Embarrasing pain

Patient : I get an awful pain between my scrotum and anus. The pain starts as an annoyance but gets worse and spreads into my anus making me feel like I have to poo. I get problems after I have been to the toilet but mainly after I orgasmed. Especially if I orgasm more than once in say a 24 hour period the pain is so bad it is excruciating. If I try to lay down the pain will not go, the pain dissapates when I walk though and will disappear completely. I have had this problem on and off for about half a year. Any suggestions to what this might be please?
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