Post-Sexual Pain and Discharge: A Urology Perspective

Supplement to the previous question?

Hello Dr.
Chen: I would like to provide additional information regarding my previous question to assist you in your assessment.
After intercourse, I experience pain in my penis that lasts for one to two days.
Additionally, each time I have a bowel movement, I notice a thick substance leaking from my genital area, which does not seem to be semen.
I wonder if this could be prostatic fluid.
Is there a way to improve this condition? I would appreciate your response.
Thank you!

Tòng, 30~39 year old female. Ask Date: 2006/05/09

Dr. Chen Zhirong reply Urology

Hello, regarding semen volume, there is no direct relationship between ejaculation or nocturnal emissions and fertility; the actual factor that matters is the quality of sperm.
The quality of sperm is closely related to the levels of male hormones, whether there is inflammation of the prostate, the viability of the sperm environment, and whether the vas deferens is obstructed.
These conditions need to be evaluated through a medical consultation.
Evaluation may include blood tests, semen analysis, and transrectal ultrasound of the prostate.
Whether improvements can be made will depend on the results of these tests.
As for the issue of premature ejaculation, it is another concern related to sexual function, where the problem may lie in the brain's control center failing to appropriately manage ejaculation or in the excessive sensitivity of the glans.
These situations also require a medical evaluation.

Reply Date: 2006/05/09

More Info

Understanding post-sexual pain and discharge can be complex, as it involves various physiological and anatomical factors. Based on your description, it seems you are experiencing pain in the penis after sexual intercourse, lasting one to two days, along with a thick discharge from the genital area during bowel movements. This situation raises several important considerations from a urological perspective.

Firstly, the pain experienced after sexual activity could be attributed to several factors. One common cause is the phenomenon known as "post-coital pain," which can occur due to various reasons including muscle strain, irritation, or inflammation of the genital tissues. If the pain is localized to the penis, it may be related to the glans (the head of the penis) or the urethra (the tube through which urine and semen exit the body).
Another potential cause of post-sexual pain could be related to the prostate gland. The prostate can become engorged during sexual arousal and ejaculation, and in some cases, it may lead to discomfort or pain if there is any underlying inflammation or infection, such as prostatitis. Prostatitis can cause pelvic pain, urinary symptoms, and even discharge, which may explain the thick fluid you are experiencing.

Regarding the discharge you mentioned, if it is not semen and appears thick, it could potentially be prostatic fluid. The prostate produces a significant amount of fluid that contributes to semen, but it can also release fluid independently, especially if there is irritation or inflammation. If the discharge is accompanied by other symptoms such as burning during urination, blood in the urine, or fever, it would be crucial to seek medical attention, as these could indicate an infection or other underlying condition.

It is also essential to consider the possibility of sexually transmitted infections (STIs), which can cause similar symptoms. Discharge that is unusual in color, consistency, or odor, along with pain, warrants a thorough evaluation by a healthcare professional. Testing for STIs, including chlamydia and gonorrhea, may be necessary to rule out these infections.

In terms of management and improvement of your symptoms, it is advisable to consult with a urologist or a healthcare provider specializing in male reproductive health. They can perform a physical examination, possibly including a digital rectal exam to assess the prostate, and may recommend tests such as urinalysis, cultures, or imaging studies to determine the underlying cause of your symptoms.
In the meantime, consider the following general recommendations:
1. Hydration: Drink plenty of fluids to help flush out the urinary system.

2. Avoid irritants: Limit or avoid substances that may irritate the urinary tract, such as caffeine, alcohol, and spicy foods.

3. Rest: Allow your body time to recover after sexual activity, especially if you experience discomfort.

4. Communication: Discuss any discomfort with your partner to ensure that both of you are comfortable during sexual activity.

In conclusion, while post-sexual pain and discharge can be concerning, many underlying causes are treatable. A thorough evaluation by a healthcare professional will provide clarity and guide appropriate management to improve your symptoms and overall sexual health.

Similar Q&A

Understanding Male Urethral Infections: Causes Beyond Sexual Activity

Hello, doctor. I haven't had sexual intercourse for six months. On the night of April 13, I noticed pain while urinating. I didn't think much of it at first, as I attributed it to occasional cramping sensations. However, the pain persisted and worsened by the evening of...

Dr. Cai Zhuorong reply Urology
If you want to seek a second opinion, it is advisable to make a copy of the initial examination report.

Understanding Urethral Discharge After Intense Sexual Activity

My boyfriend and I are in a long-distance relationship, and we usually meet for a few days every few months for intensive sexual activity. About two weeks after our first sexual encounter, he informed me that he had discharge from his urethra (white and clear). We both tested neg...

Dr. Du Shixi reply Urology
Hello: Intensive sexual activity in a short period can lead to urinary tract infections (such as prostatitis or urethritis). However, if there is no pain during urination and the urine is not cloudy, it is less likely to be the case. A urine test should be conducted for proper di...

Understanding Urination Issues: Pain, Discharge, and Treatment Insights

Hello Doctor, I am the patient who previously mentioned possible ligament pain. When I do not apply the ointment, it is indeed not a ligament issue. I also mentioned that I have been taking the medications prescribed by you: Acetaminophen (Tylenol) and Cephalexin (antibiotic take...

Dr. Du Shixi reply Urology
Hello: If you have had unprotected sexual intercourse recently, it is advisable to discuss this with your physician. 1. Most of the time, tests may not show any significant findings or only mild inflammation, which can be resolved with a few days of antibiotics, and you can retur...

Understanding Pain and Discharge from the Glans: Possible Causes and Solutions

I'm not a doctor, but it sounds like you may be experiencing symptoms that could be related to a few different issues, such as a possible infection or irritation. The yellowish discharge and pain during urination could indicate a urinary tract infection (UTI) or possibly a s...

Dr. Xu Weikai reply Urology
Hello, you may have urethritis. It is advisable to seek medical attention. It is recommended to conduct bacterial and related tests on the discharge. If an infection is confirmed, it is best for the female partner to also seek medical care. If there are any unclear points, feel f...