Abdominal Pain After Frequent Masturbation: Causes and Solutions

Masturbating five times a week has caused lower abdominal pain?

I have been experiencing discomfort after engaging in sexual activities and masturbation.
My wife had a cesarean section due to her pregnancy, so I refrained from having intercourse with her and resorted to masturbation instead.
One week, I met with a married woman and had sexual encounters twice in one day, followed by masturbation several times that week, totaling about five times.
On the fifth ejaculation, I noticed pinkish semen, and afterward, I began to feel discomfort and dull pain in my lower abdomen near the penis.

Five days later, I masturbated again, and while there was no pain during ejaculation and no pinkish semen, I soon experienced sharp pain in the same area, which kept me awake at night.
I went to the emergency room where I had a urinalysis, and the doctor said there was no inflammation.
After receiving an injection, I returned home.

A few days later, while sleeping, I suddenly felt sharp pain in the same area of my lower abdomen again.
I visited a clinic, and the doctor suspected a urinary tract infection, prescribing antibiotics and anti-inflammatory pain medication.
After taking the medication, I felt some relief, but the pain returned after a few hours.
The doctor prescribed a three-day course of antibiotics, but even after finishing the medication, the dull pain persisted.

Could you please advise me on what might be happening in my situation?

A Zhi, 30~39 year old female. Ask Date: 2019/10/08

Dr. Chen Jiansheng reply Urology

It could be prostatitis.
Please consult a urologist, as sometimes urinalysis may not reveal the condition.

Reply Date: 2019/10/08

More Info

Understanding abdominal pain after frequent masturbation can be complex, as it may involve various physiological and psychological factors. Based on your description, it seems that you have experienced discomfort in the lower abdomen after engaging in frequent sexual activity, including masturbation. The fact that you noticed a change in the color of your semen and subsequent pain raises several considerations.

Firstly, the occurrence of pinkish semen can be indicative of several issues, including the presence of blood, which may suggest a minor injury to the reproductive tract or a more significant underlying condition. Frequent ejaculation, especially in a short period, can lead to temporary irritation or inflammation of the prostate gland or seminal vesicles, which might explain the discomfort you experienced.

The pain you described in the lower abdomen, particularly near the penis, could be attributed to several potential causes:
1. Prostatitis: This is an inflammation of the prostate gland, which can be caused by infection or other factors. Symptoms may include pelvic pain, painful urination, and discomfort during ejaculation. Given that you experienced pain after frequent ejaculation, this could be a possibility.

2. Urethritis: Inflammation of the urethra can occur due to infection or irritation, leading to pain during urination or ejaculation. If you have been engaging in sexual activities with different partners, there is a risk of sexually transmitted infections (STIs), which could contribute to urethritis.

3. Muscle Strain: Engaging in sexual activity or masturbation frequently can lead to muscle strain in the pelvic region, which might cause discomfort or pain. This is particularly true if the activities were vigorous or involved unusual positions.

4. Psychological Factors: Anxiety and stress can exacerbate physical symptoms, including pain. If you are feeling anxious about your sexual health or the situation with your wife, this could contribute to your discomfort.

5. Urinary Tract Infection (UTI): Although your initial tests did not show signs of infection, UTIs can sometimes present with intermittent symptoms. The antibiotics you received may have alleviated some symptoms, but if the infection was not fully resolved, pain could persist.

Given that your symptoms have not fully resolved despite treatment, it is essential to follow up with a healthcare provider. Here are some steps you can take:
- Further Evaluation: Consider seeing a urologist for a more comprehensive evaluation. They may recommend additional tests, such as a urinalysis, ultrasound, or prostate examination, to rule out any underlying conditions.

- Monitor Symptoms: Keep track of when the pain occurs, its intensity, and any associated symptoms (e.g., changes in urination, fever, or discharge). This information can help your healthcare provider make a more accurate diagnosis.

- Avoid Irritation: Until you have a clearer understanding of the cause of your pain, it may be wise to reduce the frequency of masturbation and avoid any activities that could exacerbate the discomfort.

- Manage Anxiety: If anxiety is a contributing factor, consider discussing this with a mental health professional. They can provide strategies to help manage stress and anxiety related to your sexual health.

In conclusion, while frequent masturbation itself is generally not harmful, the symptoms you are experiencing warrant further investigation to rule out any underlying medical conditions. It is crucial to communicate openly with your healthcare provider about your symptoms and concerns to receive appropriate care and guidance.

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