Glans Pain: Causes and Recovery After Intimate Activities - Urology

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Glans issues


Hello Doctor: On March 15th, I had sexual intercourse with my partner.
During the act, I used a condom and she helped with her hand, but she was gripping quite hard and moving up and down, which made me feel a bit uncomfortable.
A few days later, when I went to the bathroom, I felt something unusual at the back of the glans (near the urethral opening close to the frenulum).
When I pressed with my finger, I felt a dull pain inside (not on the surface).
Now, if I don't press, it occasionally hurts, and I also feel some pain when straining during urination, but everything looks normal externally.
I suspect that the way my partner gripped me that day may have caused an injury.
The painful area is roughly where her thumb was gripping.
Doctor, could this be an internal injury to the glans caused by the above situation? Will it heal on its own over time? Thank you for your help.

Xiao Bi, 40~49 year old female. Ask Date: 2021/03/24

Dr. Du Shixi reply Urology


Hello: It is not necessarily caused by vigorous gripping and up-and-down movement during sexual activity.
In most cases, if the severity is not serious, it will resolve on its own.
It is important to monitor the color of the urine, any pain during urination, and the presence of any discharge.
If there are any concerning symptoms, it is advisable to seek medical evaluation, as there may be other underlying causes.
Wishing you good health.

Reply Date: 2021/03/24

More Info


Understanding glans pain, particularly after intimate activities, can be quite concerning. Based on your description, it seems that the discomfort you are experiencing may indeed be related to the vigorous handling during the intimate encounter. The glans, or the head of the penis, is sensitive and can be susceptible to trauma, especially if excessive pressure is applied.


Possible Causes of Glans Pain
1. Trauma or Injury: As you mentioned, the forceful grip and movement could have caused trauma to the sensitive tissues of the glans or the surrounding areas. This can lead to localized pain, tenderness, or even bruising, which may not be visible externally.

2. Urethral Irritation: The area you described, particularly near the urethral opening, can become irritated due to friction or pressure. This irritation can manifest as pain, especially when urinating or during physical activity.

3. Infection: While your symptoms seem to stem from physical trauma, it’s also important to consider the possibility of an infection, such as urethritis. Symptoms of infection may include pain during urination, discharge, or swelling.

4. Nerve Sensitivity: Following trauma, the nerves in the area may become more sensitive, leading to pain that can be triggered by certain movements or pressure.


Recovery and Management
1. Rest and Avoidance: The first step in managing your discomfort is to avoid any activities that may exacerbate the pain. This includes avoiding sexual activity or any form of friction in the area until you feel better.

2. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, it’s essential to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions.

3. Warm Compresses: Applying a warm compress to the area may help reduce pain and promote blood flow, which can aid in healing.

4. Hydration and Urination: Ensure you stay well-hydrated and urinate regularly. This can help flush out any potential irritants and may alleviate some discomfort during urination.

5. Monitor Symptoms: Keep an eye on your symptoms. If the pain persists for more than a few days, worsens, or if you develop additional symptoms such as fever, discharge, or significant swelling, it’s crucial to seek medical attention.


When to Seek Medical Attention
If your pain does not improve within a week or if you experience any of the following symptoms, it is advisable to consult a healthcare professional:
- Severe or worsening pain
- Pain accompanied by fever or chills
- Discharge from the urethra
- Swelling or redness in the area
- Difficulty urinating or blood in urine

Conclusion
In summary, it is quite possible that the pain you are experiencing is due to the vigorous handling during your intimate encounter. Most minor injuries in this area tend to heal on their own with proper care and avoidance of further irritation. However, if symptoms persist or worsen, seeking medical advice is essential to rule out any serious conditions and to receive appropriate treatment. Always prioritize your health and well-being, and don’t hesitate to reach out to a healthcare provider for personalized advice.

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