Right Flank Pain After Ejaculation: Causes and Solutions

Q: Right Flank Pain After Ejaculation: Causes and Solutions

Hello： Your discomfort seems to be related to the pathway of the vas deferens, and there could be many possible causes. <br>It is recommended that you visit a urology department at a medical center for some urological examinations. <br>Since it has been 2 years, while it is not a

Post-ejaculation right flank and abdominal distension?

Dear Dr.
Du,
I have been experiencing swelling and pain in my right lower back and right abdomen (groin area) since around the end of 2017, and I have not been able to determine the exact cause.
Recently, I noticed that this discomfort seems to be related to my masturbation habits (I masturbate approximately every 2 to 3 days).
The reason I suspect this is that after about a week of not masturbating, the swelling and pain in my right lower back and right abdomen (groin area) seemed to diminish significantly.
However, after resuming my masturbation frequency of every 2 to 3 days, the swelling and pain returned.

I would like to ask Dr.
Du:
1.
Based on your clinical experience, what condition do you think I might be experiencing?
2.
What would be the best course of action for me at this point? (For example: should I seek immediate medical attention or stop masturbating and observe?)
Thank you, Dr.
Du.

Axiang, 30~39 year old female. Ask Date: 2019/10/11

Dr. Du Shixi reply Urology

Hello: Your discomfort seems to be related to the pathway of the vas deferens, and there could be many possible causes.
It is recommended that you visit a urology department at a medical center for some urological examinations.
Since it has been 2 years, while it is not an emergency, it is advisable to schedule an appointment when you have time.
Wishing you good health.

Reply Date: 2019/10/11

More Info

Understanding right flank pain after ejaculation can be complex, as it may stem from various underlying causes. Based on your description, it seems that the pain in your right flank and groin area is correlated with your sexual activity, particularly masturbation. Here are some potential explanations and recommendations for managing your symptoms.

Possible Causes
1. Muscle Strain: Engaging in sexual activity, including masturbation, can sometimes lead to muscle strain in the abdominal or pelvic region. If you've been using certain positions or exerting yourself more than usual, this could result in discomfort or pain.

2. Nerve Irritation: The pelvic region is rich in nerves, and activities that involve repetitive motion or pressure can irritate these nerves, leading to pain that may radiate to the flank or groin area.

3. Referred Pain: Pain in the flank or groin may not always originate from the area where you feel discomfort. Conditions affecting the kidneys, ureters, or even the intestines can cause referred pain to the flank. For instance, kidney stones or infections can manifest as flank pain, especially after activities that increase abdominal pressure.

4. Inguinal Hernia: If there is a weakness in the abdominal wall, activities that increase intra-abdominal pressure, such as ejaculation, could exacerbate symptoms of a hernia, leading to pain in the groin or flank.

5. Prostatitis or Other Pelvic Floor Disorders: Inflammation of the prostate or pelvic floor dysfunction can also lead to discomfort in the pelvic region, which may be exacerbated by sexual activity.

Recommendations
1. Observation: Since you noticed a reduction in pain when you refrained from masturbation, it may be beneficial to temporarily stop this activity to see if your symptoms improve. This can help determine if the pain is indeed related to sexual activity.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, it's essential to follow the recommended dosages and consult a healthcare provider if you have any underlying health conditions.

3. Hydration: Ensure you are well-hydrated, as dehydration can contribute to kidney-related pain. Drinking plenty of water may help alleviate some discomfort.

4. Medical Evaluation: If the pain persists or worsens, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly imaging studies, to rule out any serious conditions such as kidney stones, hernias, or infections.

5. Lifestyle Modifications: Consider adjusting your activities to avoid positions or movements that may exacerbate your pain. Gentle stretching and strengthening exercises for the core and pelvic floor may also be beneficial, but these should be approached cautiously and ideally under the guidance of a healthcare professional.

6. Follow-Up: If you experience any additional symptoms, such as fever, changes in urination, or severe pain, seek immediate medical attention. These could be signs of a more serious condition that requires prompt treatment.

In conclusion, while your symptoms may be related to your sexual activity, it is essential to approach this situation with caution. Monitoring your symptoms and seeking medical advice if necessary will help ensure that any underlying issues are appropriately addressed.

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