Hidden Pain: Urological Concerns During Sexual Activity

Dull pain

Hello, Dr.
Chen! I'm not sure if these symptoms have developed into a medical condition, but this dull pain has been bothering me.
I'm not certain if this issue falls within your area of expertise, but I kindly ask for your help.
Recently, during sexual intercourse and masturbation (with a fixed partner; frequent masturbation), I have experienced a brief, dull pain in the lower left abdomen at the moment of ejaculation and just before it.
This is an experience I have not encountered before.
What could be the solution? I eagerly await your detailed explanation!

yang, 20~29 year old female. Ask Date: 2002/04/24

Dr. Chen Xiuyi reply Urology

Pain in the lower left abdomen during ejaculation may be caused by: 1.
Infections of the urogenital tract, such as prostatitis, urethritis, or seminal vesiculitis.
2.
Pelvic congestion or vascular engorgement.
It is recommended that you visit a hospital for a semen analysis; if no issues are found, muscle relaxants may be used for treatment.

Reply Date: 2002/04/24

More Info

Experiencing pain during sexual activity or masturbation can be concerning and may indicate an underlying issue that warrants attention. Based on your description, it seems that you are experiencing a specific type of discomfort localized in the lower left abdomen during ejaculation. This could be related to several factors, and understanding them can help you address the issue effectively.

Firstly, it is important to recognize that sexual arousal and ejaculation involve a complex interplay of physiological responses. During sexual activity, the body undergoes various changes, including increased blood flow to the genital area, muscle contractions, and hormonal fluctuations. If you are experiencing pain specifically during ejaculation, it may be related to muscle tension or spasms in the pelvic region. The pelvic floor muscles play a crucial role in sexual function, and if they are overly tense or not functioning properly, they can lead to discomfort.

Another potential cause of your symptoms could be related to the prostate gland. The prostate is located just below the bladder and surrounds the urethra. During ejaculation, the prostate contracts to help expel semen. If there is any inflammation or irritation of the prostate, known as prostatitis, it can lead to pain during ejaculation. Symptoms of prostatitis can include pelvic pain, difficulty urinating, and discomfort during sexual activity.

Additionally, it is worth considering the possibility of a hernia, particularly an inguinal hernia, which can cause pain in the lower abdomen and may be exacerbated by physical activity, including sexual activity. A hernia occurs when an internal organ pushes through a weak spot in the abdominal wall, and it can lead to discomfort, especially during exertion.

In some cases, nerve-related issues can also contribute to pain during sexual activity. Conditions such as pudendal neuralgia, which involves irritation or damage to the pudendal nerve, can cause pain in the genital area and may be triggered by sexual activity.

Given the complexity of the symptoms you are experiencing, it is advisable to consult a urologist or a healthcare provider specializing in sexual health. They can perform a thorough evaluation, which may include a physical examination, imaging studies, and possibly laboratory tests to rule out infections or other underlying conditions.

In the meantime, here are some general recommendations that may help alleviate discomfort:
1. Relaxation Techniques: Engaging in relaxation exercises, such as deep breathing or pelvic floor relaxation, may help reduce muscle tension in the pelvic area.

2. Warm Compresses: Applying a warm compress to the lower abdomen may provide relief from discomfort and help relax the muscles.

3. Hydration: Staying well-hydrated can support overall urinary and sexual health.

4. Avoiding Excessive Stimulation: If you notice that certain activities exacerbate the pain, it may be helpful to reduce the frequency or intensity of those activities until you have a clearer understanding of the cause.

5. Communication with Partners: If you are engaging in sexual activity with a partner, open communication about comfort levels and any discomfort experienced can help create a more supportive environment.

In conclusion, while experiencing pain during sexual activity can be distressing, it is essential to approach the situation with a proactive mindset. Seeking medical advice will provide you with the necessary guidance to address your concerns and ensure your sexual health is maintained. Remember, you are not alone in this, and many individuals experience similar issues that can be effectively managed with the right support and treatment.

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