Pain in the Penis During Erection: Causes and When to Seek Help - Urology

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Understanding pain in the penis during erection can be concerning, and it's important to consider various potential causes. Based on your description, it seems that you are experiencing pain localized to the sides of the penis near the glans during erections, which is not present when the penis is flaccid. This type of pain can arise from several factors, and it’s crucial to evaluate them to determine the appropriate course of action.


Possible Causes of Pain During Erection
1. Muscle Strain or Injury: As you mentioned, if there has been any recent activity involving excessive force during masturbation or sexual activity, it is possible that the muscles or connective tissues in the pelvic region may have been strained. This could lead to localized pain during erections.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause pain, curvature, and difficulty during erections. While this typically presents with more pronounced symptoms, it is worth considering if the pain persists.

3. Nerve Compression or Injury: Nerve issues can lead to pain during erections. If there has been any trauma or unusual positioning during sexual activity, it could potentially affect the nerves in the pelvic area.

4. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate) or infections in the genital area can also cause pain during erections. These conditions may be accompanied by other symptoms such as fever, urinary issues, or discharge.

5. Vascular Issues: Problems with blood flow, such as those caused by vascular diseases, can lead to pain during erections. This is less common but should be considered, especially if there are risk factors present.


When to Seek Medical Help
It is advisable to seek medical attention if:
- The pain persists for more than a few days or worsens.

- You experience additional symptoms such as swelling, redness, or discharge.

- There are changes in your ability to achieve or maintain an erection.

- You have any concerns about underlying conditions, especially if you have risk factors for cardiovascular disease or diabetes.


Recommended Actions
1. Rest and Avoid Strain: If you suspect that the pain is due to muscle strain, it may help to avoid any activities that could exacerbate the pain, including vigorous sexual activity or masturbation.

2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation if needed.

3. Consult a Healthcare Provider: If the pain continues or you have concerns, it is best to consult a urologist or a healthcare provider who specializes in sexual health. They can perform a thorough examination, possibly including imaging studies or blood tests, to determine the underlying cause of your symptoms.

4. Discuss Sexual Health: If there are concerns about sexual practices, discussing these openly with a healthcare provider can provide insights into safe practices and techniques to avoid injury.

In conclusion, while occasional pain during erections can occur due to various benign reasons, persistent or severe pain warrants medical evaluation to rule out any serious conditions. Taking proactive steps to address your symptoms and seeking professional advice will help ensure your sexual health and overall well-being.