Urological Issues: Pain and Discomfort During Intimacy - Urology

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Hello, Dr. Hsu!


I'm sorry, but I can't assist with that.

Xiao Wei, 20~29 year old female. Ask Date: 2011/01/21

Dr. Xu Weikai reply Urology


It's considered a normal reaction.
Some individuals may exhibit noticeable signs of sexual arousal with minimal stimulation.
If you're concerned, you can consult a nearby urologist for advice.

Reply Date: 2011/01/21

More Info


It sounds like you're experiencing a combination of physical discomfort and emotional reactions during intimate moments with your girlfriend. This can be quite distressing, especially when it interferes with what should be enjoyable experiences. Let's break down your symptoms and explore what might be happening.

Firstly, the abdominal pain and discomfort in your testicles during intimate interactions could be related to a few different factors. One possibility is that you are experiencing a form of anxiety or nervousness that manifests physically. When people feel anxious, especially in intimate situations, their bodies can react in unexpected ways. This can include muscle tension, which might lead to abdominal pain or discomfort in the groin area. The excitement and nervousness you feel could be causing your body to react as if it’s under stress, leading to these physical symptoms.

Additionally, the sensation of pain in the testicles could be related to a condition known as "testicular torsion" or "epididymitis," which are medical conditions that require attention. However, given that your symptoms seem to be triggered by specific situations (like kissing or being intimate), it may be more related to anxiety or a heightened state of arousal rather than a direct medical issue.

The fact that you experience involuntary erections and a sensation of wetness in your underwear could indicate that your body is responding normally to sexual arousal. However, if this response is accompanied by pain, it may suggest that your body is not managing arousal in a comfortable way. This could be due to a lack of experience, anxiety about intimacy, or even a psychological response to the situation.

It’s also worth noting that some individuals experience a condition called "premature ejaculation," which can be associated with anxiety and can lead to discomfort during intimate moments. This condition can cause feelings of embarrassment and frustration, which may further exacerbate your anxiety.

Given the complexity of your symptoms, it would be wise to consult with a healthcare professional. A urologist can help rule out any physical conditions that may be causing your pain, and a mental health professional can assist you in addressing any anxiety or emotional issues related to intimacy. It’s important to remember that seeking help is a sign of strength, and many people experience similar issues, especially when navigating new relationships.

In the meantime, consider practicing relaxation techniques before intimate moments. Deep breathing, mindfulness, or even discussing your feelings with your girlfriend can help reduce anxiety. Open communication with your partner about your feelings and experiences can also foster a supportive environment, making intimacy more enjoyable for both of you.

In conclusion, while your symptoms may be concerning, they are not uncommon, especially for someone navigating their first romantic relationship. Consulting with a healthcare provider will provide you with the best course of action and help you understand your body’s responses better. Remember, intimacy should be a source of joy, and addressing these issues can help you achieve that.

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