Persistent Urge to Urinate After Ejaculation: Is It Normal?

Persistent urge to urinate after ejaculation?

I would like to ask the doctor about experiencing a persistent urge to urinate and slight pain in the urethra after occasional masturbation.
Usually, I can tolerate it for about 15 to 30 minutes before the symptoms disappear, but I still feel the urge to urinate.
Even after urinating, the urge persists.
I am unsure if this situation is normal, as it has been present since high school.

Dàxuéshēng, 20~29 year old female. Ask Date: 2016/04/21

Dr. Li Xinyi reply Urology

Based on your description, I wouldn't say it's normal, but it's not uncommon for young men to feel a bit uncomfortable after ejaculation; it sounds like there may not be an issue.
However, if there are concerns, it's advisable to see a urologist for an examination.

Reply Date: 2016/04/21

More Info

The experience of a persistent urge to urinate after ejaculation, accompanied by slight urethral discomfort, can be concerning for many individuals. While it is not uncommon for some men to experience changes in urinary urgency or discomfort following ejaculation, it is essential to understand the underlying mechanisms and when to seek medical advice.

Ejaculation involves a complex interplay of the reproductive and urinary systems. During ejaculation, the prostate gland and seminal vesicles release fluid, which is expelled through the urethra. This process can sometimes lead to temporary irritation or inflammation of the urethra, which may manifest as a burning sensation or a persistent urge to urinate. The sensation of needing to urinate can be exacerbated by the contraction of pelvic floor muscles during ejaculation, which may lead to a heightened awareness of the bladder.

In your case, the urge to urinate lasting 15 to 30 minutes after ejaculation, along with slight pain, could be attributed to several factors:
1. Urethral Irritation: The act of ejaculation can irritate the urethra, leading to a sensation of urgency. This irritation may be more pronounced if there is any underlying inflammation or infection.

2. Prostatitis: Inflammation of the prostate gland, known as prostatitis, can cause urinary symptoms, including urgency and discomfort. Chronic prostatitis can lead to persistent symptoms that may not be directly related to sexual activity.

3. Bladder Sensitivity: Some individuals may have a more sensitive bladder, which can lead to a heightened urge to urinate after ejaculation. This sensitivity can be influenced by various factors, including anxiety, hydration status, and overall bladder health.

4. Psychological Factors: Anxiety or stress related to sexual performance or urinary function can also contribute to the perception of urgency. Psychological factors can play a significant role in how one experiences bodily sensations.

5. Infection: Although less likely, urinary tract infections (UTIs) or sexually transmitted infections (STIs) can cause similar symptoms. If there is any accompanying fever, chills, or significant pain, it would be prudent to seek medical evaluation.

While occasional experiences of post-ejaculatory urinary urgency may be normal, if this sensation is persistent, bothersome, or accompanied by other symptoms (such as significant pain, blood in urine, or changes in urinary frequency), it is advisable to consult a healthcare professional. A urologist can perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies to rule out any underlying conditions.

In summary, while your experience may not be uncommon, it is essential to monitor the symptoms and seek medical advice if they persist or worsen. Understanding the interplay between sexual function and urinary health can help alleviate concerns and guide appropriate management.

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