Pelvic Pain After Ejaculation: When to Seek Medical Help

Penis

Hello doctor, regarding the issue from last time, after some recent DIY activities, I have experienced a sensation of ejaculation but managed to refrain from it.
However, for the past 2-3 days, I have had a slight pain between my pelvis and thighs, which I only feel when touched.
There is no pain while walking or urinating.
Could this be inflammation of the vas deferens? Should I see a doctor, or will it resolve on its own? In your response, you mentioned various conditions such as muscle soreness, nerve pain, inflammation, and infection.
What characteristics would indicate inflammation or infection? After taking a shower and rinsing with hot water for 5-10 minutes, the pain disappears, and the next day I only feel a slight discomfort, which is much better than the previous day.
Additionally, is there a possibility that I have caused any damage to my liver or kidney function?

Jia, 20~29 year old female. Ask Date: 2011/09/20

Dr. Xu Weikai reply Urology

Hello, how are your liver and kidneys? If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2011/09/20

More Info

Pelvic pain after ejaculation can be a concerning symptom, and it is essential to understand the potential causes and when to seek medical help. Based on your description, it seems you are experiencing discomfort in the pelvic region and inner thighs, which may be related to the reproductive system or surrounding structures.

Possible Causes of Pelvic Pain
1. Muscle Strain or Tension: Engaging in activities that involve the pelvic floor muscles can lead to strain or tension, resulting in pain. This could be exacerbated by activities such as DIY projects that require physical exertion.

2. Inflammation or Infection: Conditions such as epididymitis (inflammation of the epididymis) or prostatitis (inflammation of the prostate) can cause pelvic pain. Symptoms of inflammation or infection may include:
- Pain during urination or ejaculation
- Swelling in the testicular area
- Fever or chills (in the case of infection)
- Discharge from the penis (in some infections)
3. Nerve Irritation: Sometimes, pelvic pain can stem from nerve irritation or entrapment, which may not be directly related to the reproductive organs but can cause referred pain in the pelvic area.

4. Referred Pain: Pain can sometimes be referred from other areas, such as the lower back or hips, which may contribute to the discomfort you are feeling.

When to Seek Medical Help
You should consider seeking medical attention if:
- The pain persists or worsens over the next few days.

- You experience additional symptoms such as fever, chills, or unusual discharge.

- You have difficulty urinating or notice blood in your urine.

- The pain significantly interferes with your daily activities or quality of life.

Self-Care and Management
In the meantime, there are several self-care measures you can take to alleviate discomfort:
- Heat Therapy: As you mentioned, using warm water in the shower can help relieve pain. Heat can relax tense muscles and improve blood flow to the area.

- Rest: Avoid activities that may exacerbate the pain, and allow your body time to recover.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce inflammation and alleviate pain. However, consult with a pharmacist or healthcare provider if you have any concerns about interactions or contraindications.

Concerns About Liver and Kidney Function
Regarding your concerns about potential liver or kidney damage, it is unlikely that the symptoms you are experiencing are directly related to these organs unless you have a history of liver or kidney disease. If you have not experienced any symptoms such as jaundice (yellowing of the skin or eyes), dark urine, or significant changes in urination patterns, it is less likely that these organs are affected. However, if you have any underlying health conditions or are taking medications that could impact liver or kidney function, it is advisable to discuss this with a healthcare professional.

Conclusion
In summary, while mild pelvic pain after ejaculation may resolve on its own, it is essential to monitor your symptoms closely. If the pain persists or if you develop additional symptoms, seeking medical attention is crucial for proper evaluation and treatment. Remember, your health is paramount, and it is always better to err on the side of caution when it comes to potential infections or inflammatory conditions.

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