I used to be able to relieve the pain by laying on my back flat as a board on a harder surface (even a harder couch). Lately that hasn't worked as well, but I've found that doing very hard Kegel exercises by squeezing down there as hard as I could and holding it would cause the pain to either migrate further up my abdomen and eventually fade, or fade immediately.
It's not a great feeling to squeeze hard down there while in the middle of an episode, but it helps immediately. I started doing this after reading about an affliction that many woman face after defecation where one of the muscles behind the rectum spasms and feels very much like the pain we deal with.The article noted that men occasionally experience this as well, but at a much smaller percentage than women. Just like bending and flexing to get rid of a Charley Horse, the article suggested Kegel exercises to stop the muscle spasm.
I'm not convinced that the muscle spasm is the problem and it could be Prostatitis or a hernia as well. I've put off going to the doctor for this since it comes and goes.
I've also noticed that it becomes a lot more prevalent when I'm stressed out or dehydrated, leading me to believe that it may be muscle related too.
Ok I think I narrowed it down...I am 26 with the same problem. The thing is when we masturbate and look at porn or just masturbate by ourselves we apply certain pressure and levels of speed and friction when we stroke our penis ( fast or slow) our hands are way more frictioned than a vagina or wet mouth...our penis is not used to this but it is more used to our hand. In alot of cases when I have sex vaginally I can't feel anything which causes me to have blue balls which really hurts. By this point when u reach the blue balls phase its a sign that you are transitioning from your penis being used to your hand to getting used to a vagina or mouth...by this point when u have blue balls u have 1 option you have to reach orgasm to release all the fluid in your balls and sometimes bladder to prevent buildup.after u ejaculate it feels good but it also hurts in the anus area because of the buildup...my advice is to trick your mind while having sex think about something that turns u on during sex to try to reach orgasm..stop masturbating doo much and have sex alot to get your woody used to having sex.