Discomfort in Lower Abdomen and Testicles After Frequent Sex: Causes and Concerns

Discomfort in the lower abdomen and testicles after sexual intercourse?

Hello Doctor, during the winter break, my girlfriend and I had more free time, so we engaged in sexual activity more frequently, lasting for seven consecutive days.
Today, I suddenly felt some discomfort in my lower left abdomen and testicle; it’s not very painful, just a bit of a bloated feeling.
Could this be related to having sex too often? I have a history of chronic prostatitis; is it possible that this could have recurred? If so, what should I be aware of? It has been a while, so I have forgotten what the doctor previously advised me.
Thank you for your help! :)

Xiangxiang, 20~29 year old female. Ask Date: 2014/02/11

Dr. Xu Weikai reply Urology

Hello, first check for any signs of prostatitis or infections in other areas.
Additionally, it could be caused by neuropathic pain or muscle soreness.
Local heat therapy may help improve the condition.
If there is no improvement, it may be related to an infection, and you should seek medical attention.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; if necessary, it is important to visit a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2014/02/11

More Info

Experiencing discomfort in the lower abdomen and testicles after frequent sexual activity can be concerning, and it is essential to understand the potential causes and implications of these symptoms. Based on your description, it seems that you have engaged in a period of increased sexual activity, which may contribute to the discomfort you are feeling.
Firstly, frequent sexual activity can lead to various physical responses in the body. The discomfort you are experiencing could be attributed to several factors, including muscle strain, pelvic congestion, or even inflammation of the prostate (prostatitis), especially since you mentioned a history of chronic prostatitis. Prostatitis can cause symptoms such as pelvic pain, discomfort in the lower abdomen, and testicular pain. Engaging in sexual activity frequently may exacerbate these symptoms, particularly if the prostate is already inflamed or irritated.

Additionally, the discomfort could also be related to other conditions such as epididymitis, which is inflammation of the epididymis (the tube that carries sperm from the testicles). This condition can cause pain and swelling in the testicles and may be associated with infections, including sexually transmitted infections (STIs). Given your history of sexual activity, it is prudent to consider the possibility of STIs as a contributing factor to your symptoms.

It is also worth noting that prolonged sexual activity can lead to temporary changes in the body, such as increased blood flow to the pelvic area, which might result in a feeling of fullness or pressure. However, if the discomfort persists or worsens, it is crucial to seek medical attention to rule out any serious underlying conditions.

In terms of what you should do next, here are some recommendations:
1. Monitor Symptoms: Keep track of your symptoms, noting any changes in intensity, duration, or additional symptoms such as fever, swelling, or discharge. This information will be helpful for your healthcare provider.

2. Rest and Hydration: Allow your body some time to rest and recover. Staying hydrated can also help alleviate some discomfort.

3. Avoid Irritants: If you notice that certain activities exacerbate your discomfort, consider reducing or avoiding them until you can consult a healthcare professional.

4. Seek Medical Attention: Given your history of prostatitis and the current symptoms, it is advisable to consult a healthcare provider. They may perform a physical examination, order tests (such as urine tests or imaging studies), and provide a diagnosis. If an infection is suspected, appropriate treatment, such as antibiotics, may be necessary.

5. Discuss Sexual Health: If you have concerns about STIs or other sexual health issues, it is essential to discuss these with your healthcare provider. They can recommend appropriate testing and preventive measures for future sexual encounters.

In conclusion, while discomfort in the lower abdomen and testicles after frequent sexual activity can be related to various benign causes, it is crucial to take these symptoms seriously, especially considering your history of chronic prostatitis. Seeking medical advice will help ensure that you receive the appropriate care and guidance tailored to your specific situation.

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