Post-Ejaculation Discomfort: Causes and When to Seek Help

After ejaculation, the penis feels sore?

Hello, Doctor: I would like to ask about a situation I’ve been experiencing.
A few days ago, after ejaculation, I have felt a persistent soreness in the glans of my penis for the past 3 to 4 days.
The discomfort is more pronounced when I touch the penis, but I do not have any pain or frequency issues when urinating.
However, after urination, I feel like I haven't completely emptied my bladder, and it seems like a few drops of urine leak out after I put my pants back on.
Additionally, when not erect, there is a constant sensation of soreness and tightness in the penis.
Recently, I have also experienced a cramping sensation in the perineal area, which feels hard and uncomfortable.
Could this be related? Is it possible that this is due to penile congestion, retrograde urine flow, excessive sexual activity, or other underlying issues? Should I seek medical attention for this? Thank you!

Shouhou, 30~39 year old female. Ask Date: 2015/02/26

Dr. Xu Weikai reply Urology

Hello, it seems that the symptoms may be caused by nerve hyperexcitability.
Local heat application can help alleviate the nerve excitement.
If there is no improvement, please seek medical attention as soon as possible.
If you have any further questions or need clarification, feel free to ask, and we can discuss it further.
Please remember that online responses should only be used as a reference; it is essential to visit a healthcare facility for proper evaluation.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/02/26

More Info

Understanding post-ejaculation discomfort can be quite complex, as it may stem from various causes, including physiological, psychological, or even behavioral factors. Based on your description, it seems you are experiencing discomfort in the glans (the head of the penis) after ejaculation, along with some urinary symptoms. Let's break down the potential causes and when you should consider seeking medical help.

Possible Causes of Post-Ejaculation Discomfort
1. Physiological Factors:
- Overstimulation: Frequent sexual activity or masturbation can lead to temporary discomfort due to overstimulation or irritation of the sensitive tissues in the genital area.

- Congestion: After ejaculation, blood flow to the penis decreases, but if there has been excessive stimulation, there may be residual congestion that can cause discomfort.

- Infection: Conditions such as prostatitis (inflammation of the prostate gland) or urethritis (inflammation of the urethra) can lead to discomfort after ejaculation. These conditions may also cause urinary symptoms, such as a feeling of incomplete voiding or discomfort during urination.

2. Psychological Factors:
- Anxiety or stress related to sexual performance or other life factors can manifest as physical symptoms, including discomfort in the genital area. Psychological factors can exacerbate the perception of pain or discomfort.

3. Behavioral Factors:
- Frequency of Sexual Activity: Engaging in sexual activity too frequently without adequate recovery time can lead to discomfort. It’s essential to allow your body time to recover after ejaculation.

- Technique: Sometimes, the technique used during sexual activity can lead to irritation or discomfort.

When to Seek Help
Given your symptoms, it is advisable to consult a healthcare professional if you experience any of the following:
- Persistent discomfort that does not improve with time or rest.

- Symptoms that worsen, such as increased pain, swelling, or redness.

- Any signs of infection, such as fever, chills, or unusual discharge.

- Urinary symptoms that become more pronounced, such as burning during urination, increased frequency, or urgency.

- Psychological distress related to your symptoms.

Recommendations
1. Self-Care:
- Allow your body time to recover by reducing the frequency of sexual activity or masturbation.
- Consider using lubrication during sexual activity to minimize irritation.

- Practice relaxation techniques to manage any anxiety that may be contributing to your discomfort.

2. Medical Evaluation:
- If symptoms persist or worsen, schedule an appointment with a urologist or your primary care physician. They can perform a thorough evaluation, including a physical examination and possibly some tests (like urine analysis or imaging) to rule out infections or other underlying conditions.

3. Open Communication:
- If you are in a sexual relationship, communicate with your partner about your discomfort. This can help alleviate any performance anxiety and create a supportive environment for discussing sexual health.

In conclusion, while post-ejaculation discomfort can be common and often resolves on its own, it is essential to pay attention to your body and seek professional help if symptoms persist or worsen. Your health and comfort are paramount, and a healthcare professional can provide the guidance and treatment necessary to address your concerns effectively.

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