Frequent Urge to Urinate After Masturbation: Causes and Solutions - Urology

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Frequent urge to urinate?


Hello, Dr.
Hsu: A few days ago, after masturbating (with the use of a tool), I started to feel a constant urge to urinate, and there is an itching sensation in my urethra (lower abdomen area).
It feels somewhat better when standing, but the urge to urinate is particularly noticeable when sitting.
When I actually urinate, the volume is neither too much nor too little, and there is no burning sensation; it's just the persistent urge to urinate, which is not very uncomfortable.
I have recorded urinating about 6-7 times a day (which is more than before).
Could this be a urinary tract or bladder infection triggered by masturbation? Should I go directly to a urologist for an examination? Thank you very much!

Meng, 20~29 year old female. Ask Date: 2020/10/13

Dr. Xu Wencang reply Urology


Outpatient examination and treatment.

Reply Date: 2020/10/13

More Info


Frequent urges to urinate after masturbation can be concerning and may indicate several underlying issues. Based on your description, it seems that you are experiencing increased urinary frequency and a sensation of itchiness in the urethra, particularly after using a tool during masturbation. While this situation can be uncomfortable, it is essential to understand the potential causes and appropriate steps to take.

One possibility is that the use of a tool during masturbation may have caused some irritation or trauma to the urethra or surrounding tissues. This irritation can lead to inflammation, which may manifest as an increased urge to urinate and a sensation of itchiness. Additionally, if the tool was not adequately cleaned, there is a risk of introducing bacteria into the urethra, potentially leading to a urinary tract infection (UTI). UTIs are characterized by symptoms such as increased frequency of urination, urgency, and sometimes discomfort or pain during urination, although you mentioned that you do not experience pain.

Another potential cause could be related to the pelvic floor muscles and their response to sexual arousal and orgasm. After ejaculation, the body goes through a series of physiological changes, and the pelvic floor muscles may remain tense or irritated, contributing to the sensation of needing to urinate frequently.

It is also worth considering that psychological factors, such as anxiety or stress related to sexual activity, can influence urinary frequency. The mind-body connection is strong, and feelings of anxiety can lead to increased awareness of bodily sensations, including the urge to urinate.

Given your symptoms, it is advisable to consult a healthcare professional, specifically a urologist, to evaluate your condition further. A urologist can perform a thorough examination and may recommend tests such as a urinalysis to check for signs of infection or other abnormalities. It is essential to rule out any infections or other underlying conditions that may require treatment.

In the meantime, here are some steps you can take to alleviate your symptoms:
1. Hydration: Ensure you are drinking plenty of water to help flush out any potential irritants from your urinary tract.

2. Avoid Irritants: Stay away from caffeine, alcohol, and spicy foods, as these can irritate the bladder and exacerbate urinary urgency.

3. Practice Good Hygiene: If you are using tools during masturbation, ensure they are clean and made from body-safe materials to minimize the risk of irritation or infection.

4. Pelvic Floor Exercises: Consider practicing pelvic floor exercises (Kegel exercises) to strengthen the muscles and potentially alleviate some of the urgency.

5. Monitor Symptoms: Keep a record of your urinary frequency, any associated symptoms, and any changes you notice. This information can be helpful for your healthcare provider.

In conclusion, while your symptoms may be related to irritation or a potential infection, it is crucial to seek professional medical advice to determine the exact cause and appropriate treatment. A urologist will be able to provide you with the best guidance based on a comprehensive evaluation of your symptoms. Do not hesitate to reach out for help, as addressing these concerns early can lead to better outcomes and peace of mind.

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