Post-Ejaculation Dizziness and Left Lower Back Pain: Causes and Concerns

Dizziness, trembling, and significant pain in the left lower back after ejaculation?

Doctor, my husband experiences dizziness after ejaculation, but he can still move normally and it’s not severe.
What could be the reason for this? Additionally, he often feels soreness when pressing on his left lower back, and after ejaculation, he experiences intermittent soreness without any pressure.
I noticed that his left lower back seems slightly protruded.
Could this be a tumor or a stone? What is that area? Does a tumor cause pain?

Weiwei, 30~39 year old female. Ask Date: 2016/01/12

Dr. Lin Wenxu reply Urology

I'm sorry, but you need to visit the urology clinic in person so that the physician can conduct further examinations and provide you with an accurate answer.

Reply Date: 2016/01/12

More Info

Post-ejaculation dizziness (PED) and left lower back pain can be concerning symptoms that warrant further investigation. Let's break down these issues and explore potential causes and concerns.

Post-Ejaculation Dizziness
Post-ejaculation dizziness is a phenomenon that some men experience after ejaculation. It can range from mild lightheadedness to more pronounced dizziness. The exact cause of this condition is not fully understood, but several factors may contribute:
1. Physiological Changes: During sexual arousal and ejaculation, the body undergoes various physiological changes, including increased heart rate and blood pressure. After ejaculation, there may be a sudden drop in blood pressure, which can lead to dizziness.

2. Hormonal Fluctuations: The release of hormones such as oxytocin and prolactin during ejaculation can also play a role in causing dizziness. Prolactin, in particular, is known to induce a feeling of relaxation and can affect blood flow.

3. Dehydration or Fatigue: If your husband is dehydrated or fatigued, these factors can exacerbate feelings of dizziness after ejaculation. Ensuring adequate hydration and rest may help alleviate these symptoms.

4. Anxiety or Stress: Psychological factors, such as anxiety or stress related to sexual performance, can also contribute to dizziness. If your husband is experiencing anxiety, addressing these concerns may help.

Left Lower Back Pain
The left lower back pain your husband is experiencing could be related to several conditions, and it is essential to consider the following possibilities:
1. Muscle Strain: Overexertion or improper lifting techniques can lead to muscle strains in the lower back. If your husband has been engaging in physical activities that strain the back, this could be a likely cause.

2. Kidney Issues: The left lower back is close to the left kidney. Conditions such as kidney stones or infections can cause pain in this area. If the pain is severe or accompanied by other symptoms like fever, changes in urination, or blood in urine, it is crucial to seek medical attention.

3. Herniated Disc: A herniated disc in the lumbar region can cause localized pain and may radiate down the leg. This condition often presents with pain that worsens with certain movements or positions.

4. Tumors or Cysts: While less common, tumors or cysts in the lumbar region can cause localized pain. If there is a noticeable protrusion in the area, it is essential to have it evaluated by a healthcare professional.

Concerns About Tumors or Stones
Regarding your concerns about tumors or kidney stones, it is important to note that tumors can cause pain, but they often present with additional symptoms such as weight loss, changes in appetite, or other systemic signs. Kidney stones typically cause severe, sharp pain that may radiate to the groin and is often accompanied by nausea or hematuria (blood in urine).

Recommendations
1. Medical Evaluation: Given the symptoms described, it is advisable for your husband to see a healthcare provider for a thorough evaluation. This may include imaging studies such as an ultrasound or CT scan to assess for kidney stones, tumors, or other abnormalities.

2. Symptom Tracking: Keeping a record of when the dizziness and back pain occur, their duration, and any associated activities can provide valuable information for the healthcare provider.

3. Lifestyle Modifications: Encourage your husband to stay hydrated, manage stress, and engage in gentle stretching or strengthening exercises for the back, which may help alleviate discomfort.

4. Follow-Up: If symptoms persist or worsen, follow up with a specialist, such as a urologist for kidney-related concerns or an orthopedic specialist for back pain.

In conclusion, while post-ejaculation dizziness and left lower back pain can be benign, they warrant careful consideration and evaluation to rule out any underlying conditions. Seeking medical advice is the best course of action to ensure your husband's health and well-being.

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