Prostate ache/pain after orgasm

p.s this is me Guy123 (above)

First off-- I want to address the correlation between enlarged prostate and PCa (prostate cancer)--

I didn't discuss the correlation between my enlarged prostate and the PCa with my Uro. I read a LOT on the Internet already and came to a conclusion that an enlarged prostate is NOT in and of itself a precursor to PCa. There are four primary causes of enlarged prostate: BPH, bacteriological prostatitis, non-bacteriological prostatitis, and PCa. They are all very different maladies of the prostate.

 ***this post is edited by moderator *** *** web addresses not allowed*** 

re: my prostatitis diagnosis: My GP gave me a digital rectal exam (DRE) as part of a regular physical in 2009 and suggested that my prostate seemed large. I did a PSA test, and it came back 4.5. This is a bit high, esp. for a 43 yo. I had also mentioned this issue of occasional pain after ejaculation, and she suggested I see my urologist. I told my urologist about this occasional prostate pain, and he asked if there was any prostate cancer in my family. I told him, "not that I know of." (I LATER found out my dad had PCa when I was a teen, and his health scare wasn't shared with me). With no apparent family history, he said I was "too young" for PCa, and due to a history of occasional, annoying UTIs, it was probably bacteriological prostatitis. He put me on a strong antibiotic for abt 4-5 wks, and I retook the PSA, which came back 3.0. He concluded that it responded to the antibiotics, and because of the density of the prostate and the difficulty in treating bacteriological prostatitis, "I'd be taking antibiotics the rest of my life" (because it would just keep coming back).

Sooo.. I decided that I didn't want to take antibiotics for "the rest of my life" and could live with the rare pains.  I really didn't think of this whole thing again until 2 yrs later.

I skipped my "annual" physical in 2010. In May 2011, I went to my GP for some antibiotics for kidney and bladder/urethra pain and itching (a UTI). She wanted me to return for a physical, which I did the next month (June 2011), when I also had a PSA. The test came back 4.3 (and this was only abt 2 wks after finishing antibiotics). Off to a Uro again.

I decided to go to a different urologist this time. I didn't like that thing about "taking antibiotics the rest of your life," so I wanted to see what another Uro would say about that prior diagnosis. I finally was able to see this new Uro about 5 wks after the physical. We redid the PSA and no other treatments. It came back 6.3. That kind of jump is extreme. He agreed that it was quite possible that I was dealing with bacteriological prostatitis, but 6.3 is still too high. We took 12 biopsy cores in Aug 2011. The diagnosis "shorthand" for PCa patients was: "T1C, Gleason 3+3, 4/12 cores; max 12% in 1 core; prostate volume approx 45cc. Normal volume is about 20-30cc. This is about the best possible news if cancer is diagnosed. It was caught early. PCa is a notoriously slow-growing cancer. The doctor said that I could probably come back in another 5-10 yrs, and the diagnosis could be the same or only slightly worse. (Of course it could be much worse, and then I'd be kicking myself for gambling with my life). I had my prostatectomy in Nov 2011.

Also, my doctor DID say that it was very possible that I had both bacteriological prostatitis and the PCa at the same time, due to my response to the antibiotics and history of UTIs and a couple bouts of epididymitis. Of course, by the time I was engrossed in my diagnosis of cancer, I couldn't care in the least about whether the prostate was enlarged because of an infection, PCa, or both.

Feel free to ask more questions. I'm more than happy to help. If you haven't already, I suggest talking to a doctor about your symptoms. For men under 50, prostatitis is the most common cause of enlarged prostate... and it FAAAAAaaaaaarrrrrr exceeds the frequency of BPH or PCa.

Hey sushinut, Thank you for sharing your experience I hope it helps people visiting this post ofr years to come. I'm glad you caught your Pca early and were well taken care of, good on you for making the decision to be proactive and remove it. :] Glad you're doing well. I've taken note of the psa tests, maybe something I should look into.

