Pain in the Base of the Penis: Causes and Concerns Explained - Urology

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Pain at the base of the penis can be concerning and may arise from various causes. Given your description, it seems that the pain is particularly noticeable during erection and when pressure is applied to the area. While I cannot provide a definitive diagnosis without a physical examination, I can outline some potential causes and considerations based on your symptoms.

1. Muscle Strain or Overuse: If you have been engaging in frequent sexual activity or masturbation, it is possible that the muscles in the pelvic region may be strained. This can lead to discomfort or pain, especially during erections when the muscles are more tense.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause pain and curvature during erections. While you mentioned there are no visible signs, Peyronie's disease can sometimes present without obvious deformities.

3. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate gland) or epididymitis (inflammation of the epididymis) can cause pain in the genital area. These conditions may be accompanied by other symptoms such as swelling, redness, or changes in urination.

4. Nerve Irritation: Nerve entrapment or irritation in the pelvic region can lead to pain that may be exacerbated during sexual activity. This can occur due to prolonged sitting or certain physical activities.

5. Vascular Issues: Conditions affecting blood flow to the penis, such as venous leakage, can lead to pain during erections. This is less common but can be a consideration if other causes are ruled out.

6. Psychological Factors: Anxiety or stress related to sexual performance or experiences can sometimes manifest as physical symptoms, including pain.
Given that the pain started after a specific sexual encounter, it is important to consider whether any trauma or unusual activity may have contributed to your symptoms. If you are experiencing persistent pain, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination, possibly including imaging studies or lab tests, to determine the underlying cause of your pain.

In the meantime, here are some general recommendations:
- Rest: Avoid activities that exacerbate the pain, including sexual activity, until you have a better understanding of the cause.

- Ice Therapy: Applying ice to the area may help reduce inflammation and provide relief.

- Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort.

- Hydration and Diet: Maintaining good hydration and a balanced diet can support overall health and potentially reduce inflammation.

Lastly, it is essential to communicate openly with your partner about any discomfort you are experiencing, as this can help alleviate anxiety and foster understanding. Remember, while online information can be helpful, it is not a substitute for professional medical advice. If the pain persists or worsens, please consult a urologist or healthcare provider for a comprehensive evaluation and tailored treatment plan.