Pain After Masturbation: When to Seek Medical Advice - Urology

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I have a question about masturbation. I have visited a doctor once and would like to confirm something again?


I am generally healthy and have a regular exercise routine.
My main symptom is experiencing pain and discomfort after masturbation, which has occurred twice.
I have seen a doctor once, and he mentioned that it could be due to lactic acid accumulation.
I have some questions and would like to confirm before deciding whether I need further medical attention.
After the two instances of pain, I had my first sexual encounter with a female partner three days later, which was normal and without issues.
The duration was not too quick, lasting over five minutes.
My masturbation frequency is almost daily, about 1 to 2 times.
I have noticed that my erections are slightly slower to achieve compared to before, when I could get an erection almost instantly.
Additionally, my erections are not as firm as they used to be, and the amount of ejaculation is less.
I also feel like I am not completely emptying my bladder after ejaculation, as a little dribbles out afterward.
Currently, I experience slight discomfort after masturbation, but it resolves.
I apologize for my lack of knowledge in this area and would like to ask what constitutes proper masturbation and what specific aspects I should pay attention to in my situation that might require medical attention.

Lin, 20~29 year old female. Ask Date: 2018/03/21

Dr. Xu Wencang reply Urology


Do not engage in intense activities that may cause discomfort.
Monitor the situation further.

Reply Date: 2018/03/21

More Info


Understanding pain after masturbation can be a complex issue, as it involves both physical and psychological factors. It’s important to first acknowledge that experiencing discomfort or pain after masturbation is not uncommon, but it can be indicative of underlying issues that may require medical attention.


Possible Causes of Pain After Masturbation
1. Muscle Strain: Engaging in masturbation can sometimes lead to muscle strain, particularly in the pelvic area. This can be due to excessive force or awkward positions during the act. If you are experiencing soreness, it might be related to muscle fatigue or strain.

2. Lactic Acid Buildup: As your doctor mentioned, lactic acid buildup can occur after physical exertion, including masturbation. This can lead to temporary muscle soreness, similar to what one might experience after a workout.

3. Infection or Inflammation: Pain could also be a sign of an infection, such as prostatitis (inflammation of the prostate gland) or urethritis (inflammation of the urethra). Symptoms might include persistent pain, burning during urination, or unusual discharge.

4. Psychological Factors: Anxiety or guilt associated with masturbation can also manifest as physical discomfort. If you have concerns about your sexual health or practices, this could contribute to your experience of pain.

5. Erectile Dysfunction: You mentioned a change in your ability to achieve an erection and a decrease in ejaculate volume. These changes could be related to psychological factors, hormonal changes, or physical issues that may need further evaluation.


When to Seek Medical Advice
You should consider seeking medical advice if you experience any of the following:
- Persistent Pain: If the pain continues beyond a few days or worsens, it’s important to consult a healthcare professional.

- Changes in Urination: If you notice any changes in urination, such as increased frequency, pain, or blood in the urine, you should seek medical attention.

- Erectile Dysfunction: If you continue to experience difficulty achieving or maintaining an erection, it may be beneficial to discuss this with a doctor.

- Discharge or Unusual Symptoms: Any unusual discharge from the penis or other symptoms like fever or chills should prompt a visit to a healthcare provider.


Understanding Proper Masturbation Practices
Masturbation is a normal sexual activity, and there are no universally "correct" methods. However, some tips for healthy practices include:
- Gentle Techniques: Avoid excessive force or aggressive techniques that could lead to injury.

- Hygiene: Ensure that your hands and any objects used are clean to prevent infections.

- Listen to Your Body: If you feel pain, it’s important to stop and assess the situation. Pushing through pain can lead to further injury.

- Frequency: While masturbation is a normal activity, if you find that it is interfering with your daily life or causing distress, it may be worth evaluating your habits.


Conclusion
In summary, while experiencing pain after masturbation can be common, it’s essential to pay attention to your body and seek medical advice if the pain persists or if you notice any concerning symptoms. A healthcare professional can provide a thorough evaluation and help determine if there are any underlying issues that need to be addressed. Remember, sexual health is an important aspect of overall well-being, and it’s okay to seek help when needed.

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