Burning Genital/Groin Area

Hi there,

For about a year i have been getting burning in the tip of my penis, usually occurs after sex and last for a few weeks.  However lately this buring has spread to all my gential (genital) and groin area without having sex.  I have had all STD and blood checks and all has come back clear  It comes and goes with varying intensity.  I suffer from alot of anxiety so was wondering if this could cause such symptoms or if it may be the cause from something else...ie Pudendal nerve entrapment or Prostatitis etc.  I was also wondering if it was anxiety why sex would flare up these symptoms for so long?

Your help would be much appreciated.

[Stephen Liroff, MD]

Hi! I have obviously been out of touch with the web site for the last 2 ½ weeks.
Without any skin changes and given the generalized genital/groin distribution of your burning, I do think that anxiety accounts for some if not all of your symptoms. I  cannot think of a physical cause. Why sexual activity is a “trigger” is not clear and needs an expert (psychiatrist/psychologist/psych-social worker) to help figure out what is happening and  how it can best be treated. Prostatitis does not  act this way, though often patients are labeled and treated as having such. I do think that you should first be evaluated by a urologist to look for any local issues before proceeding for the emotional evaluation.
S.A.Liroff, M.D