Pelvic pain during and after masturbation may be associated with the way the pelvic floor muscles contract before, during, and after orgasm.
In a study that was performed, it was discovered that three types of contractions may occur in men when an orgasm occurs.
11 study participants had anal probes inserted in their rectums and the contractions of the pelvic floor muscles were recorded while they masturbated.
The following findings were made:
- The most common type of contraction that was noted was a simple series of regular contractions. These contractions had the shortest duration of the three and produced the least amount of contractions.
- The second type began with a regular series of contractions which were then followed by a number or irregular contractions. This was noted as being the second most common occurrence and had the longest duration of all the contractions.
- One patient was identified as having a third type of contraction where he had a number of preliminary contractions before the series of regular contractions began in mid-orgasm. This contraction was noted as being of intermediate duration.
Now, granted that there's evidence of different kinds of contractions occurring in the pelvic floor during male orgasm, the clinical significance thereof is still to be definitively determined since the medical literature doesn't have many cases where pelvic floor muscle contractions without the presence of any other factors would be considered as abnormal.
There are a few issues that would need to be ruled out when men present to a healthcare professional with pelvic pain and these include:
- Urinary tract infections that irritate the bladder
- Sexually transmitted diseases (STDs), especially in the presence of complaints such as a urethral discharge or tender testicles (orchitis). The latter itself could also cause lower abdominal pain due to the nerve supply of the testicles originating from the abdomen.
- Testicular trauma, due to the mentioned reason.
- Prostatitis (infection of the prostate). On orgasm, pain is experienced in the lower back when a patient has prostatitis.
- Constipation is a non-urogenital issue that also needs to be ruled out as a possible cause of the problem because impacted stool can press on the prostate and seminal vesicles as well as the nerves that run through this area.
If all these issues have been ruled out, then checking the patients' kidney functions and hydration status would be recommended as an electrolyte imbalance could cause muscles to contract and go into spasm leading to muscle cramps in the pelvis which causes pain.
Management and prevention
Any issue that is confirmed in the patient will need to be managed with the appropriate medication. With regards to urinary tract infections, prostatitis, or STDs, the correct antibiotics need to be prescribed and the affected individual needs to practice safe sex by using protective methods such as condoms to help prevent STDs at least.
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