Pain During DIY: Insights on Urethral Discomfort and Solutions - Urology

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Hello, Director: Recently, during a DIY session, I experienced pain in my sphincter muscle, which contracted during the pain, similar to the sensation of constipation.
I also felt some abdominal discomfort.
After about 34 minutes, I ejaculated once, shooting 60 cm away, with three additional releases flowing from the glans.
The sphincter muscle also hurt during ejaculation, and I started to sweat a bit.
However, after finishing, the pain gradually subsided completely.
This is the first time in 13 years of sexual activity that I've experienced such discomfort; my other experiences have been pleasurable from start to finish.
Could you provide some guidance? PS.
During this DIY session, I pushed the foreskin just enough to stay at the center of the glans, not reaching the coronal ridge.
In previous DIY sessions, the glans was always covered by the foreskin, as it does not naturally expose itself when erect, with only about 1.2 cm of the foreskin visible at the urinary opening.
Thank you, Director.

Hualien Nan, 20~29 year old female. Ask Date: 2006/06/05

Dr. Chen Zhirong reply Urology


Hualien man: You described your symptoms quite thoroughly.
Are you referring to the urethral sphincter or the anal sphincter? During ejaculation, a man needs to engage the pelvic floor muscles to expel semen forcefully.
If it is the urethral sphincter, there may be concurrent symptoms of prostatitis.
If it is the anal sphincter, there may be concurrent issues with hemorrhoids.
If the same symptoms recur, it is advisable to seek outpatient consultation.
P.S.
Based on your description, you may be experiencing phimosis.
Thank you for your inquiry.

Reply Date: 2006/06/05

More Info


Understanding pain during DIY activities, particularly when it involves the urethral area, can be quite perplexing and concerning. Based on your description, it seems you experienced discomfort in the sphincter muscle, which is not uncommon during certain physical activities, especially those that may involve straining or unusual positions. Let’s break down the potential causes and solutions for your discomfort.


Possible Causes of Urethral Discomfort
1. Muscle Strain: Engaging in DIY tasks can sometimes lead to muscle strain, particularly if you're using your pelvic muscles in ways that are not typical. The sphincter muscle, which controls the release of urine and is involved during ejaculation, can become tense or strained, leading to discomfort.

2. Pelvic Floor Tension: The pelvic floor muscles, including the sphincter, can become overly tense due to various factors, including anxiety, physical strain, or even the positioning of your body during the activity. This tension can lead to a sensation similar to what you described—pain during contraction and a feeling of tightness.

3. Dehydration or Electrolyte Imbalance: Sometimes, physical exertion can lead to dehydration or an imbalance in electrolytes, which can cause muscle cramps or spasms. If you were sweating during the activity, this could be a contributing factor.

4. Infection or Inflammation: Although less likely given the context, any discomfort in the urethral area could also be a sign of an infection or inflammation. If the pain persists or is accompanied by other symptoms, it would be wise to consult a healthcare professional.

5. Psychological Factors: Anxiety or stress related to the activity can also manifest physically, leading to muscle tension and discomfort.

Solutions and Recommendations
1. Relaxation Techniques: Engage in relaxation techniques such as deep breathing or gentle stretching before and after your DIY activities. This can help alleviate muscle tension in the pelvic area.

2. Hydration: Ensure you are well-hydrated before engaging in any strenuous activities. This can help prevent muscle cramps and maintain overall muscle function.

3. Warm-Up and Cool Down: Just like any physical activity, warming up before and cooling down after can be beneficial. Gentle stretches focusing on the pelvic area can help prepare your muscles for activity and aid in recovery afterward.

4. Positioning: Pay attention to your body positioning during DIY tasks. If you find that certain positions lead to discomfort, try adjusting your stance or using tools that allow you to maintain a more comfortable posture.

5. Consult a Specialist: If the pain persists or if you experience any other concerning symptoms (such as changes in urination, blood in urine, or persistent pain), it would be advisable to consult a urologist or a pelvic floor specialist. They can provide a thorough examination and offer targeted treatment options.

6. Gradual Approach: If you are trying new techniques or activities, consider taking a gradual approach to allow your body to adjust without excessive strain.


Conclusion
Experiencing discomfort during DIY activities, particularly in the urethral area, can be unsettling. However, understanding the potential causes and implementing preventive measures can significantly help. If discomfort continues or worsens, seeking professional medical advice is crucial to rule out any underlying conditions. Remember, your health and comfort should always come first, and it's essential to listen to your body’s signals.

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