and Managing Glans Pain: Causes and Solutions - Urology

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Glans pain or discomfort?


Hello, last month I experienced some pain in the glans while masturbating, so I stopped halfway.
After about a week, I felt a dull pain in the glans, which felt like pressure pain or neuropathic pain, but I couldn't pinpoint the exact location of the pain.
When I urinate, I often have a sensation similar to ejaculation.
Could this be due to excessive masturbation or frequent pressure on the glans? Now, nearly three weeks have passed, and my condition fluctuates; sometimes I feel fine in the morning, but at night the pain returns, making it difficult to sleep, which is quite discouraging.
Will this situation heal on its own? Thank you.

KD, 30~39 year old female. Ask Date: 2022/07/03

Dr. Liu Mingyue reply Urology


Hello: Do not squeeze the glans, practice moderation in masturbation, engage in gentle exercise, and drink plenty of water.
If you have unsafe sexual practices or experience abnormal urination, it is advisable to consult a urologist.
Wishing you good health.

Reply Date: 2022/07/03

More Info


Understanding and managing glans pain can be a complex issue, as it can stem from various causes, including physical, psychological, and behavioral factors. Based on your description, it seems that you are experiencing discomfort in the glans (the head of the penis) after an episode of masturbation, which has persisted for several weeks. Let's explore some potential causes and solutions for your symptoms.


Possible Causes of Glans Pain
1. Physical Irritation: Frequent masturbation or aggressive handling of the glans can lead to irritation or microtrauma. This can manifest as pain, sensitivity, or a feeling of pressure. If you are using lubrication, ensure it is appropriate and not causing irritation.

2. Infection: Conditions such as balanitis (inflammation of the glans) or sexually transmitted infections (STIs) can cause pain and discomfort. Symptoms may include redness, swelling, or discharge. If you notice any unusual symptoms, it is crucial to consult a healthcare provider.

3. Nerve Sensitivity: The glans is rich in nerve endings, and sometimes, excessive stimulation can lead to heightened sensitivity or pain. This can feel like a dull ache or pressure, especially if there is a psychological component involved, such as anxiety about the pain.

4. Psychological Factors: Anxiety or stress related to sexual performance or health concerns can exacerbate physical symptoms. The mind-body connection is powerful, and psychological distress can manifest as physical pain.

5. Underlying Medical Conditions: Conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can cause pain. Other conditions affecting the pelvic region may also contribute to your symptoms.


Management and Solutions
1. Rest and Avoidance: It may be beneficial to take a break from masturbation and any activities that may irritate the glans. Allowing time for healing can help alleviate symptoms.

2. Gentle Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or products that may cause irritation.

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

4. Over-the-Counter Pain Relief: If the pain is significant, over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort. However, consult a healthcare provider if you find yourself needing these medications frequently.

5. Consult a Healthcare Provider: If symptoms persist or worsen, it is essential to seek medical advice. A healthcare provider can perform a physical examination, rule out infections or other conditions, and provide appropriate treatment options.

6. Psychological Support: If anxiety or stress is contributing to your symptoms, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) can be effective in managing anxiety related to sexual health.


Prognosis
In many cases, glans pain related to irritation or minor trauma can resolve with proper care and avoidance of aggravating activities. However, if there is an underlying infection or medical condition, timely intervention is crucial for recovery. It's important to listen to your body and seek help if you feel that your symptoms are not improving or if they are affecting your quality of life.

In conclusion, while your symptoms may be concerning, many cases of glans pain can be managed effectively with appropriate care. Remember that open communication with a healthcare provider is key to addressing your concerns and ensuring a healthy recovery.

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