Pain During Masturbation: Causes and Solutions - Urology

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During masturbation


Hello, Doctor: I masturbate about once or twice a week.
Each time I masturbate, when I rub the sides of the glans near the urethral opening, I experience a slight stinging sensation around the anal area.
If I avoid rubbing that area, there is no issue.
What could be causing this? What should I do? Am I at risk of having sexual function problems? I'm feeling very anxious.

Hei Zhu Rou, 20~29 year old female. Ask Date: 2006/07/24

Dr. Lai Ronghao reply Urology


Hello: Based on what you described, it is possible that excessive friction has caused some swelling and pain.
Please try not to be too anxious.
If the symptoms persist, I recommend that you refrain from masturbation for the time being, or visit a urology clinic for further examination and treatment.
Thank you!

Reply Date: 2006/07/24

More Info


Hello! Thank you for reaching out with your question regarding pain during masturbation. It's understandable to feel concerned when experiencing discomfort in such a sensitive area. Let's delve into the potential causes and solutions for the pain you're experiencing.

Firstly, the sensation of pain or discomfort around the anus during masturbation, particularly when stimulating the area around the urethra and glans (the tip of the penis), can be attributed to several factors. One common cause is friction. The skin in the genital area is delicate, and excessive or vigorous rubbing can lead to irritation or even micro-tears, resulting in a sharp or stinging sensation. If you're using little to no lubrication during masturbation, this could exacerbate the issue.
Another possibility is that the pain could be related to muscle tension in the pelvic floor. The pelvic floor muscles support the bladder, bowel, and reproductive organs. If these muscles are tense or overactive, they can lead to discomfort during sexual activities, including masturbation. This tension can sometimes manifest as pain in the anal area, especially if you're engaging in activities that involve clenching or straining.

In some cases, the pain could also be related to a condition known as prostatitis, which is inflammation of the prostate gland. This condition can cause discomfort in the pelvic region, including pain during ejaculation or even during masturbation. However, prostatitis is usually accompanied by other symptoms, such as difficulty urinating, frequent urination, or pain in the lower abdomen or back.

To address your concerns and alleviate the pain, here are some recommendations:
1. Use Lubrication: If you're not already using a lubricant, consider incorporating one into your masturbation routine. A water-based or silicone-based lubricant can reduce friction and help prevent irritation.

2. Gentle Technique: Pay attention to your technique. If you're applying a lot of pressure or rubbing vigorously, try to ease up and see if that helps reduce discomfort. Experiment with different motions and pressures to find what feels comfortable.

3. Pelvic Floor Relaxation: If you suspect that muscle tension may be contributing to your discomfort, consider practicing relaxation techniques for the pelvic floor. This can include deep breathing exercises, gentle stretching, or even pelvic floor physical therapy if necessary.

4. Monitor Symptoms: Keep track of when the pain occurs and any other symptoms that accompany it. If the pain persists or worsens, or if you experience additional symptoms such as changes in urination, it would be wise to consult a healthcare professional.

5. Consult a Specialist: If you're still concerned about the possibility of a more serious issue, such as prostatitis or another underlying condition, consider scheduling an appointment with a urologist. They can perform a thorough evaluation and provide tailored advice based on your specific situation.

It's important to remember that experiencing discomfort during masturbation is not uncommon, and many individuals face similar issues. Taking proactive steps to address the discomfort can often lead to improvement. If you have any further questions or concerns, please feel free to ask. Your health and well-being are paramount, and seeking guidance is a positive step toward understanding and resolving your concerns.

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