Hi ! Good afternoon. I am Dr Shareef answering your query. Although it might not be correct to diagnose it simply on the basis of your history without a physical per rectal examination, it could be a recurrent hematoma formation due to any sudden increase in the capillary pressure by lifting of heavy weights or high intensity cough as an example. This could also give rise to some amount of discomfort and pain. However, if you are sexually active, you should also get yourself assessed by a gynaecologist for ruling out chances of any infection giving rise to such recurrent cysts. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.