Urethral Pain After Masturbation: Causes and Solutions

Urethral pain

I usually have a habit of masturbating every day, sometimes two to three times a day.
However, in the past few months, I have experienced pain and discomfort in my prostate and penis after masturbation, so I have moderated it to about 2-3 times a week.
A few weeks ago, after masturbating, I felt a persistent sharp pain from my urethra to the urethral opening.
It's not unbearable pain, but it feels like there is a foreign body sensation in my urethra, and it hurts each time.
I visited a urologist, and my urine test came back normal.
A digital rectal exam and prostate fluid analysis also showed no issues.

1.
The doctor examined my prostate fluid under a microscope to check for an excess of white blood cells.
Is this method accurate?
2.
Since everything seems normal, what could be causing the sharp pain in my urethra? This has been happening every time after I masturbate recently!

Niming, 10~19 year old female. Ask Date: 2016/10/06

Dr. Sun Hongshun reply Urology

Hello, urinary tract infection or prostatitis could be possible.
It is advisable to avoid excessive masturbation or stimulation.
Please visit a urology clinic for medication to relieve symptoms or for further examinations (such as an ultrasound).

Reply Date: 2016/10/06

More Info

Urethral pain after masturbation can be a distressing experience, and it’s important to understand the potential causes and solutions. Based on your description, it seems that you have been experiencing discomfort in the urethra and prostate area following masturbation, which has led you to seek medical advice. Let's delve into the possible reasons for your symptoms and explore some solutions.

Possible Causes of Urethral Pain
1. Irritation or Inflammation: Frequent masturbation can lead to irritation of the urethra, especially if done vigorously or without adequate lubrication. This irritation can manifest as a burning sensation or discomfort in the urethra after ejaculation.

2. Prostatitis: Inflammation of the prostate gland, known as prostatitis, can cause pain in the pelvic area, including the urethra. This condition can be acute or chronic and may not always present with obvious symptoms in tests, making it challenging to diagnose.

3. Urethritis: This is an inflammation of the urethra, which can be caused by infections (bacterial or viral) or irritants. Even if your urine tests came back normal, it’s possible to have urethritis that doesn’t show up in standard tests.

4. Muscle Tension: The pelvic floor muscles can become tense or strained due to various factors, including frequent sexual activity or anxiety. This tension can lead to discomfort in the urethra and surrounding areas.

5. Nerve Sensitivity: Sometimes, the nerves in the pelvic region can become hypersensitive, leading to sensations of pain or discomfort without an identifiable cause.

Solutions and Recommendations
1. Reduce Frequency: Since you’ve noticed a correlation between masturbation and your symptoms, consider reducing the frequency to see if your symptoms improve. Allowing time for your body to recover may help alleviate the discomfort.

2. Use Lubrication: If you continue to masturbate, using a water-based lubricant can help reduce friction and irritation, potentially minimizing discomfort.

3. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) can help strengthen the muscles in that area and may alleviate some discomfort. However, if you have muscle tension, it may be beneficial to also practice relaxation techniques.

4. Warm Baths: Taking warm baths can help relax the pelvic muscles and provide temporary relief from discomfort.

5. Hydration: Ensure you are well-hydrated, as this can help dilute urine and reduce irritation in the urethra.

6. Consult a Specialist: Since you have already seen a urologist and had tests done, if your symptoms persist, consider seeking a second opinion or consulting a specialist in pelvic pain or a urologist with experience in chronic pelvic pain syndromes.

Regarding Your Questions
1. Microscopic Examination of Prostate Fluid: The examination of prostate fluid for white blood cells can be a useful diagnostic tool. However, the presence of white blood cells alone does not always indicate infection, and the absence of them does not rule out prostatitis or other conditions. It’s important to consider the entire clinical picture.

2. Urethral Pain Without Clear Diagnosis: If tests have ruled out infections and other common causes, your urethral pain may be due to irritation, muscle tension, or nerve sensitivity. It’s essential to communicate your symptoms clearly with your healthcare provider to explore further diagnostic options or treatments.

In conclusion, urethral pain after masturbation can stem from various causes, and understanding these can help you find effective solutions. If your symptoms persist or worsen, it’s crucial to continue seeking medical advice to ensure that any underlying issues are addressed appropriately.

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