Post-Ejaculation Pain: Causes and Concerns

Post-ejaculation issues?

I recently learned that some people do not experience any discomfort after ejaculation, which made me question my own situation.
Personally, after ejaculation (when my penis becomes flaccid), I feel a slight pain on the glans (the surface of the glans), which lasts about 20 to 40 minutes.
During this time, urination is normal and does not cause any discomfort.
However, if I attempt to achieve an erection again after the first ejaculation, the original pain sensation seems to disappear.
After a second ejaculation, I experience a bit of pain again.
Could you please explain what issues I might have and what I should pay attention to? Is this something that only I experience? Thank you.

Wuzhiren, 30~39 year old female. Ask Date: 2006/06/12

Dr. Lin Wenxu reply Urology

Regarding the question you raised, to be honest, I'm not quite clear on what your issue is.
I recommend that you visit the urology clinic in person for a more detailed examination, which will allow us to provide you with a clearer answer.
Thank you!

Reply Date: 2006/06/12

More Info

Post-ejaculation pain, also known as post-orgasmic illness syndrome (POIS), can be a perplexing and concerning experience for many individuals. It is important to understand that while some men may experience discomfort or pain after ejaculation, it is not universally experienced and can vary significantly from person to person.
In your case, the pain you describe occurring at the glans (the tip of the penis) after ejaculation could be attributed to several factors. One common cause is the sensitivity of the glans and surrounding tissues. After ejaculation, the penis undergoes a series of physiological changes, including a decrease in blood flow and a reduction in size, which can lead to temporary discomfort. This sensitivity can be heightened in some individuals, leading to a sensation of pain or discomfort.

Another potential cause of post-ejaculation pain is the contraction of the pelvic floor muscles during orgasm. These muscles play a crucial role in ejaculation, and their subsequent relaxation can sometimes lead to a feeling of soreness or discomfort. Additionally, if there is any underlying inflammation or irritation in the genital area, such as from a previous infection or friction during sexual activity, this could also contribute to the pain you are experiencing.

It is also worth considering the psychological aspect of sexual activity. Anxiety or stress related to sexual performance or experiences can manifest physically, potentially leading to discomfort during or after ejaculation. If you find that your pain is accompanied by feelings of anxiety or if it is affecting your sexual experiences, it may be beneficial to speak with a healthcare professional who can provide guidance and support.

In terms of frequency, experiencing pain after the first ejaculation and then again after subsequent ejaculations is not uncommon. Some men report that the pain diminishes with repeated sexual activity, which may be due to increased tolerance or desensitization of the area. However, if the pain persists or worsens, it is essential to consult a healthcare provider for a thorough evaluation. They may recommend tests to rule out any underlying conditions, such as infections, prostatitis, or other urological issues.

To manage the discomfort you are experiencing, consider the following tips:
1. Gentle Care: After ejaculation, allow your body some time to recover. Avoid any further stimulation until the discomfort subsides.

2. Warm Compress: Applying a warm compress to the area may help alleviate pain and promote relaxation of the pelvic muscles.

3. Hydration: Ensure you are well-hydrated, as dehydration can sometimes exacerbate discomfort.

4. Communication: If you are engaging in sexual activity with a partner, communicate openly about your experiences and any discomfort you may be feeling. This can help reduce anxiety and improve the overall experience.

5. Consultation: If the pain continues or if you have any concerns about your sexual health, do not hesitate to reach out to a healthcare professional. They can provide personalized advice and treatment options based on your specific situation.

In conclusion, while post-ejaculation pain can be concerning, it is not uncommon and can have various causes. Understanding your body and seeking professional guidance when needed can help you manage and alleviate any discomfort you may experience. Remember, you are not alone in this, and many men experience similar sensations.

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