Frequent Sexual Activity: Pain and Discomfort in the Groin

Frequent sexual activity can lead to perineal discomfort?

Hello doctor, I would like to ask about something.
My girlfriend and I engage in sexual activity every week, usually on the weekends.
However, during the last encounter, we had multiple sessions in one day, and I experienced ejaculation without semen.
The next day, I felt pain and soreness near my testicles.
Could this be prostatitis or inflammation of the prostate? The pain sometimes feels like a tingling sensation and a bit of weakness.
I have already seen a doctor, but he did not provide me with an answer.
After examining my genitalia, he said there were no abnormalities and did not prescribe any medication, but I still feel uncomfortable.
I have also been experiencing lower back pain.
Should I just rest more to feel better? It has been over a week, and the symptoms are improving very slowly.
I am worried about a possible misdiagnosis and any potential long-term effects.

Xiansheng, 20~29 year old female. Ask Date: 2018/03/19

Dr. Xu Wencang reply Urology

If there is no inflammation, it is still possible to experience chronic pelvic pain.
Monitor the situation for a while, and if it persists, seek medical attention.

Reply Date: 2018/03/19

More Info

Hello! Thank you for your question regarding the discomfort and pain you are experiencing in your groin area after frequent sexual activity. It’s understandable to be concerned about your symptoms, especially when they persist for over a week.

From what you’ve described, it sounds like you may be experiencing a combination of symptoms that could be related to several factors, including overactivity during sexual intercourse, potential inflammation of the prostate (prostatitis), or even muscle strain in the pelvic region.
Firstly, the phenomenon of experiencing pain or discomfort after frequent sexual activity is not uncommon. Engaging in sexual intercourse multiple times in a short period can lead to muscle fatigue, soreness, or even minor injuries in the pelvic area. This can manifest as a dull ache or sharp pain in the groin or lower abdomen, and may also be accompanied by feelings of heaviness or discomfort in the testicles.

Regarding your concern about prostatitis, it is indeed a possibility, especially if the pain is localized around the prostate area, which is situated near the base of the bladder and surrounds the urethra. Prostatitis can be caused by bacterial infections or can be non-bacterial in nature, often linked to stress, pelvic floor dysfunction, or other factors. Symptoms of prostatitis may include pain during urination, difficulty urinating, and discomfort in the lower abdomen or groin area.

The fact that you mentioned experiencing a sensation of weakness or numbness could also indicate nerve involvement or muscle strain. If you have been engaging in more vigorous sexual activity than usual, it could lead to muscle fatigue or strain, particularly if you are not accustomed to such frequency.
Since you have already consulted a doctor and they did not find any abnormalities upon examination, it may be beneficial to consider a few self-care strategies. Here are some recommendations:
1. Rest and Recovery: Allow your body some time to recover. Avoid sexual activity for a short period to see if your symptoms improve.
2. Hydration: Ensure you are well-hydrated, as this can help with overall bodily function and may alleviate some discomfort.

3. Warm Compresses: Applying a warm compress to the groin area may help relieve muscle tension and discomfort.

4. Pain Relief: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation if you are comfortable taking them.

5. Gentle Stretching: Engaging in gentle stretching exercises for the pelvic area may help alleviate tension.

6. Monitor Symptoms: Keep track of your symptoms. If they persist or worsen, or if you develop new symptoms such as fever, chills, or changes in urination, it would be prudent to follow up with your healthcare provider.

If your symptoms do not improve after a period of rest, or if you continue to experience significant discomfort, it may be worthwhile to seek a second opinion from a urologist. They can provide a more specialized evaluation and may consider further diagnostic tests, such as a prostate exam or imaging studies, to rule out any underlying conditions.

In conclusion, while it is likely that your symptoms are related to recent sexual activity, it is important to listen to your body and seek further medical advice if necessary. Taking care of your physical health is crucial, and addressing any concerns early on can help prevent potential complications. Thank you for reaching out, and I hope you find relief soon!

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