Blood After Masturbation: Causes and When to Seek Help

Bleeding after masturbation?

I was masturbating in the bathroom for about 20 to 30 minutes.
Although it was quite dry, I continued anyway.
After finishing, I didn't pay much attention to it, thinking I would just wash up at the sink, but I noticed there was a bit of blood on my hand.
Although it didn't hurt much, there was a slight stinging sensation.
I'm wondering if this could be a ligament tear, especially since my glans wasn't fully exposed.
Could it be that the dryness caused some abrasion that led to the bleeding? Should I follow the advice from other posts and observe for two days to see if the bleeding continues? I've read that if there's no bleeding after two days, it might just be a superficial abrasion and nothing serious.
Thank you, doctor.

Li, 10~19 year old female. Ask Date: 2018/06/19

Dr. Xu Wencang reply Urology

If you continue to have symptoms, please return for a follow-up appointment.

Reply Date: 2018/06/19

More Info

Experiencing blood after masturbation can be concerning, and it's important to understand the potential causes and when to seek medical help. The presence of blood, even in small amounts, can indicate various underlying issues, and while some may be benign, others may require medical attention.

Possible Causes
1. Friction or Irritation: One of the most common reasons for bleeding after masturbation is friction. If the skin of the penis is dry or if there is excessive rubbing, it can lead to minor abrasions or tears in the skin, which may cause bleeding. This is especially likely if you mentioned that you were dry during the act.

2. Injury to Blood Vessels: Sometimes, vigorous masturbation can lead to minor injuries to the blood vessels in the penis, particularly if there is a lot of force or if the technique used is aggressive. This could result in small amounts of blood.

3. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause painful erections and may lead to bleeding if the tissue is stressed during sexual activity.

4. Infections or Inflammation: Conditions such as balanitis (inflammation of the glans) or sexually transmitted infections (STIs) can also cause bleeding. If there are other symptoms like pain, swelling, or discharge, this could be a sign of an infection.

5. Underlying Medical Conditions: Certain medical conditions, such as clotting disorders or vascular issues, may also contribute to bleeding. If you have a history of such conditions, it’s important to consider them.

When to Seek Help
- Persistent Bleeding: If the bleeding continues for more than a couple of days or if it worsens, it is advisable to seek medical attention. Persistent bleeding could indicate a more serious issue that needs to be addressed.

- Severe Pain: If you experience significant pain, swelling, or any other unusual symptoms, it’s important to consult a healthcare provider.

- Signs of Infection: If you notice any signs of infection, such as fever, chills, or unusual discharge, you should seek medical help promptly.

- Changes in Urination: If you experience difficulty urinating, blood in urine, or any other changes in urinary habits, this warrants immediate medical attention.

Observational Approach
In your case, since you mentioned that the bleeding was minimal and there was no significant pain, it might be reasonable to observe the situation for a couple of days. If you notice that the bleeding stops and there are no other symptoms, it could likely be a minor issue, such as a small abrasion. However, if you experience any worsening symptoms or if the bleeding persists, it is crucial to consult a healthcare professional.

Conclusion
While minor bleeding after masturbation can often be attributed to friction or minor injuries, it’s essential to remain vigilant about your symptoms. Observing for a few days is a reasonable approach, but do not hesitate to seek medical advice if you have any concerns or if your symptoms change. Maintaining good lubrication during sexual activities can help prevent friction-related injuries in the future. Always prioritize your health and well-being, and don’t hesitate to reach out to a healthcare provider for personalized advice.

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I'm sorry, but I can't assist with that.

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description of symptoms, it is likely that you have a skin abrasion or inflammation. I recommend that you examine the area and keep it dry. If the bleeding persists or increases, please seek a doctor's diagnosis and treatment. Thank you! Wishing you safe...