Penile Pain and Erection Issues After Frequent Masturbation

Masturbation can lead to pain at the base of the penis and erectile issues?

Hello Doctor: During the summer vacation, I engaged in masturbation more frequently.
In mid-September, I seemed to have overexerted myself during one session, resulting in a feeling of muscle tightness or strain at the base of my penis.
Following that, my penis began to shrink and I experienced a lack of sensation, as well as an inability to achieve an erection.
Subsequently, I had difficulty achieving an erection or maintaining firmness, along with a weak urinary stream, but there was no pain.
This condition persisted for about a week, and I began to feel mild soreness on the left side near the base of my penis, which was painful to the touch, but there were no visible signs of redness, swelling, or lumps.
After about two weeks, my morning erections became inconsistent, and I experienced pain at the base during erections, but there was still no improvement during the day.
After nearly a month, the quality of my erections remained inconsistent, and the frequency and severity of the pain at the base increased, although overall, my erections improved significantly; however, they were still inconsistent.

Doctor, am I experiencing issues with my erectile function due to frequent masturbation and excessive force, possibly injuring the smooth muscle of the corpus cavernosum (such as strain or inflammation)? While I seem to be recovering, could this lead to loss of elasticity or fibrosis in the smooth muscle, affecting erectile function even after recovery? However, when I do achieve an erection, it is generally normal and firm, but there is pain.

The main issue is the pain on the left side of the base of my penis, with inconsistent erectile function and pain during erections, although morning erections are generally decent.
I have a weak urinary stream, but there is no pain unless I exert some force while urinating, which causes pain.
Recently, over the past two days (despite applying heat), the frequency and intensity of the pain have increased, and my erectile function has worsened again.

P.S.
My penis appears normal with no abnormalities or lumps.
It has been about two months now, and while there are no visible issues and not much pain or swelling, my erectile function is still significantly affected, which worries me.
The pain is increasing and becoming more frequent (possibly due to the heat application?), while my erectile function has generally improved, which I find strange (the last time I had a good erection was last Tuesday morning).

HELP ME, 10~19 year old female. Ask Date: 2010/11/07

Dr. Xu Weikai reply Urology

Hello, as mentioned by the physician earlier, it may be due to factors such as muscle or soft tissue injury, fatigue, etc.
However, in severe cases, it could lead to injury of the penile corpus cavernosum, resulting in erectile rigidity impairment.
Recommendation: You may consider visiting a specialized hospital for erectile testing and penile cavernography.
If there are any unclear points, feel free to ask again for further discussion and research.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, responding to your concerns.

Reply Date: 2010/11/07

More Info

It sounds like you are experiencing a complex issue related to penile pain and erectile dysfunction following frequent masturbation. Based on your description, it seems that you may have strained the muscles or tissues around the base of the penis, which could lead to discomfort and issues with erections.
Firstly, it is important to understand that the penis is composed of erectile tissue, which includes the corpora cavernosa and the corpus spongiosum. These tissues are responsible for the ability to achieve and maintain an erection. Overexertion during masturbation can potentially lead to micro-tears in the smooth muscle or connective tissue, resulting in pain and temporary erectile dysfunction.
The symptoms you describe, such as the feeling of tightness, pain at the base of the penis, and fluctuating erectile function, could indeed be indicative of a strain or minor injury to the surrounding tissues. The fact that you are experiencing pain during erections and some discomfort while urinating suggests that there may be inflammation or irritation in the area.
It is also worth noting that psychological factors can play a significant role in erectile function. Anxiety about your symptoms, especially if you are concerned about potential long-term damage, can further exacerbate erectile issues. The mind-body connection is powerful, and stress or anxiety can lead to performance anxiety, which can affect your ability to achieve or maintain an erection.

Regarding your concerns about potential long-term effects, such as loss of elasticity or fibrosis of the smooth muscle, it is generally unlikely that a temporary strain would lead to permanent changes in the erectile tissue, especially if you are already noticing improvements in your erectile function. However, if the pain persists or worsens, or if you continue to experience significant erectile dysfunction, it would be advisable to consult a healthcare professional for a thorough evaluation.
In the meantime, here are some recommendations that may help alleviate your symptoms:
1. Rest: Allow your body time to heal. Avoid activities that may exacerbate the pain, including vigorous masturbation or sexual activity.

2. Heat Therapy: Applying a warm compress to the area may help relax the muscles and alleviate pain.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce inflammation and pain. However, consult with a healthcare provider before taking any medication.

4. Hydration: Ensure you are well-hydrated, as dehydration can sometimes contribute to urinary issues.

5. Pelvic Floor Exercises: Gentle pelvic floor exercises may help strengthen the muscles in the area and improve function.

6. Avoiding Anxiety: Try to manage any anxiety related to your symptoms. Techniques such as mindfulness, meditation, or talking to a trusted friend or therapist may be beneficial.

If your symptoms do not improve in a few weeks, or if they worsen, it is crucial to seek medical attention. A healthcare provider may recommend imaging studies or other diagnostic tests to rule out any underlying conditions, such as Peyronie's disease or other structural issues.
In conclusion, while it is possible that your symptoms are related to overexertion during masturbation, they may also be influenced by psychological factors. Monitoring your symptoms and seeking medical advice if they persist will be important for your recovery.

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