Can You Masturbate During Urethritis Treatment? Expert Insights - Urology

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Is it safe to masturbate during a urinary tract infection?


Hello, doctor.
I was previously diagnosed with urethritis and am currently undergoing treatment.
The doctor mentioned that the medication would take about 1 to 2 weeks.
It has been almost a week now, and my situation is as follows: 1.
I still experience some burning and pain during urination.
2.
There is no hematuria or discharge.
3.
Occasionally, I feel itching in the urethra, but the condition has improved significantly (previously, I had persistent itching and pain at night, which made it impossible to sleep).
4.
I have been continuously taking anti-inflammatory medication.
I would like to ask: 1.
During this period, I have been abstaining, but I am finding it hard to resist.
Is it okay to masturbate? 2.
During masturbation, since semen is expelled through the urethra, will this intense friction worsen the condition of the urethra or exacerbate the bacterial infection, potentially spreading it to the prostate? 3.
When I feel a strong urge, is it better to ejaculate (which may harm the urethra) or to hold back (which could lead to retrograde ejaculation into the bladder)?

Xiao Xiao Ming, 10~19 year old female. Ask Date: 2019/06/26

Dr. Du Shixi reply Urology


Hello: 1.
During this period, I have been practicing abstinence, but now I find it hard to resist.
Is it okay to masturbate? --> It is not recommended.
If you can't resist, make sure to drink plenty of water.
2.
When masturbating, since semen is expelled through the urethra, does the intense friction cause further damage to the urethra or exacerbate bacterial infection or lead to prostatitis? --> It is possible for symptoms to worsen.
3.
When feeling intense sexual desire, is it better to ejaculate (which may harm the urethra) or to hold back (which could lead to retrograde ejaculation into the bladder)? --> Ejaculating is generally considered more normal.
Wishing you good health.

Reply Date: 2019/06/26

More Info


When dealing with urethritis, it's essential to prioritize your health and recovery. Urethritis, which is an inflammation of the urethra, can be caused by infections, and the treatment typically involves antibiotics. Given your current situation, where you are experiencing some improvement but still have symptoms like burning during urination and occasional itching, it's understandable that you may have questions about sexual activity, including masturbation, during treatment.

1. Can You Masturbate During Urethritis Treatment?
Generally, masturbation is not contraindicated during treatment for urethritis, but there are several factors to consider. If you are experiencing significant discomfort or pain, it may be best to avoid any activity that could exacerbate your symptoms. Masturbation can lead to friction and irritation of the urethra, which might prolong your healing process or cause additional discomfort. If you feel that masturbation could lead to increased pain or irritation, it might be wise to wait until your symptoms have fully resolved.

2. Will Masturbation Worsen Urethritis?
The act of masturbation itself does not inherently worsen urethritis, but if you are experiencing pain or discomfort, the friction could potentially irritate the urethra further. Additionally, if there is any residual infection, vigorous activity could theoretically spread bacteria. However, if you are following your treatment regimen and your symptoms are improving, moderate masturbation may not pose a significant risk. It's crucial to listen to your body; if you feel pain during or after masturbation, it would be advisable to refrain from it until you have fully recovered.

3. Should You Ejaculate or Hold Back?
The decision to ejaculate or not during this time can be complex. Ejaculating may provide temporary relief from sexual tension, but if it causes pain or discomfort, it might be better to avoid it. Holding back could lead to retrograde ejaculation, where semen enters the bladder instead of exiting through the urethra. While this is generally not harmful, it can be uncomfortable. Ultimately, the best approach is to prioritize your comfort and recovery. If you find that ejaculation causes pain, it may be better to abstain until you are fully healed.

In summary, while masturbation is generally permissible during urethritis treatment, it is essential to consider your comfort and the potential for irritation. If you choose to engage in masturbation, do so gently and be mindful of any pain or discomfort. If your symptoms persist or worsen, it is crucial to consult with your healthcare provider for further evaluation and guidance. They may recommend adjustments to your treatment plan or additional interventions to ensure a full recovery. Always prioritize your health and well-being during this time.

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