Penile Pain After Intercourse: When to Seek Medical Advice - Urology

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Pain at the base of the penis after penile bending?


Doctor, I would like to ask: Last week during intercourse in the missionary position, there was significant movement, and I heard a "pop" sound.
I'm not sure if something was injured, but at the time, there was no severe pain or any unusual symptoms.
However, starting the next day, I began to feel something strange with my penis, which seems to be a slight soreness.
Now, whenever I sit or lie down, I feel a dull ache near the base of the penis in the perineal area, but there is no visible deformity or swelling.
Should I apply ice or heat to this area, or do I need to get it checked?

A-Hsien, 20~29 year old female. Ask Date: 2020/09/24

Dr. Xu Wencang reply Urology


A rupture of the corpora cavernosa may result in swelling; it can be monitored.
If discomfort persists, a visit to the outpatient clinic for examination is recommended.

Reply Date: 2020/09/24

More Info


Experiencing penile pain after intercourse can be concerning, especially if it follows an incident that involved significant movement or pressure. Based on your description, it seems that you may have experienced some form of trauma to the area, which could lead to soreness or discomfort. Here’s a comprehensive understanding of your situation and guidance on when to seek medical advice.


Understanding the Symptoms
1. Nature of Pain: The pain you are experiencing, described as a soreness or aching sensation in the perineal area and at the base of the penis, could be due to a few reasons:
- Muscle Strain: The pelvic floor muscles can be strained during vigorous sexual activity, especially in positions that involve significant movement.

- Ligament or Tissue Strain: The "pop" sound you heard could indicate a minor strain or stretching of the ligaments or connective tissues around the penis or pelvic area.

- Nerve Irritation: Sometimes, the position during intercourse can lead to temporary nerve irritation, causing discomfort.

2. Absence of Severe Symptoms: The fact that you did not experience immediate severe pain, swelling, or deformity is a positive sign. However, the onset of discomfort the following day suggests that some minor injury may have occurred.


When to Seek Medical Advice
While mild soreness may resolve on its own, there are specific situations where you should consider seeking medical attention:
- Persistent Pain: If the soreness does not improve after a few days or worsens, it’s advisable to consult a healthcare provider.

- Swelling or Deformity: Any noticeable swelling, bruising, or changes in the shape of the penis should prompt a visit to a doctor.

- Difficulty Urinating: If you experience pain during urination or any changes in urinary habits, this could indicate a more serious issue.

- Fever or Systemic Symptoms: The presence of fever, chills, or any systemic symptoms could suggest an infection or other complications that require immediate attention.


Home Care Recommendations
In the meantime, here are some self-care measures you can take:
1. Rest: Avoid any activities that may exacerbate the pain, including sexual activity, until you feel better.

2. Ice Therapy: Applying ice packs to the area for 15-20 minutes can help reduce any swelling and numb the pain. Ensure to wrap the ice pack in a cloth to avoid direct contact with the skin.

3. Heat Therapy: After the initial 48 hours, you may switch to heat therapy, such as a warm compress, to promote blood flow and relax the muscles.

4. Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation.

5. Hydration and Rest: Staying hydrated and allowing your body to rest can aid in recovery.


Conclusion
In summary, while your symptoms may be indicative of a minor strain or irritation, it is essential to monitor your condition closely. If the pain persists or worsens, or if you develop any additional symptoms, do not hesitate to seek medical advice. A healthcare professional can provide a thorough evaluation and determine if any further treatment is necessary. Remember, it’s always better to err on the side of caution when it comes to your health.

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