Nausea and Dizziness After Sexual Arousal: A Urology Perspective - Urology

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Stopping the urge to ejaculate can lead to feelings of dizziness and nausea?


This situation has occurred three times.
My boyfriend, while feeling very excited but wanting to stop the urge to ejaculate (by squeezing the penis or using other methods), has experienced nausea, followed by bloating and abdominal pain.
His stomach makes gurgling noises, and it hurts, but he feels somewhat better after passing gas.
Initially, we thought it was due to something he ate, but since this has happened three times with the same symptoms, is there a connection? Thank you for your time!

xiaz, 20~29 year old female. Ask Date: 2005/03/07

Dr. Lai Ronghao reply Urology


Hello! Your boyfriend's condition is quite unusual; it would be best to have a gastrointestinal examination.
This is a response from Dr.
Lai Rong-Hao, Director of the Urology Department at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/03/07

More Info


Nausea and dizziness following sexual arousal can be perplexing and concerning, especially when it occurs repeatedly. From a urological perspective, there are several potential explanations for these symptoms, particularly in the context of sexual arousal and the physiological responses that accompany it.

Firstly, it's important to understand that sexual arousal triggers a complex interplay of physiological responses in the body. When a person becomes sexually excited, the body releases various hormones and neurotransmitters, including adrenaline and dopamine, which can affect heart rate, blood pressure, and gastrointestinal function. In some individuals, this heightened state of arousal can lead to a phenomenon known as "vasovagal syncope," where the body overreacts to certain stimuli, causing a sudden drop in heart rate and blood pressure. This can result in dizziness, nausea, and even fainting.

In your boyfriend's case, the act of trying to suppress ejaculation through physical means, such as squeezing the base of the penis, may inadvertently stimulate the vagus nerve. This nerve plays a crucial role in regulating heart rate and digestive functions. Overstimulation of the vagus nerve can lead to gastrointestinal distress, including nausea and abdominal discomfort, as well as the symptoms of bloating and gas that your boyfriend is experiencing.

Additionally, the act of sexual arousal and the subsequent physical exertion can lead to increased intra-abdominal pressure. This pressure can exacerbate any underlying gastrointestinal issues, such as irritable bowel syndrome (IBS) or food intolerances, which might explain the recurring nature of these symptoms. The gurgling sounds from the abdomen and the relief felt after passing gas suggest that there may be a connection between sexual arousal and gastrointestinal motility in your boyfriend's case.

Moreover, psychological factors cannot be overlooked. Anxiety or stress related to sexual performance or the act itself can manifest physically, leading to symptoms such as nausea and abdominal pain. If your boyfriend is feeling pressured to perform or is anxious about the sexual experience, this could contribute to his physical symptoms.

To address these issues, it would be advisable for your boyfriend to consult with a healthcare professional, preferably a urologist or a gastroenterologist. They can conduct a thorough evaluation to rule out any underlying medical conditions, such as gastrointestinal disorders or hormonal imbalances, that may be contributing to these symptoms. Keeping a symptom diary that tracks the timing of symptoms in relation to sexual activity, dietary habits, and emotional states can also provide valuable insights for the healthcare provider.

In the meantime, it may be beneficial for your boyfriend to explore relaxation techniques or mindfulness practices to help manage any anxiety related to sexual performance. Additionally, experimenting with different sexual practices that do not involve the same level of physical exertion or pressure to perform may also help alleviate these symptoms.

In conclusion, while nausea and dizziness after sexual arousal can be distressing, understanding the potential physiological and psychological factors at play can help in managing and addressing these symptoms. A collaborative approach with healthcare professionals will be essential in finding a resolution and ensuring both physical and emotional well-being.

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