Post-Ejaculation Lower Back Pain: Causes and Solutions

Experiencing lower back pain after ejaculation can occur?

I previously experienced premature ejaculation and sought help from traditional Chinese medicine, which significantly improved my condition.
However, the symptoms of lower back pain persisted.
Later, I consulted a rehabilitation specialist regarding my lower back pain, who performed an X-ray examination and diagnosed me with mild disc herniation.
I am currently undergoing traction therapy.
The "lower back pain after ejaculation" occurs almost every time after masturbation or nocturnal emissions.
The pain feels similar to that of disc herniation, predominantly on the left side.
The lower back pain after ejaculation lasts from half a day to a full day, and I find that extending my lumbar spine alleviates the discomfort.
There is no pain in the penis or testicular area.
I have been experiencing lower back pain after ejaculation for several years.

Q: Is my lower back pain after ejaculation related to the disc herniation, or is it a urological issue? Could it possibly be caused by inflammation or infection?

bem, 20~29 year old female. Ask Date: 2015/10/13

Dr. Xu Weikai reply Urology

Hello, it is difficult to determine whether it is related to a herniated disc.
Sometimes, a lack of exercise leads to insufficient muscle strength, particularly in the lumbar muscle group.
It is also common to experience muscle soreness due to intense contractions during masturbation.
This is similar to individuals who rarely exercise and then occasionally play sports or run, resulting in muscle soreness.
Additionally, it is possible that muscle contractions during masturbation exacerbate an existing herniated disc condition, leading to post-activity soreness.
Recommendations: 1.
Engage in more physical activity, especially exercises that strengthen the lumbar muscles, thigh muscles, or core muscle groups.
2.
After masturbation, applying heat to the frequently sore muscles can help alleviate lactic acid buildup, thereby reducing soreness.
If you have further questions, feel free to ask for more discussion and research.
Online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/10/13

More Info

Understanding post-ejaculation lower back pain can be complex, especially when it is associated with pre-existing conditions such as a herniated disc. Based on your description, it seems that you are experiencing pain in the lower back, particularly on the left side, after ejaculation, whether through masturbation or nocturnal emissions. This pain can last from half a day to a full day and is reminiscent of the pain you experience due to your diagnosed herniated disc.

To address your question, it is essential to consider both the musculoskeletal and potential urological factors involved. The pain you feel after ejaculation may not necessarily be directly related to your herniated disc, but it could be exacerbated by it. The mechanics of ejaculation involve various muscle contractions in the pelvic region, which can place additional stress on the lumbar spine, especially if there is an underlying issue like a herniated disc. This could lead to increased discomfort in the lower back.

Additionally, the fact that the pain is localized on the left side may suggest that there could be a muscular component involved, such as muscle strain or tension in the lower back or pelvic area. The pelvic floor muscles, which play a role in ejaculation, can also influence lower back pain. If these muscles are tense or overworked, they may contribute to discomfort in the lumbar region.

As for the possibility of an infection or inflammation, it is less likely that your post-ejaculation pain is due to a urological issue, especially since you do not report any pain in the genital area. However, if you experience any additional symptoms such as fever, unusual discharge, or persistent pain that does not respond to treatment, it would be prudent to consult a urologist to rule out any infections or other urological conditions.

In terms of management, since you are already undergoing traction therapy for your herniated disc, it is crucial to continue this treatment as directed by your rehabilitation physician. Traction can help relieve pressure on the affected nerve roots and alleviate pain. Additionally, incorporating physical therapy focused on strengthening the core and pelvic floor muscles may provide further relief. Exercises that promote flexibility and strength in the lumbar region can help support your spine and reduce the likelihood of pain during activities, including ejaculation.

Furthermore, practicing good posture and body mechanics during daily activities can also help minimize strain on your lower back. Avoiding prolonged sitting or standing in one position, using ergonomic furniture, and taking regular breaks to stretch can contribute to overall spinal health.

In conclusion, while your post-ejaculation lower back pain may be related to your herniated disc, it is essential to consider the interplay of muscular and potential urological factors. Continuing your current treatment plan, engaging in physical therapy, and monitoring for any new symptoms will be vital in managing your condition. If the pain persists or worsens, seeking further evaluation from both your rehabilitation physician and possibly a urologist would be advisable to ensure a comprehensive approach to your health.

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