Discomfort During Masturbation: When to Seek Medical Advice - Urology

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Masturbation issues?


Hello doctor, during masturbation, as soon as I slightly stimulate the glans, I experience a tingling and itchy sensation throughout my body, and even some sharp pain, which becomes more intense during ejaculation.
Overall, the experience is not very comfortable, and I would like to know if I should see a doctor.
I read online that this could be due to poor blood circulation.
Recently, I have also developed a patch of red rash in my armpit that is very itchy, but the tingling sensation occurs only during masturbation, so I am uncertain about the underlying cause.
I masturbate every 2 to 3 days.
Should I temporarily stop? Additionally, I have a problem with phimosis, but I can retract the foreskin for cleaning when not erect.
Could this be related to the issues I am experiencing? I would appreciate your clarification.
Thank you.

Kalen, 10~19 year old female. Ask Date: 2020/02/10

Dr. Du Shixi reply Urology


Hello: 1) However, this generalized numbness only occurs during masturbation, so it's uncertain what exactly causes it --> It's really hard to say, and I haven't seen it before.
2) I masturbate every 2 to 3 days; should I temporarily stop? --> You can try to see if it still occurs without masturbation.
3) Additionally, I have a problem with phimosis, but I can retract the foreskin for cleaning when not erect.
Could this be the cause? --> No, it shouldn't be a concern.
Wishing you good health.

Reply Date: 2020/02/10

More Info


It's understandable that you're experiencing discomfort during masturbation, and it's important to address these concerns thoughtfully. The sensations you're describing—itchiness, tingling, and even sharp pain—can be distressing and may indicate an underlying issue that warrants medical attention.

Firstly, the symptoms you experience during masturbation could be related to several factors, including physical, psychological, or even situational aspects. The fact that these sensations occur primarily during masturbation suggests that there may be a specific trigger related to this activity. Here are a few potential causes to consider:
1. Nerve Sensitivity: The genital area is rich in nerve endings, and sometimes, heightened sensitivity can lead to discomfort during stimulation. If the sensations are intense and painful, it might be worth exploring if there is an underlying nerve issue or if the technique used during masturbation is too aggressive.

2. Skin Conditions: The presence of a rash in your armpit that itches could indicate a skin condition, such as eczema or contact dermatitis, which might also be affecting the genital area. If the rash is related to an allergic reaction or irritation, it could exacerbate discomfort during sexual activities.

3. Blood Circulation: While you mentioned that some online sources suggested poor blood circulation could be a factor, it's essential to note that discomfort during sexual arousal is not typically linked to circulation issues unless there are other symptoms present, such as swelling or persistent pain in other areas.

4. Phimosis or Preputial Issues: You mentioned having a long foreskin (phimosis), which can sometimes lead to discomfort during sexual activities. If the foreskin is too tight or if there is difficulty retracting it, this could contribute to pain or discomfort during stimulation. Proper hygiene is crucial, and if you find it challenging to clean the area adequately, it may be worth discussing this with a healthcare provider.

5. Psychological Factors: Anxiety or stress related to sexual performance or feelings about masturbation can also manifest as physical discomfort. If you find that your thoughts or feelings about the act are causing tension, this could contribute to the sensations you're experiencing.

Given these considerations, it would be advisable to consult a healthcare professional, particularly a urologist or a dermatologist, who can provide a thorough examination and help identify the underlying cause of your symptoms. They may recommend tests or treatments based on their findings.
In the meantime, it might be beneficial to take a break from masturbation to see if the symptoms subside. This could help you determine if the activity itself is a contributing factor. Additionally, practicing relaxation techniques and ensuring that you are in a comfortable environment may help reduce any psychological stress associated with the act.

In summary, while discomfort during masturbation can be common, the specific symptoms you're experiencing—especially if they are intense or accompanied by other issues like a rash—should be evaluated by a medical professional. They can provide personalized advice and treatment options to help alleviate your discomfort and address any underlying conditions.

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