Pain and Burning Sensation After Nocturnal Emissions - Urology

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Nocturnal emissions can be accompanied by pain, and experiencing a severe burning sensation during the first urination after an ejaculation is not uncommon?


Hello Doctor: I would like to ask why I often feel uncomfortable during nocturnal emissions, and sometimes even experience pain.
After the emission, when I wake up and urinate for the first time, I have a severe burning sensation at the urethral opening, which is quite painful.

Xiao Hei, 20~29 year old female. Ask Date: 2018/11/11

Dr. Du Shixi reply Urology


Hello: Theoretically, it shouldn't happen.
It is recommended that if you experience nocturnal emissions, you should get up to clean yourself, urinate, and drink water, as the semen may coagulate.
Wishing you good health.

Reply Date: 2018/11/11

More Info


Experiencing pain and a burning sensation after nocturnal emissions can be concerning and uncomfortable. There are several potential explanations for these symptoms, which can range from physiological responses to underlying medical conditions.

Firstly, it's important to understand that nocturnal emissions, commonly known as "wet dreams," are a normal physiological process that occurs during sleep, particularly in males. They are often associated with erotic dreams and can happen during puberty and even into adulthood. However, if you are experiencing discomfort or pain during or after these events, it may indicate an underlying issue.

One possible cause of the burning sensation and pain in the urethra after a nocturnal emission could be related to irritation or inflammation of the urethra, known as urethritis. This condition can be caused by various factors, including infections (bacterial, viral, or sexually transmitted infections), chemical irritants (such as soaps or lotions), or even physical irritation from frequent sexual activity or masturbation. If urethritis is the cause, you may also notice other symptoms such as increased urgency to urinate, frequent urination, or discharge from the urethra.

Another potential cause could be related to dehydration or insufficient fluid intake. During sleep, your body becomes dehydrated, and this can lead to concentrated urine, which may irritate the urethra upon urination. Ensuring adequate hydration throughout the day can help alleviate this issue.

Additionally, if you are experiencing pain during the emission itself, it could indicate a condition known as pelvic floor dysfunction. This occurs when the muscles of the pelvic floor are tense or in spasm, leading to discomfort during ejaculation. Stress, anxiety, or even certain physical activities can contribute to this muscle tension.

In some cases, the burning sensation could be a sign of a urinary tract infection (UTI). UTIs can cause pain during urination, a burning sensation, and even discomfort in the lower abdomen. If you suspect a UTI, it is essential to seek medical attention, as untreated infections can lead to more severe complications.

Lastly, if you have recently started any new medications or supplements, it is worth considering whether these could be contributing to your symptoms. Some medications can cause side effects that affect urination or lead to discomfort.

In summary, while nocturnal emissions are a normal part of male physiology, experiencing pain and a burning sensation afterward is not typical and warrants further investigation. It is advisable to consult with a healthcare professional who can perform a thorough evaluation, including a physical examination and possibly laboratory tests, to determine the underlying cause of your symptoms. Early diagnosis and treatment can help alleviate discomfort and prevent any potential complications.

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