As I to when I was 21/22 years old was given a physical test but never a psa count, however I did experience symptoms of a prostatitis, but two years later I found out I was born with a kidney issue (UPJO) which probably excasterbated my symptoms (I had extensive kidney damage and I guess that led into ureter/bladder issues - I remember going to pee 4-5 times a night and it gradually increasing to 7-15) really 'gay' experience because I felt I was so young hehe, but there's people out there with way worse! :) I'm good now..overall minus peeing frequently here n there in fact i'm going going to go pee now.. haha.


Thanks again for your response sushinut!
-Guy123

Greetings Gentlemen,

I had a normal life until about 5 years ago when I developed many of the symptoms you all describe.  The first doctor I saw said I had a prostate and bladder infection because I was urinating 7 to 15 times a night and more frequently during the day.  He prescribed cipro.  Unfortunately and unfortuantely I was extremely allergic to it and ended up tearing a tendon after taking my third pill.  I was given another antibiotic but no change.  One doctor told me it was my age...44 years old.  yeah right! Saw a very good Urologist who told me that I didn't have an infection.  Good news but I still had some pain and burning urination.  He said that antibiotics were ineffective for what I had.  He diagnosed cronic pelvic pain syndrome...which he informmed me means "I don't know" in non-medical terms. This got me looking at other possibilities.

So I started doing my own research and came across the idea that my proplem could be caused by an auto-immune disease.  So I started looking at what I was eating.  After 3 years of suffering another guy in a forum suggested I try two things. 

First he suggested that I change my toothpaste.  Get rid of any toothpaste that had a 12 hour antibacterial in it he told me. So I got a natural toothpaste and I saw a reduction in my nocturnal bathroom visits. Not a lot but some.

The second thing he told me to do is to go on a gluten-free diet.  which I did immediately. 

Guess what? I am symptom free for the past two years and I remain symptom free as long as I get 0% exposure to gluten.  Even the smallest trace will give me a very slight reminder of what things used to be like. The symptoms now disappear in a day or two depending on the amount. My symptoms are so slight that they are barely noticable.  When I have a symptom it's because there has been an accidental exposure and if I look at my food intake it's always been the case.

Now one of word of caution...be patient. It took me about two to three weeks initially to be normal again.  It took a while for my body to reduce the inflamation after years of allergies. 

How much better? I am 48 years old and sleep 8 to 10 hours without one visit to the bathroom at night. My pain and burning is gone and I have never felt better!

I remain extremely sensitive to gluten.  I have to read every label carefully.  Even the smallest trace will set me off.  I even have to be careful with things like nuts and trail mix because they are packaged on the same machines as gluten products.  that is how sensitive I am.  Sounds crazy but it's true.

I have become very aware of my body now that I know what the true normal is.  I have been allergic to gluten my whole life and just didn't know it.  I had symptoms and didn't know it because I had no benchmark for normal.

I'm passing on the advice that the guy gave me hoping that it will help someone else.  It's worth a try.  Heck if Olypic athletes are on a gluten-free diet then it's worth a try! Best of luck

Sounds like prostatitis, if ur lucky it's not chronic and it will go over with anibiotics. I on the other hand have the chronic version so I have to live with this for life, and I'm a virgin so sex for me isn't really an option since I haven't met a girl yet.

I have same circumstances, however I only experienced this pain after prostate surgery about 2 yrs ago. Only used to happen after orgasm but is almost constantly there now

Same pain as every body since I was 19 year old Now 42. all test done, nothing is wrong according to all doctors after 100 tests medicine.

I told my story to a 89 year old doctor from cuba.

He told me  an old remedy used in he past. Some like a internal  prostate massage.??

Looks like a finger was place thru the anal and massaged the prostate till compleate eyaculation.

I did not try it.... I did try eyaculate several times in one day. The pain was soon gone.

It feels like the tank was never empty, and now is.

this is experienced due to minor infection.

