Post-Masturbation Abdominal Pain: Is It Normal or a Cause for Concern?

After masturbation, there may be abdominal pain, and there can also be unilateral pain in the testicle?

I have experienced this before, but not as painful as this time.
After masturbation, my stomach hurts and the pain lasts until the next day.
It hurts less when sitting, but lying down is very uncomfortable.
This doesn't happen often after masturbation; it only occurs occasionally, and even then, it usually goes away after a few minutes.
I would like to ask Dr.
Tsai if this is considered normal or if it is related to excessive masturbation.

Wen Zai, 20~29 year old female. Ask Date: 2004/11/14

Dr. Cai Bingkun reply Urology

Hello, ejaculation typically requires the coordinated action of the autonomic and somatic nervous systems.
This coordination causes the smooth muscles of the epididymis, vas deferens, seminal vesicles, and prostate to contract while simultaneously closing the bladder neck, allowing semen to flow into the posterior urethra.
The contraction of the bulbospongiosus muscle and the urethral bulb facilitates the rhythmic expulsion of semen through the urethral opening.
Although this intense muscle contraction can cause some discomfort, it usually does not lead to significant issues.
If discomfort persists, treatment options include medication and warm sitz baths.

Reply Date: 2004/11/14

More Info

Post-masturbation abdominal pain can be a concerning symptom for many individuals, and it's important to understand the potential causes and whether it warrants further investigation. While occasional discomfort after masturbation can be normal for some, persistent or severe pain, especially if it lasts into the next day, may indicate an underlying issue that should not be ignored.

There are several potential explanations for abdominal pain following masturbation:
1. Muscle Strain: During masturbation, various muscle groups, including those in the abdomen, may be engaged. If the activity is vigorous or involves awkward positions, it can lead to muscle strain, resulting in pain. This is particularly true if you are not accustomed to such physical exertion.

2. Pelvic Floor Tension: The pelvic floor muscles can become tense during sexual arousal and orgasm. If these muscles remain tense or are overexerted, it can lead to discomfort or pain in the lower abdomen. This tension can sometimes persist after the act, leading to prolonged discomfort.

3. Nerve Irritation: The act of masturbation can stimulate nerves in the pelvic region, and in some cases, this stimulation may lead to temporary nerve irritation or discomfort. This is usually transient but can be more pronounced in some individuals.

4. Gastrointestinal Issues: Sometimes, abdominal pain can be unrelated to the act of masturbation itself but rather coincidental. Conditions such as gas, bloating, or gastrointestinal disturbances can manifest as abdominal pain, which may be exacerbated by physical activity.

5. Infection or Inflammation: In some cases, abdominal pain can be a sign of an underlying medical condition, such as a urinary tract infection, pelvic inflammatory disease, or other reproductive health issues. If the pain is severe, persistent, or accompanied by other symptoms such as fever, unusual discharge, or changes in urination, it is essential to seek medical attention.

6. Psychological Factors: Anxiety and stress can also manifest as physical symptoms, including abdominal pain. If you are feeling anxious about the act of masturbation or its implications, this could contribute to your discomfort.

If you find that this pain occurs frequently or is severe enough to disrupt your daily activities, it is advisable to consult with a healthcare professional. They can perform a thorough evaluation, including a physical examination and possibly imaging studies, to rule out any serious underlying conditions.
In summary, while occasional abdominal pain after masturbation can be normal, persistent or severe pain should be taken seriously. It is essential to listen to your body and seek medical advice if you have concerns about your symptoms. Understanding the potential causes can help you address any underlying issues and ensure your overall health and well-being.

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