Abdominal Pain After Masturbation: Causes and Concerns

Abdominal pain after masturbation?

Hello, doctor: I have had a habit of masturbation for a while, but during the last two times, I experienced significant abdominal pain, especially after ejaculation, which was even more severe.
I am unsure what kind of condition this might be and why it has suddenly occurred.
Thank you, doctor.

Houzi, 20~29 year old female. Ask Date: 2005/12/11

Dr. Xu Weikai reply Urology

After engaging in DIY activities or sexual intercourse, some individuals may experience localized muscle soreness due to prolonged erection or excessive rigidity, particularly in the muscle groups near the pubic area.
In severe cases, this can lead to lower abdominal pain and even neurological symptoms such as diarrhea.
I suggest applying a warm towel to the lower abdomen after ejaculation, which should help alleviate the discomfort.

Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology, Taitung Hospital, Ministry of Health and Welfare

Reply Date: 2005/12/11

More Info

Experiencing abdominal pain after masturbation can be concerning, and it's important to understand the potential causes and implications. While occasional discomfort can be normal, persistent or severe pain warrants further investigation.

There are several possible reasons for abdominal pain following masturbation:
1. Muscle Strain: During masturbation, especially if done vigorously or in awkward positions, you may inadvertently strain the abdominal muscles. This can lead to localized pain, particularly if you are engaging in prolonged or intense activity.

2. Pelvic Floor Tension: The pelvic floor muscles play a significant role during sexual arousal and orgasm. If these muscles are overly tense or if there is a spasm, it can lead to discomfort or pain in the lower abdomen.

3. Nerve Irritation: The act of ejaculation involves a complex interplay of nerves and muscles. If there is any irritation or compression of the nerves in the pelvic region, it could result in pain during or after the act.

4. Inguinal Hernia: If you have a hernia, the physical exertion associated with masturbation could exacerbate the condition, leading to pain. Hernias occur when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall.

5. Prostatitis: Inflammation of the prostate gland can cause pain in the lower abdomen, especially during ejaculation. This condition can be acute or chronic and may require medical evaluation.

6. Infection: Urinary tract infections (UTIs) or sexually transmitted infections (STIs) can also lead to abdominal pain. If you notice other symptoms such as burning during urination, fever, or unusual discharge, it is essential to seek medical attention.

7. Psychological Factors: Anxiety and stress can manifest physically, leading to muscle tension and discomfort. If you have underlying anxiety about sexual activity or health concerns, this could contribute to your symptoms.

Given that you mentioned this pain is a recent development, it is essential to consider any changes in your routine, health status, or stress levels that may have coincided with the onset of this pain.
If the pain persists, worsens, or is accompanied by other symptoms such as fever, changes in bowel habits, or urinary issues, it is crucial to consult a healthcare professional. They may perform a physical examination, take a detailed medical history, and possibly order imaging studies or laboratory tests to determine the underlying cause of your symptoms.

In summary, while occasional abdominal discomfort after masturbation can be benign, persistent or severe pain should not be ignored. Understanding the potential causes can help you address the issue effectively, and seeking medical advice is the best course of action if you have concerns about your health.

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