Post-Ejaculation Pain and Urinary Issues: What You Need to Know

Q: Post-Ejaculation Pain and Urinary Issues: What You Need to Know

Kevin： Hello! 1. You can apply local heat after ejaculation. Sometimes prolonged erection can lead to poor local blood circulation, causing soreness. 2. This issue may not be easily resolved. Here are some methods used by other patients. The few drops of u

Experiencing mild pain after ejaculation for a period of time?

Hello Doctor:
1.
Recently, I have been experiencing slight pain in the epididymis after ejaculation, which takes a few days to subside.
Do I need to take medication? Will this affect my reproductive quality?
2.
I have noticed that after urinating, I am unable to completely empty my bladder, and I often find 2-3 drops of urine in my underwear.
How can I resolve this issue? Thank you, Doctor.

kevin, 30~39 year old female. Ask Date: 2015/04/08

Dr. Xu Weikai reply Urology

Kevin: Hello! 1.
You can apply local heat after ejaculation.
Sometimes prolonged erection can lead to poor local blood circulation, causing soreness.
2.
This issue may not be easily resolved.
Here are some methods used by other patients.
The few drops of urine tend to accumulate in the urethra, which is often more noticeable in the morning.
Some individuals shake their penis a few times after urination to expel the remaining urine from the urethra; others use their fingers to compress along the urethra to squeeze out the last few drops.
Some people place a few pieces of tissue on their underwear after urination to absorb the remaining urine before discarding it.
There are also patients who believe that poor circulation contributes to this issue, so they apply a warm towel to the penis daily, which reportedly helps reduce dribbling.
3.
I hope this information is helpful to you.
If you have further questions or need more details, feel free to ask, and we can discuss it further.
Please remember that online responses should only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/04/08

More Info

Post-ejaculation pain and urinary issues can be concerning and may indicate underlying conditions that need to be addressed. Let's break down your questions and provide some insights based on medical knowledge.

1. Post-Ejaculation Pain: Experiencing pain in the epididymis (the structure where sperm matures and is stored) after ejaculation can be attributed to several factors. This discomfort may be due to inflammation, congestion, or even a mild infection. Conditions such as epididymitis, which is an inflammation of the epididymis, can cause pain and discomfort after ejaculation. In some cases, this can be related to sexual activity, prolonged periods of sexual arousal without ejaculation, or even infections.
If the pain is mild and resolves on its own after a few days, it may not require medication. However, if the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or discharge, it is crucial to seek medical attention. A healthcare provider may recommend a physical examination, urine tests, or even an ultrasound to rule out any serious conditions.

Regarding your concern about reproductive quality, mild post-ejaculation pain alone is unlikely to significantly impact fertility. However, if there is an underlying infection or inflammation, it could potentially affect sperm quality or transport. Therefore, it is essential to address any persistent symptoms with a healthcare professional.

2. Urinary Issues: The sensation of incomplete bladder emptying, where you notice a few drops of urine remaining after urination, can be frustrating and may indicate a few different issues. This could be related to bladder dysfunction, pelvic floor muscle issues, or even prostate problems in males.
To address this, consider the following strategies:
- Double Voiding: After you finish urinating, wait a moment and then try to urinate again. This technique can help ensure that the bladder is fully emptied.

- Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises (like Kegel exercises) can improve bladder control and reduce the sensation of incomplete emptying.

- Hydration: Ensure you are adequately hydrated, as concentrated urine can irritate the bladder and lead to urgency or incomplete emptying sensations.

- Positioning: Sometimes, the position you are in while urinating can affect how completely you empty your bladder. Experimenting with different positions may help.

If these issues persist, it is advisable to consult a urologist. They can perform a thorough evaluation, which may include a urinalysis, bladder function tests, or imaging studies to determine the cause of your urinary symptoms.

In summary, while post-ejaculation pain and urinary issues can be concerning, they are often manageable with appropriate medical guidance. It is crucial to monitor your symptoms and seek professional help if they persist or worsen. Early intervention can lead to better outcomes and alleviate any concerns regarding reproductive health and urinary function.

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