Urinary Issues: Pain, Frequent Urination, and Seminal Leakage

Semen leakage and lower back pain..?

I used to masturbate frequently, but now I often experience slight pain in my lower back and frequent urination.
After urinating, I still feel the urge to go, as if I haven't fully emptied my bladder, and I continue to drip.
Less than an hour later, I feel the need to use the restroom again.
Currently, when I'm with my girlfriend, we only engage in fondling or talking on the phone.
During more intimate moments, I notice that clear fluid continuously oozes from my glans.
My erections aren't lasting as long and don't feel as intense, and even during masturbation, I finish quickly.
What treatment options are available for this?

Xiao Dao, 20~29 year old female. Ask Date: 2002/11/07

Dr. Liu Jianting reply Urology

How can we relate lower back pain to that? The clear fluid that comes from the glans during arousal is mucous secreted by the urethral glands, which serves a lubricating purpose for the next "action," you understand? Don't worry, it's not semen.
There is no direct connection between masturbation and lower back pain.
As for the issue of frequent urination, please visit a urologist for a urine examination.
By the way, is Xiao Dao/27 years old/female...
male or female?

Reply Date: 2002/11/07

More Info

Understanding urinary issues, particularly those involving pain, frequent urination, and seminal leakage, can be complex and multifaceted. Based on the symptoms you've described, it seems you are experiencing a combination of urinary urgency, discomfort, and changes in sexual function, which can be distressing and may impact your quality of life.

Possible Causes
1. Urinary Tract Infection (UTI): Frequent urination and a feeling of incomplete bladder emptying can often be symptoms of a UTI. Even if you have not experienced typical symptoms like burning during urination, infections can sometimes present atypically.

2. Prostatitis: Inflammation of the prostate gland can lead to symptoms such as pelvic pain, frequent urination, and discomfort during urination. Chronic prostatitis can also affect sexual function, leading to issues like reduced erection strength and premature ejaculation.

3. Overactive Bladder: This condition is characterized by a sudden urge to urinate that may be difficult to control. It can lead to frequent urination and feelings of urgency, even when the bladder is not full.

4. Psychological Factors: Anxiety and stress can exacerbate urinary symptoms. If you have a history of anxiety, it could be contributing to your current symptoms, especially if you feel pressure or discomfort during intimate moments.

5. Hormonal Changes: Changes in testosterone levels can affect sexual function and urinary symptoms. If you have concerns about your libido or erectile function, it may be worth discussing hormonal evaluations with your healthcare provider.

Recommended Steps for Management
1. Consult a Urologist: Given the complexity of your symptoms, it is essential to consult a urologist who can perform a thorough evaluation. This may include a physical examination, urine tests, and possibly imaging studies to rule out any underlying conditions.

2. Urinalysis and Culture: A urinalysis can help identify any signs of infection or other abnormalities. If a UTI is suspected, a urine culture can determine the specific bacteria involved and guide antibiotic treatment.

3. Pelvic Floor Therapy: If your symptoms are related to pelvic floor dysfunction, working with a physical therapist specializing in pelvic health can be beneficial. They can provide exercises and techniques to help relax the pelvic muscles and improve urinary function.

4. Lifestyle Modifications: Keeping a bladder diary can help identify patterns in your urination habits. Additionally, reducing caffeine and alcohol intake, which can irritate the bladder, may help alleviate some symptoms.

5. Medication: Depending on the diagnosis, medications may be prescribed to help manage symptoms. For example, anticholinergic medications can help with overactive bladder symptoms, while alpha-blockers may be used for prostatitis or urinary retention.

6. Psychological Support: If anxiety or stress is a contributing factor, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) can be effective in managing anxiety and its physical manifestations.

7. Sexual Health Consultation: If you are experiencing changes in sexual function, discussing these concerns with a healthcare provider specializing in sexual health can provide insights and potential treatment options.

Conclusion
It's important to address these symptoms comprehensively, as they can significantly impact your daily life and emotional well-being. Early intervention and a multidisciplinary approach can lead to better outcomes. Don't hesitate to seek help, as many effective treatments are available to manage urinary and sexual health issues.

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