Post-Ejaculation Discomfort: Causes and When to Seek Help

Q: Post-Ejaculation Discomfort: Causes and When to Seek Help

Hello： If you have not engaged in sexual activity, you can monitor your condition, drink plenty of water, avoid spicy foods, and refrain from sitting for long periods without getting up to move around. <br>If you have engaged in sexual activity, you should seek medical evaluation

Ejaculation issues

After ejaculation, I experience a tingling and burning sensation at the tip of the urethra for about 5 to 10 minutes, which is very uncomfortable.
At the same time, I also feel soreness and swelling in the perineum.
Whenever I have to urinate, I do so to alleviate this sensation, which also makes me feel the urge to defecate.
In addition to the burning sensation after ejaculation, if I go about a week without masturbation, the same sensation occurs whenever prostatic fluid reaches the urethral opening.
Typically, this feeling gradually subsides after 30 to 45 minutes, but it takes about an hour and a half for it to completely disappear.
What could this condition be? Should I see a urologist for a detailed examination?

Harry, 10~19 year old female. Ask Date: 2021/08/11

Dr. Du Shixi reply Urology

Hello: If you have not engaged in sexual activity, you can monitor your condition, drink plenty of water, avoid spicy foods, and refrain from sitting for long periods without getting up to move around.
If you have engaged in sexual activity, you should seek medical evaluation.
Wishing you good health.

Reply Date: 2021/08/11

More Info

Post-ejaculation discomfort, characterized by sensations such as burning or tingling at the tip of the urethra and discomfort in the perineal area, can be distressing and may indicate an underlying issue that requires attention. The symptoms you describe, including the burning sensation that occurs shortly after ejaculation and the discomfort that persists for a significant period, can be attributed to several potential causes.

One common cause of post-ejaculation discomfort is prostatitis, which is inflammation of the prostate gland. This condition can be acute or chronic and may result from bacterial infection or other non-bacterial factors. Symptoms of prostatitis can include pain during or after ejaculation, pelvic pain, and urinary symptoms such as urgency or frequency. Chronic prostatitis, in particular, can lead to persistent discomfort that may not be easily relieved.

Another possible cause is urethritis, which is inflammation of the urethra. This condition can be caused by infections, sexually transmitted infections (STIs), or irritants. Urethritis can lead to burning sensations during urination and ejaculation, and it may also cause discomfort in the perineal area.

Pelvic floor dysfunction is another factor that can contribute to discomfort after ejaculation. Tension or dysfunction in the pelvic floor muscles can lead to pain and discomfort in the pelvic region, including the urethra and perineum.

In some cases, ejaculatory duct obstruction or other anatomical issues may lead to discomfort during or after ejaculation. This can result in pressure buildup and pain, especially if there is difficulty in the normal flow of semen.

Given the symptoms you are experiencing, it is advisable to seek evaluation from a urologist. A thorough examination, including a detailed medical history and possibly diagnostic tests such as urine analysis, prostate examination, or imaging studies, can help identify the underlying cause of your discomfort. The urologist may also assess for any signs of infection or inflammation and recommend appropriate treatment based on the diagnosis.

It is important not to ignore these symptoms, especially if they are persistent or worsening. Early intervention can help prevent potential complications and improve your quality of life. Additionally, discussing your symptoms openly with a healthcare professional can provide reassurance and guidance on managing your condition effectively.

In summary, while post-ejaculation discomfort can arise from various causes, including prostatitis, urethritis, pelvic floor dysfunction, or anatomical issues, seeking professional help is crucial for accurate diagnosis and treatment. A urologist will be able to provide you with the necessary evaluations and recommend a tailored treatment plan to address your symptoms and improve your overall well-being.

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