Pelvic Pain: Causes and Concerns in Young Men - Urology

More Info

---

Pelvic pain in young men can be a complex issue, often stemming from a variety of causes. Based on your description, it seems that your pain is associated with prolonged erections and possibly the physiological responses of your body during sexual arousal. This is not uncommon, especially in young men who may experience heightened sensitivity and prolonged erections during intimate moments, such as hugging and kissing.

One potential explanation for your discomfort is pelvic congestion, which occurs when blood vessels in the pelvic area become engorged due to prolonged arousal without ejaculation. When the penis remains erect for an extended period, the blood flow increases, and if ejaculation does not occur, this can lead to a feeling of fullness or discomfort in the pelvic region. The pain you experience in the triangular area formed by the ASIS (anterior superior iliac spine), pubic symphysis, and the scrotum may be a result of this congestion, as the surrounding muscles and nerves can become tense or irritated.

Another possibility is that the pain could be related to muscle strain or tension in the pelvic floor muscles. These muscles can become tight or overworked during prolonged periods of arousal or tension, leading to discomfort. Additionally, if you are maintaining a certain posture for an extended time while being intimate, this could also contribute to muscle strain in the pelvic area.

It's also worth considering that your symptoms could be indicative of a condition known as "blue balls," which is a colloquial term for the discomfort that can occur when sexual arousal does not lead to ejaculation. This condition is generally benign and can be relieved through ejaculation or simply allowing time for the body to return to its normal state.

Given that you mentioned the pain subsides after resting for a few hours, this further supports the idea that the discomfort is likely related to temporary physiological changes rather than a serious underlying condition. However, if the pain persists, worsens, or is accompanied by other symptoms such as swelling, fever, or changes in urination, it would be prudent to consult a healthcare professional for a thorough evaluation.

In the meantime, you might consider some self-care measures to alleviate your discomfort. Applying a warm compress to the pelvic area can help relax the muscles and improve blood flow, potentially reducing pain. Additionally, practicing relaxation techniques and ensuring that you are not holding tense positions for too long during intimate moments may also be beneficial.

If you find that your symptoms continue to affect your quality of life or if you have concerns about your sexual health, seeking advice from a urologist or a healthcare provider specializing in men's health would be a wise step. They can provide a more personalized assessment and recommend appropriate treatments or lifestyle adjustments to help manage your symptoms effectively. Remember, open communication with your partner about your experiences and comfort levels can also enhance your intimate experiences and reduce anxiety related to sexual activity.