Persistent Genital Sensation and Urgency After Masturbation: What to Know

Genital swelling with an intense and persistent sexual desire?

Hello, doctor.
On the afternoon of May 23, I engaged in clitoral masturbation multiple times.
That evening, I began to feel a warm, swollen sensation in my clitoris, accompanied by intense sexual arousal in both my clitoris and vagina.
This feeling has been persistent and overwhelming, making it difficult to ignore.
My genital area has become very sensitive, especially at night, where the sensations are more pronounced.
Previously, I did not experience such symptoms after masturbation.
I attempted to relieve the desire through masturbation again, but even after doing so on the night of May 24, the sexual arousal in my genital area persisted until the evening of May 25.
Additionally, on the night of May 24, I started experiencing symptoms of frequent urination.
After consulting a gynecologist, I was prescribed medication for urethritis and a topical ointment for the redness and swelling in the genital area, but the intense sexual arousal remains, preventing me from sleeping at night and causing significant discomfort.

Could you please explain what condition this phenomenon might indicate? Is it possible that this is a result of excessive masturbation? Could this phenomenon be related to urethritis? I have read online that it might be vestibulitis or neuritis; could these conditions cause such symptoms? Lastly, can masturbation help resolve this issue?

Miss Chen, 10~19 year old female. Ask Date: 2023/05/25

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is difficult to make a diagnosis.
I recommend that if your symptoms worsen or persist, please consult a physician for further examination and treatment.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2023/05/25

More Info

Persistent genital sensation and urgency after masturbation can be a complex issue that may involve various physiological and psychological factors. It is important to understand that the body can respond differently to sexual stimulation, and individual experiences may vary widely.
From your description, it seems that after multiple instances of masturbation, you began to experience heightened sensitivity and persistent sexual arousal, which has led to discomfort and difficulty sleeping. This situation can be distressing, especially if it is accompanied by symptoms such as frequent urination and a burning sensation in the genital area.

Possible Causes
1. Overstimulation: Engaging in frequent masturbation can lead to temporary changes in sensitivity. The clitoris and surrounding areas may become overly stimulated, resulting in heightened sensations that can persist even after the activity has ceased. This is often a temporary condition and may resolve on its own.

2. Urethritis or Urinary Tract Infection (UTI): The symptoms you describe, particularly the urgency and frequency of urination, could indicate a urinary tract infection or urethritis. These conditions can cause discomfort and may also lead to increased sensitivity in the genital area. The medications prescribed by your gynecologist for treating a suspected urinary tract infection are appropriate, and it is essential to complete the course of treatment.

3. Vestibulitis or Vulvodynia: Conditions such as vestibulitis (inflammation of the vestibule, the area surrounding the vaginal opening) or vulvodynia (chronic pain in the vulvar area) can also lead to heightened sensitivity and discomfort. These conditions can be triggered by various factors, including hormonal changes, infections, or even psychological stress.

4. Nerve Sensitivity: Sometimes, the nerves in the genital area can become hypersensitive due to various reasons, including physical irritation or psychological factors. This hypersensitivity can lead to persistent sensations of arousal or discomfort.

Addressing the Issue
1. Medical Evaluation: Since you have already consulted with a gynecologist, it is crucial to follow up on the treatment for any potential infections. If symptoms persist despite treatment, consider seeking a second opinion or consulting a specialist in pelvic pain or sexual health.

2. Avoid Further Irritation: It may be beneficial to refrain from masturbation for a period to allow your body to recover. Overstimulation can exacerbate sensitivity and discomfort.

3. Pain Management: If you are experiencing significant discomfort, over-the-counter pain relief medications may help. However, consult with your healthcare provider before taking any new medications.

4. Psychological Factors: If anxiety or stress is contributing to your symptoms, consider speaking with a mental health professional. Techniques such as mindfulness, relaxation exercises, or cognitive behavioral therapy may help manage anxiety related to sexual function.

5. Education and Awareness: Understanding your body and its responses can help alleviate anxiety. Educating yourself about sexual health and the normal variations in sexual response can provide reassurance.

Conclusion
In summary, the symptoms you are experiencing could be due to a combination of overstimulation, potential infections, or other underlying conditions. It is essential to continue working with your healthcare provider to identify the cause and develop an appropriate treatment plan. While masturbation is a normal sexual activity, excessive or aggressive stimulation can lead to temporary discomfort. Allowing your body time to recover and addressing any underlying medical issues will be crucial in resolving these symptoms. If the situation does not improve, further evaluation by a specialist may be warranted.

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