofmann, Stefan G., et al. “The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-Analyses.” Cognitive Therapy and Research, U.S. National Library of Medicine, 1 Oct. 2012.
10. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.
11. DISCLAIMER: Because each body is somewhat chemically unique, and because each person will have a unique mix of symptoms and underlying factors, recovery results may vary. Variances can occur for many reasons, including due to the severity of the condition, the ability of the person to apply the recovery concepts, and the commitment to making behavioral change.
12. Kingston, Dawn.“Advantages of E-Therapy Over Conventional Therapy.” Psychology Today, Sussex Publishers, 11 Dec. 2017.
13. Markowitz, John, et al. “Psychotherapy at a Distance.” Psychiatry Online, March 2021.
14. Thompson, Ryan Baird, "Psychology at a Distance: Examining the Efficacy of Online Therapy" (2016). University Honors Theses. Paper 285.