Discomfort After Ejaculation: When to See a Urologist? - Urology

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Discomfort after ejaculation?


Hello, doctor.
Recently, whether during masturbation or sexual intercourse, I experience a very itchy and painful sensation in the glans or urethra (I'm not sure of the exact location) after ejaculation.
This situation only occurs after ejaculation; during masturbation or intercourse, as long as I don't ejaculate, I don't feel this way.
Should I see a urologist for an examination?

Liú, 20~29 year old female. Ask Date: 2017/06/14

Dr. Xu Wencang reply Urology


You can visit the outpatient clinic to check for any inflammation.

Reply Date: 2017/06/14

More Info


Experiencing discomfort after ejaculation can be concerning and may indicate an underlying issue that requires medical attention. The symptoms you describe—itching and pain in the glans (head of the penis) or urethra—are not uncommon, but they should not be ignored, especially since they occur consistently after ejaculation.

There are several potential causes for this discomfort. One possibility is a condition known as post-ejaculatory pain syndrome (PEPS), which is characterized by pain after ejaculation. This can be due to various factors, including inflammation, infection, or even psychological factors. Another possibility is that you may be experiencing a form of urethritis, which is inflammation of the urethra that can be caused by infections, sexually transmitted infections (STIs), or irritation from soaps, lotions, or other products.

Additionally, conditions such as prostatitis (inflammation of the prostate gland) can also lead to discomfort after ejaculation. Prostatitis can be acute or chronic and may present with symptoms such as pelvic pain, difficulty urinating, and pain during or after ejaculation.
It is also important to consider the possibility of an allergic reaction or sensitivity to certain substances, such as lubricants or condoms, which could lead to localized irritation and discomfort after ejaculation.

Given that your symptoms occur specifically after ejaculation and not during sexual activity or urination, it is advisable to consult a urologist. A urologist specializes in male reproductive health and urinary tract issues and can provide a thorough evaluation. During your visit, the urologist may perform a physical examination, take a detailed medical history, and possibly order tests such as urine analysis, STI screening, or imaging studies to determine the underlying cause of your symptoms.

In the meantime, it may be helpful to keep track of any additional symptoms you experience, such as changes in urination, any discharge, or other discomforts, as this information can assist your healthcare provider in making a diagnosis. Avoiding potential irritants, such as scented soaps or lotions, may also help alleviate some discomfort.

In summary, while discomfort after ejaculation can sometimes be benign, it is important to seek medical advice to rule out any serious conditions. A urologist will be able to provide you with the appropriate care and treatment options based on the underlying cause of your symptoms. Do not hesitate to make an appointment, as early intervention can lead to better outcomes and relief from your discomfort.

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