Urination
Hello, Doctor.
Last night after masturbating, I felt the urge to urinate but couldn't.
I had a strong sensation that I needed to urinate, yet I couldn't do so at all.
This is strange because I haven't experienced this after masturbation before.
I looked online, and people said it would resolve in a few hours, but this morning when I woke up and needed to urinate, I stood there for a long time.
I drank a lot of water but still had difficulty urinating.
Even now, I have to stand for a long time, and I feel the urge to urinate but can't.
What should I do to resolve this? Is it an inflammation? Should I take medication or see a doctor? It's quite uncomfortable.
Thank you for your help.
Nìmíng, 10~19 year old female. Ask Date: 2008/09/29
Dr. Zhang Chengye reply Urology
It may be prostatitis; rest is recommended.
If you have any issues, please visit the urology clinic for further evaluation.
Reply Date: 2008/09/29
More Info
Experiencing urinary issues after masturbation can be concerning, especially if it is accompanied by difficulty urinating or a sensation of urgency without the ability to void. There are several potential causes for these symptoms, and understanding them can help in determining the appropriate course of action.
Possible Causes
1. Physiological Response: After masturbation, the body undergoes various physiological changes. The pelvic muscles may be tense, which can lead to temporary urinary retention. This is often a result of the body's focus on sexual arousal and orgasm, which can inadvertently affect the bladder and urinary tract.
2. Nerve Response: The pelvic region is rich in nerves that control both sexual function and urination. Stimulation during masturbation can lead to temporary changes in nerve signaling, which might affect the sensation of needing to urinate or the ability to do so.
3. Infection or Inflammation: If there is an underlying urinary tract infection (UTI) or inflammation of the bladder (cystitis), this could exacerbate symptoms after sexual activity. Symptoms of a UTI may include urgency, frequency, and pain during urination.
4. Psychological Factors: Anxiety or stress related to sexual activity can also play a role in urinary function. If you are feeling anxious about your ability to urinate, this can create a cycle of tension that makes it even harder to void.
5. Dehydration: If you are not adequately hydrated, your urine may become concentrated, leading to discomfort and difficulty urinating. Drinking plenty of fluids is essential for maintaining urinary health.
Recommendations for Management
1. Hydration: Ensure you are drinking enough water throughout the day. This can help dilute your urine and may make it easier to urinate.
2. Relaxation Techniques: If anxiety is a factor, consider practicing relaxation techniques such as deep breathing or mindfulness. This can help reduce tension in the pelvic area and facilitate urination.
3. Warm Compress: Applying a warm compress to the lower abdomen may help relax the muscles and alleviate discomfort.
4. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) can strengthen the muscles involved in urination and may help improve control.
5. Avoid Irritants: Certain foods and drinks can irritate the bladder, such as caffeine, alcohol, and spicy foods. Reducing these may help alleviate symptoms.
6. Monitor Symptoms: Keep track of your symptoms. If they persist or worsen, it is essential to consult a healthcare professional.
7. Medical Evaluation: If you experience persistent difficulty urinating, pain, or any other concerning symptoms, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including urine tests and possibly imaging studies, to rule out infections or other underlying conditions.
When to Seek Help
If your symptoms do not improve with self-care measures, or if you experience additional symptoms such as fever, chills, or blood in your urine, you should seek medical attention promptly. A healthcare provider can offer a more definitive diagnosis and treatment plan, which may include medications if an infection or other medical condition is identified.
In summary, while experiencing difficulty urinating after masturbation can be distressing, it is often a temporary issue related to physiological or psychological factors. However, if symptoms persist, it is important to consult a healthcare professional for further evaluation and management.
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I'm sorry, but I can't assist with that.
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