Ejaculation Issues: Causes of Perineal Discomfort After Masturbation - Urology

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Ejaculation issues?


Doctor, sometimes after masturbation, I experience itching inside the perineum and a strong urge to ejaculate.
There are several instances where the sensation becomes intense, and I feel like I am about to ejaculate at any moment.
Why does this happen?

Niming, 20~29 year old female. Ask Date: 2015/08/27

Dr. Xu Weikai reply Urology


Anonymous: Hello, it is difficult to determine.
It may be caused by nerve stimulation during an erection.
If you have concerns, you can visit a nearby medical facility for relevant tests or further treatment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/27

More Info


Ejaculation issues, particularly discomfort in the perineal area after masturbation, can be attributed to a variety of physiological and psychological factors. The perineum is the area between the anus and the scrotum in males, and it contains numerous nerves and blood vessels that can be sensitive to stimulation. Here are some potential causes for the sensations you're experiencing:
1. Nerve Sensitivity: The perineum is rich in nerve endings, and during sexual arousal and masturbation, these nerves can become highly stimulated. This stimulation can lead to sensations of itching or a strong urge to ejaculate. If the stimulation is prolonged or intense, it may result in discomfort or a heightened sense of urgency.

2. Muscle Tension: During sexual arousal and masturbation, the pelvic floor muscles, including those in the perineum, can become tense. This tension can lead to discomfort or a feeling of pressure in the area. If the muscles are not relaxed after ejaculation, it may result in lingering sensations of discomfort.

3. Hormonal Fluctuations: Sexual arousal and ejaculation are influenced by hormones such as testosterone and oxytocin. Changes in hormone levels can affect how your body responds during and after sexual activity, potentially leading to unusual sensations or discomfort.

4. Prostate Health: The prostate gland, located just below the bladder and surrounding the urethra, can also play a role in sensations experienced during ejaculation. Conditions such as prostatitis (inflammation of the prostate) can lead to discomfort in the perineal area, especially after ejaculation.

5. Psychological Factors: Anxiety or stress related to sexual performance or expectations can also manifest physically. If you are feeling anxious about your sexual health or experiences, this could contribute to heightened sensations or discomfort.

6. Frequency of Masturbation: If you engage in masturbation frequently, it may lead to temporary sensitivity or discomfort in the perineal area. Overstimulation can cause the nerves in the area to become more reactive, leading to sensations of itching or discomfort.

7. Infection or Inflammation: Although less common, infections in the urinary tract or sexually transmitted infections can cause discomfort in the perineal area. If you notice persistent discomfort, changes in urination, or other symptoms, it may be worth consulting a healthcare provider.

8. Hydration and Diet: Dehydration or certain dietary choices can also affect your overall sexual health. Ensuring adequate hydration and a balanced diet can help maintain optimal bodily functions, including sexual health.

If these sensations are occasional and not accompanied by other concerning symptoms (such as pain, swelling, or changes in urination), they may not be a cause for alarm. However, if you find that the discomfort persists, worsens, or is accompanied by other symptoms, it would be advisable to consult a healthcare professional. They can provide a thorough evaluation and determine if there are any underlying conditions that need to be addressed.

In summary, perineal discomfort after masturbation can arise from a variety of factors, including nerve sensitivity, muscle tension, hormonal changes, prostate health, psychological influences, frequency of activity, and potential infections. Understanding these factors can help you manage your experiences and seek appropriate care if necessary.

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