Lower Abdominal Pain: Possible Causes and Solutions

Lower abdominal pain

Hello Doctor: Today, I experienced a sudden urge and masturbated once.
However, afterward, I felt pain in my lower abdomen and nearby areas.
When I touch my testicles, it also hurts, and straining my lower abdomen causes a bloating pain that radiates to my testicles.
I can feel pain even when standing up, squatting, or walking, and there is slight pain during urination, making it difficult to urinate smoothly.
However, sitting down or lying still provides some relief.
I haven't masturbated for 10 days, and today, during my day off, I couldn't resist the urge.
Doctor, what could be causing these symptoms? Is there some kind of inflammation? I'm quite worried.

Niming, 20~29 year old female. Ask Date: 2020/04/10

Dr. Sun Hongshun reply Urology

Hello, the symptoms you described may indicate the possibility of inflammation or infection.
It is advisable to seek medical attention from a physician.

Reply Date: 2020/04/10

More Info

Lower abdominal pain can be a concerning symptom, especially when accompanied by discomfort in the testicles and changes in urination. Based on your description, there are several potential causes for your symptoms, and it’s important to consider both physical and psychological factors.

Possible Causes of Your Symptoms
1. Muscle Strain: Engaging in sexual activity, including masturbation, can sometimes lead to muscle strain in the abdominal area. If you were tense or in an awkward position, this could result in soreness or pain when using those muscles.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can cause pain in the lower abdomen and testicles, and is often associated with urinary symptoms. This condition can be caused by infections, including sexually transmitted infections (STIs).

3. Orchitis: Similar to epididymitis, orchitis is inflammation of the testicles, which can also lead to pain in the lower abdomen and discomfort in the testicular area. This condition can be viral or bacterial in origin.

4. Urinary Tract Infection (UTI): A UTI can cause pain during urination, a feeling of urgency, and discomfort in the lower abdomen. If the infection spreads to the kidneys, it can lead to more severe symptoms.

5. Hernia: A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. This can cause localized pain, especially when straining or lifting.

6. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain in the testicle and lower abdomen. If you experience severe pain, nausea, or vomiting, seek immediate medical attention.

7. Psychological Factors: Anxiety and stress can manifest as physical symptoms, including abdominal pain. If you are feeling anxious about your symptoms, this could exacerbate your discomfort.

Recommendations
Given the range of potential causes, it is essential to monitor your symptoms closely. Here are some steps you can take:
- Rest: Avoid activities that exacerbate your pain, including strenuous physical activity and sexual activity until you feel better.

- Hydration: Ensure you are well-hydrated, as this can help with urinary symptoms.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort.

- Seek Medical Attention: If your symptoms persist, worsen, or if you experience additional symptoms such as fever, swelling in the testicles, or severe pain, it is crucial to see a healthcare provider. They may perform a physical examination, urine tests, or imaging studies to determine the underlying cause.

- Discuss Sexual Health: If you suspect that your symptoms may be related to sexual activity, consider discussing your sexual health with a healthcare provider. They can provide guidance on safe practices and address any concerns regarding STIs.

Conclusion
While it is understandable to feel anxious about your symptoms, many causes of lower abdominal pain are treatable. It is essential to listen to your body and seek medical advice if your symptoms do not improve or if you have any concerns about your health. Early intervention can lead to better outcomes and peace of mind.

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