Post-Masturbation Symptoms: Pain and Heart Rate Changes - Internal Medicine

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Post-masturbation symptoms, such as pain in the shoulder and lower back, as well as changes in heart rate, can be concerning but are often benign. Let's break down your symptoms and address your questions.

Firstly, the discomfort you're experiencing in your left shoulder and lower back could be attributed to several factors. One possibility is muscle strain or tension, which can occur due to poor posture during sleep or physical activity. If you slept in an awkward position or engaged in any physical activity that may have strained your muscles, this could explain the soreness.
However, it's also important to consider other potential causes. While it's less common, pain in the left shoulder can sometimes be associated with cardiac issues, especially if it is accompanied by other symptoms such as chest pain, shortness of breath, or radiating pain down the arm. Given that you mentioned discomfort in the lower back as well, it is likely more related to musculoskeletal issues rather than a direct cardiac concern.
Regarding the heart rate changes you experience after masturbation, it is not unusual for heart rate to increase during sexual arousal and orgasm. This is a normal physiological response due to the release of adrenaline and other hormones that stimulate the heart. The heart rate can increase significantly during sexual activity, and for some individuals, this can lead to a feeling of palpitations or a racing heart afterward.
As for the frequency of masturbation, doing it twice a week is generally considered within a normal range for most individuals. However, if you find that it is causing you anxiety or physical discomfort, it may be worth reflecting on your habits and considering moderation.
If your symptoms persist or worsen, or if you experience additional symptoms such as chest pain, severe shortness of breath, or significant changes in your heart rate that cause concern, it would be prudent to consult a healthcare professional. They can perform a thorough evaluation, including a physical examination and possibly an electrocardiogram (ECG) or other tests to rule out any underlying conditions.

In summary, while your symptoms may be related to muscle strain or a normal physiological response to sexual activity, it is essential to monitor your condition. If you have any doubts or if your symptoms change, seeking medical advice is always a good course of action. Remember to maintain good posture, manage stress, and engage in regular physical activity to support your overall health.