I feel pain when I exert force above the perineum or turn around. What is the cause?

Patient's question:

Patient Gender: I feel pain when I exert force above the perineum or turn around. What could be the reason?

Doctor's answer:

Hello: Then may I ask if you have any other symptoms? Is there any abnormality in your bowel movements? Is there any abnormality in your menstrual cycle?

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