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How long have you had the perineal pain for?
it's been some years(since 2004), I had a DRE done last year, and there didn't seem to be any abnormalities. The doc just prescribed some antibiotics, but I don't think they worked.
Have you pain anywhere else?
no not really, sometimes I'll get a sharp pain in the testes, but that's not often.
The perineal pain is constant?
mainly when I'm sitting, but pretty much constant
There are two conditions that I suggest you discuss with your own Dr.
1.Pudendal neuropathy - the area in question is supplied by the pudendal nerve - if this is diseased/trapped it can cause the symptoms you describe.
2.Chronic pelvic pain syndrome - this can sometimes improve by taking a class of drug called an alpha blocker , some experts also advise frequent ejaculation ( believe it or not!)
Please get back to me if you need to.
Ask your Dr to prescribe you paroxetine - thats usually used for anxiety/depression but is also really good at treating this problem.
There are various other options but this is the best.