Right-Sided Back Pain After Ejaculation: Causes and Concerns - Urology

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Is there unilateral lower back pain after ejaculation?


Experiencing pain in the right side of the lower back after ejaculation could be related to several factors.
It may be due to excessive ejaculation, especially if it occurs multiple times in a short period, which can lead to muscle strain or discomfort.
However, it could also indicate a more serious condition, such as a kidney infection or inflammation.
If the pain persists or is severe, it is advisable to consult a healthcare professional for a proper evaluation and diagnosis.

55021, 30~39 year old female. Ask Date: 2016/03/29

Dr. Fu Shizhang reply Urology


If the symptoms are not persistent, it may be a normal physiological phenomenon caused by sympathetic nervous system excitation during orgasm.
The most common reason for lower back pain after intercourse is poor posture or muscle strain during sexual activity.
It is rarely caused by excessive ejaculation, and having intercourse three times does not constitute excessive activity.
Online consultations cannot replace an in-person medical interview and physical examination by a physician; it is still recommended to seek medical attention at a healthcare facility if there are any health concerns.

Reply Date: 2016/03/29

More Info


Experiencing right-sided back pain after ejaculation can be concerning and may stem from various causes. While it is not uncommon for individuals to experience temporary discomfort in the lower back region due to physical exertion or muscle strain, persistent or severe pain warrants further investigation.

One potential cause of your right-sided back pain could be related to muscle strain. Engaging in sexual activity, especially if it involves vigorous movements or awkward positions, can lead to muscle fatigue or strain in the lower back. If you had multiple ejaculations in a short period, this could contribute to muscle tension and discomfort. The muscles in the lower back may become overworked, leading to soreness or pain.

Another possibility is that the pain could be linked to the pelvic region. The pelvic floor muscles play a crucial role during ejaculation, and if these muscles are tense or strained, it can lead to referred pain in the lower back. Additionally, conditions such as prostatitis (inflammation of the prostate gland) can cause discomfort in the lower back and pelvic area, particularly after ejaculation.

In some cases, kidney-related issues could also be a factor. Kidney infections or stones can cause pain that radiates to the back, often on one side. If the pain is accompanied by other symptoms such as fever, changes in urination, or abdominal discomfort, it would be essential to seek medical attention promptly.

It is important to consider the frequency of ejaculation as well. While occasional ejaculation is generally not harmful, excessive frequency may lead to temporary discomfort or soreness. However, if you notice a consistent pattern of pain following ejaculation, it may indicate an underlying issue that needs to be addressed.

If the pain persists or worsens, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or CT scan, to rule out any structural issues or kidney problems. Additionally, a physical examination can help determine if there is any muscle strain or pelvic floor dysfunction contributing to your symptoms.

In the meantime, you can try some self-care measures to alleviate the discomfort. Applying heat to the affected area may help relax tense muscles, while gentle stretching exercises can improve flexibility and reduce strain. Staying hydrated and maintaining a healthy lifestyle can also support overall well-being.

In summary, while right-sided back pain after ejaculation can be attributed to muscle strain or pelvic floor tension, it is essential to monitor the symptoms closely. If the pain persists or is accompanied by other concerning symptoms, seeking medical advice is crucial to ensure proper diagnosis and treatment.

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