Lower Back Pain: Is It Related to Prostate Issues? - Urology

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Lower back pain sensation


Hello, doctor: Recently, I suddenly started feeling lower back pain, especially when bending down to pick things up.
Over the past three months, I have been engaging in sexual activity quite frequently, averaging about five times a week.
Could this be the cause of my symptoms? Is it related to a prostate issue? Do I need treatment, or would it be sufficient to reduce sexual activity and rest more? Thank you for your help.

Da Tou, 20~29 year old female. Ask Date: 2014/08/04

Dr. Xu Weikai reply Urology


Hello, regarding your lower back pain, there are many potential causes, and further examinations are needed, such as X-rays, ultrasounds, and urinalysis.
Generally, there is not a strong correlation with the prostate.
If you have any further questions, feel free to ask, and we can discuss and research together.
Please note that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/08/04

More Info


Lower back pain can be a complex issue, and while it may not always be directly related to prostate problems, there are several factors to consider that could contribute to your symptoms.
Firstly, it’s important to understand that the lower back is a region that can be affected by various musculoskeletal issues, including muscle strain, ligament sprain, or even disc problems. The act of bending over to pick something up can put significant strain on the lower back, especially if done improperly or if the muscles are weak or fatigued. If you have recently increased your physical activity or changed your routine, this could also lead to muscle soreness or strain.

Regarding your concerns about sexual activity and its potential link to lower back pain, it’s worth noting that frequent sexual activity itself is generally not a direct cause of back pain. However, certain positions or movements during sexual activity can strain the lower back, particularly if you are not using proper body mechanics or if you have underlying musculoskeletal issues. If you have been experiencing discomfort during or after sexual activity, it might be beneficial to evaluate your positions and techniques to ensure they are not contributing to your pain.

As for the possibility of prostate issues, it’s important to recognize that prostate problems, such as prostatitis or benign prostatic hyperplasia (BPH), can sometimes cause discomfort that may be felt in the lower back or pelvic region. Symptoms of prostate issues can include pain during urination, difficulty urinating, or pelvic pain. If you are experiencing any of these symptoms alongside your lower back pain, it would be advisable to consult a healthcare provider for a thorough evaluation.

In terms of treatment, if your lower back pain is primarily due to muscle strain, conservative measures such as rest, ice or heat application, and over-the-counter pain medications (like NSAIDs) may be effective. Engaging in gentle stretching and strengthening exercises for the lower back and core can also help alleviate pain and prevent future episodes. If you find that your pain persists or worsens, or if you develop additional symptoms (such as numbness, tingling, or weakness in the legs), it would be prudent to seek medical attention.

Reducing the frequency of sexual activity may provide some relief if you suspect it is contributing to your discomfort, but it is not a guaranteed solution. Instead, focusing on overall physical health, including maintaining a healthy weight, staying active, and practicing good posture, can be beneficial in managing and preventing lower back pain.

In summary, while lower back pain can be multifactorial, it is essential to consider both musculoskeletal and potential prostate-related issues. If your symptoms continue or if you have concerns about prostate health, consulting a healthcare professional for a comprehensive evaluation and tailored treatment plan is recommended.

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