Prostate Health: Concerns About Pain and Sexual Practices

Could you please clarify if this indicates a problem with the prostate?

I often engage in masturbation, and I have a habit of stopping all stimulation just before ejaculation until my penis becomes completely flaccid.
Then I stimulate again until I'm close to ejaculation and stop repeatedly until I accidentally lose control or decide to stop.
Sometimes I do this several times a day without allowing ejaculation.
There have been many days (6-9 days) before I finally ejaculate.
However, I noticed that after I ejaculate, there is a slight stabbing pain on the left side of my perineum.
Sometimes, if I hold my urine for too long and then finally urinate, that area also experiences a bit of a stabbing pain (similar to the pain of salt on a wound).
At times, it just feels like a dull ache, but it usually resolves within two minutes.

I would like to ask the doctor if this method of stimulation could lead to any internal organ damage or complications.
If I need to make an appointment for a check-up, how should I describe what I want to be examined? Is that area related to the prostate? Does this fall under symptoms of benign prostatic hyperplasia or similar conditions?
Additionally, I would like to know if a general urologist can measure erection length, angle, and hardness, or if only specialized clinics can perform these measurements.
Recently, I have noticed changes during masturbation, and I would like to have relevant measurements to understand my data.
Are there hospitals in Taipei that offer such measurements?

shehu xian, 20~29 year old female. Ask Date: 2015/11/13

Dr. Fu Shizhang reply Urology

This is unrelated to the prostate; the symptoms are more indicative of urethritis.
Additionally, no hospitals are conducting such measurements.

Reply Date: 2015/11/13

More Info

When it comes to concerns about prostate health, particularly regarding pain and sexual practices, it's essential to understand the underlying mechanisms and potential implications of your experiences. Based on your description, it seems you are experiencing discomfort in the perineal area, particularly on the left side, which can be associated with various factors, including your sexual practices and possibly underlying prostate issues.

Understanding Your Symptoms
1. Pain in the Perineum: The perineum is the area between the anus and the scrotum, and pain in this region can be attributed to several causes. Given your practice of delaying ejaculation, you may be experiencing pelvic floor tension or muscle strain. This can lead to discomfort or pain, particularly if you are engaging in prolonged sexual activity without ejaculation. The sensation you describe, akin to a "sting" or "burn," especially after holding urine, could indicate irritation or inflammation in the pelvic region, possibly involving the prostate.

2. Prostate Health: The prostate gland can become inflamed or irritated due to various factors, including sexual activity, prolonged periods of arousal without ejaculation, or even urinary retention. While your symptoms do not necessarily indicate benign prostatic hyperplasia (BPH) or prostate cancer, they could suggest prostatitis, which is inflammation of the prostate. Chronic prostatitis can manifest as pelvic pain, discomfort during urination, and sexual dysfunction.

3. Impact of Sexual Practices: Engaging in practices that involve prolonged arousal without ejaculation can lead to increased pressure in the pelvic region. This pressure can contribute to discomfort and may exacerbate any underlying issues with the prostate or pelvic floor muscles. It’s important to listen to your body; if you notice persistent pain or discomfort, it may be a sign to adjust your practices.

Recommendations for Medical Consultation
If you decide to consult a urologist, it’s crucial to provide a thorough account of your symptoms and practices. Here’s how you might frame your concerns:
- Describe Your Symptoms: Clearly explain the nature of your pain (e.g., location, intensity, duration) and when it occurs (e.g., after sexual activity, during urination).

- Discuss Your Sexual Practices: Mention your habits regarding masturbation, particularly the practice of stopping stimulation before ejaculation and any associated discomfort.

- Inquire About Prostate Health: Ask specifically about the possibility of prostatitis or other prostate-related issues, given your symptoms.

- Request Specific Tests: You may want to ask about tests for prostate health, such as a digital rectal exam (DRE) or prostate-specific antigen (PSA) testing, to assess for inflammation or other abnormalities.

Measuring Erectile Function
Regarding your question about measuring erectile function (length, angle, hardness), urologists can assess erectile function through various methods, including:
- Erectile Function Questionnaires: These are standardized questionnaires that can help evaluate the quality of erections and sexual satisfaction.

- Physical Examination: A urologist can perform a physical examination to assess penile structure and function.

- Doppler Ultrasound: This test can evaluate blood flow to the penis and help diagnose erectile dysfunction.

In Taiwan, many urology clinics and hospitals offer these assessments. It would be best to inquire directly with a urologist about the specific tests available at their facility.

Conclusion
In summary, your symptoms warrant a thorough evaluation by a urologist, especially considering the potential implications for your prostate health. Be open about your sexual practices and any discomfort you experience, as this information will be vital for accurate diagnosis and treatment. Remember, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can also contribute positively to your overall sexual health and prostate function.

Similar Q&A

Is It Just Prostate Issues? Understanding Urological Pain in Men

Hello, Director: One of my elementary school teachers, who is over sixty years old, has suffered from urinary tract issues for many years. He experiences pain in the glans and anus every time he urinates. He has seen numerous doctors, most of whom have diagnosed him with benign p...

Dr. Xu Weikai reply Urology
Hello Mr. Jou, may I ask if you experience pain throughout the entire urination process, or is it during a specific phase (initial, mid, or final)? I would like you to try a treatment: when you start to feel pain at the glans during urination, apply firm pressure with your finger...

Prostate Pain and Its Impact on Sexual Function: Key Concerns and Solutions

Hello, I have been experiencing prostatitis recently and have visited a urologist several times. Although the tests came back normal and I have been taking antibiotics, I would like to ask the following questions: 1. Does frequent use of antibiotics have any impact on health or ...

Dr. Du Shixi reply Urology
Hello: 1) It may not have a significant impact, but it could gradually become ineffective. 2) Yes, there is mutual influence. 3) You should first consult a urologist at the hospital; the doctor will provide an explanation. 4) If you can complete sexual intercourse, it is not prem...

Understanding the Link Between Prostate Health and Sexual Activity

1. What is the relationship between the prostate and sexual activity? Can prostate issues be caused by excessive or insufficient sexual activity? 2. If prostate problems are already known (such as incomplete urination or pain during urination or ejaculation), what precautions s...

Dr. Cai Zongyou reply Urology
Hello: In response to your questions. 1. There is currently no definitive conclusion in the academic community regarding the relationship between benign prostatic hyperplasia (BPH) and sexual activity, but most scholars believe there is a correlation between BPH and male hormones...

Understanding Prostate Pain: Is It Related to Your Habits?

Recently, due to being stuck at home, I've been engaging in masturbation with frequent pauses, lasting for a long time. Sometimes I get a bit excited and then stop, but I always end up ejaculating. As a result, I've experienced some pain in my penis. Could this be relat...

Dr. Du Shixi reply Urology
Hello: I need to seek medical examination. It is difficult to determine the current symptoms. Wishing you good health.