HomeAnswersNeurologynumbnessI have had numbness in my genital area and anus for three months. Why?

What could cause numbness in the genital area and anus?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

iCliniq medical review team

Published At August 9, 2023
Reviewed AtAugust 9, 2023

Patient's Query

Hello doctor,

I am a 28-year-old single male and a labor worker. It has been about three months now that my genital area and anus area got numb. It all started when I got back from work with a pinching sensation under my left scrotum when I sat down on the floor. I went to sleep that night thinking it was nothing, but the next day when I went to work, I noticed this strange sensation like it was burning. I thought it was some rash from my clothes, but when I reached home, I noticed that I could not feel the left side of my penis and scrotum. I went to the doctor and explained, but he said it was just a fungus skin infection and prescribed me some anti-fungus cream, but it did not help with the burning. He also tested me for STD and sugar levels, but everything was normal. I even got my prostatectomy checked, and it was normal. That night I went to the restroom to masturbate, and when I was about to ejaculate, I flexed my pelvic muscles. I felt this pinch sensation under my right scrotum. That was when my penis, scrotum, and anus lost sensation. When I walk, it feels a stinging and burning sensation. I feel like I am wearing really tight undergarments, and my penis sometimes aches. When I sit down, it feels as if I am ejaculating mostly on the left side. My doctor also checked my testosterone and cholesterol levels. The testosterone came back a little low, but my cholesterol came back high. I doubt this could be the cause of my problem. It all happens really fast, and I also feel gassy. I would like to know if I pinched a nerve. How can I treat this? Will I recover from this?

Please help.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

I can understand your concern. Your symptoms are really different and unique as you have a burning sensation and also not feeling anything on the left side of your penis and scrotum. Penis and scrotum areas are supplied by different nerves, the dorsal nerve of the penis and the genitofemoral nerves, respectively. If there is no skin lesion, there are a few vague possibilities, such as nerve inflammation or nerve root compression at the origin of the spine.

I would like to know a few more details to come to a diagnosis:

1. Do you have any urinary incontinence also?

2. Do you have any stool incontinence?

3. Do you have any back pain?

4. Is there any numbness in the leg or thigh?

Investigations to be done

MRI LS spine with contrast NCV for pudendal nerve (rarely performed test)

Treatment plan

can try tab gabapentin for burning sensation.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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