Blood After Masturbation: Causes and Concerns

Bleeding from masturbation?

Hello, I have recently developed a habit of withholding ejaculation for the past month or two.
Three days ago, I wrapped my penis with a tissue while masturbating, and shortly after, I noticed blood spots on the tissue.
I suspected it might be bleeding from pre-ejaculatory fluid.
To confirm the issue, I ejaculated and checked, but I found no abnormalities in the semen.
Later, I started experiencing lower back pain and discomfort during urination, although the urine color was normal.
Two days later, I masturbated again and did not notice any abnormalities.
Could it be that withholding ejaculation caused a rupture in the blood vessels or something similar?

Niming, 20~29 year old female. Ask Date: 2015/05/31

Dr. Xu Weikai reply Urology

Hello, it is recommended that you seek medical attention as soon as possible to avoid any delay in your condition.
If you have any further questions or need clarification, feel free to ask again so we can discuss and research together.
Online responses should only be considered as references; it is essential to visit a healthcare facility for proper medical care.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/05/31

More Info

Experiencing blood after masturbation can be concerning, and it's important to understand the potential causes and implications. Based on your description, it seems that you have been practicing "edging" or delaying ejaculation, which can sometimes lead to physical strain or irritation. Here’s a breakdown of possible reasons for the blood you observed, along with some medical insights.

Possible Causes of Blood After Masturbation
1. Irritation or Trauma: The most common reason for blood after masturbation is irritation or minor trauma to the penile tissue. This can occur if there is excessive friction, especially if lubrication is insufficient. The skin on the penis is sensitive, and vigorous or prolonged stimulation can lead to small tears or abrasions, resulting in minor bleeding.

2. Vascular Issues: Engaging in prolonged sexual activity without ejaculation can lead to increased pressure in the blood vessels of the penis. This pressure can sometimes cause small blood vessels to rupture, leading to blood appearing in the discharge. This is often harmless but can be alarming.

3. Infection or Inflammation: Conditions such as urethritis (inflammation of the urethra) or prostatitis (inflammation of the prostate gland) can also cause blood in the urine or semen. If you experience additional symptoms like pain during urination, fever, or persistent discomfort, it may indicate an underlying infection that requires medical attention.

4. Hormonal Changes: Hormonal fluctuations can sometimes affect the prostate and seminal vesicles, leading to changes in the fluid produced. However, this is less common and usually not a direct cause of blood.

5. Pre-existing Conditions: If you have any pre-existing conditions such as a bleeding disorder or vascular issues, these could also contribute to bleeding during or after sexual activity.

Recommendations
- Monitor Symptoms: Since you mentioned that you experienced back pain and discomfort while urinating, it's essential to monitor these symptoms closely. If the pain persists or worsens, or if you notice any other unusual symptoms (like fever, chills, or significant changes in urination), it would be wise to consult a healthcare professional.

- Avoid Irritation: If you continue to engage in masturbation, consider using a lubricant to reduce friction and prevent irritation. Also, be mindful of the intensity and duration of your activities.

- Stay Hydrated: Ensure you are well-hydrated, as this can help maintain urinary tract health and may alleviate some discomfort.

- Consult a Doctor: If you experience recurrent bleeding, significant pain, or any other concerning symptoms, it’s crucial to seek medical advice. A healthcare provider can perform a thorough examination, possibly including a urinalysis or ultrasound, to rule out any serious conditions.

Conclusion
In summary, while occasional minor bleeding after masturbation can occur and is often due to irritation or minor trauma, it’s essential to pay attention to your body’s signals. If you have any ongoing concerns or symptoms, don’t hesitate to reach out to a healthcare professional for personalized advice and treatment options. Maintaining open communication about sexual health is vital for overall well-being.

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