I have the same pains, and are usually occur after masturbation. I have tried milking my prostate with a sex toy I purchased for this purpose during ejaculation. Sometimes insert a dildo in my Anus to self milk as I masturbate, my orgasms are more intense, but  I still get the sore. Tried anal beeds, and penis ring which again helped with my orgasms and ejaculating but seemed to make no difference with the anal pains. It may be hemorrhoids in which case it isn't my prostate at all, and is fact muscles spasming in my lower GI near my sphincter. So, I've been treating for hemeroids and relaxing the muscles with a ward damp wash cloth. This seems to help. I also layed off of the dildos, or penile penitrattion for a few weeks and that seems to help. If the problem persists go to your doctor as wit anything in life.

i am 26 male suffering from prostate pains.

Am taking medication for mpb (hair loss) that also helps remove my prostate pains but most important for me is to keep my hair
:D

The medication comes with a warning

DO RESEARCH ON MEDICATION SIDE EFFECTS BEFORE TAKING FINASTFRIDE!

Finasteride causes change in libido (sexdrive)

finpecia (WORLD WIDE) - i use every day, libido drops a little bit (personally find it ok)

Propecia (USA) - DONT USE THIS.
tried it first, MUCH STRONGER and it DESTROY MY SEXDRIVE, don't reccoment anyone to try this. Its dangerous.

Guys,

I'm 52 and have had this problem since I was in my mid 20's and it seems to be getting worse as I age. I know some have described it as a dull ache in the prostate/anal region. For me, the description is more like someones trying to pull my prostate out of my butt! It is extremely painful, occuring after ejaculation or a bowel movement, not always, but enough that it's like playing Russian roulette. I too have been the antibiotic route dozens of times (it seems), protate exams and PSA's too from my PCP before I was finally refered to a uroligist. I was told that my prostate was spasming and was prescribed Flomax. That did help, but didn't eliminate the problem. As luck would have it, my urologist left the area and I had to switch to one that I actually knew from work. He put me on a dose of Saw Palmetto daily and agreed with the first urologist that it was a spasm, but that Flomax was the wrong medication. He has had me on Valium for about 10 years, taken after the spasm begins. It works. Instead of being in pain for 2 hours it's reduced to about 20 minutes. Do I like taking Valium? No way, but at this point I'll pretty much do anything. My wife and I have a great sex life but she's becoming wary now since I'm at about 50% in having this happen.

Back in my 20's I smoked a fair amount of pot and never experienced this at all. It was only after i had stopped that the problem began. I'm just curious if anyone has tried smoking pot before sex to see if it helps?      

Hello everyone, replying as guest as my activation e-mail hasn't arrived.

I've had pain after ejaculation and bowel movements to varying degrees for 20 years now. I did have a period of about 5 years during that time when the symptoms seemed to be less severe, totally manageable. But for last 2 yrs i've really struggled to cope with it. And i'm struggling right now, thats what led me to this post.

 I've had in the past all the tests for prostatitis including 3 cystoscopys, (not pleasant!) and no problem has ever been found. To cut a long story shorter, i think i've got cpps. I think the muscles surrounding my prostate are strained through constant tensing. 

 The type of pain that i have is like a sore/burning sensation that runs from inside my rectum, and across my perineum and to the tip of my penis. After ejaculation, it seems to set off a response that usually peaks at around 5 days after. then if i'm lucky, it starts to settle down again. This is so frustrating. I've got to the point now where i probably masturbate only about once every 2 months, because of what follows afterwards. 

 What i do tend to do, and i no its a bad idea, is prolongue the masturbation when i do eventually decide to do it. I think that if i'm gonna be sore for a week, i may as well make it last a while. I need to alter my attitude towards this i think, but its hard. 

 Another frustrating thing is trying to turn my sexual thoughts off afterwards, cos these days we seemed to be surrounded by sex, (tv, films etc) and its hard to get away from it. Any sexual thoughts during the week or so after ejaculation just manifest themselves in pain.......

 Sorry can't offer any solutions or treatments, just thought i'd share my experiences and see if anyone else is in a similar mindset/situation to me. Cos although we all have some pain, we still all have different takes on it.

 Thanks.

S. 

 

I have the same issue and do have a couple of hemroids around that same area. That could be the cause. I find that the problem can also make me feel like I want to have a BM whether I need one or not and sometimes a BM will help the problem for a few minutes and also helps to take a hot shower and sit on the pot for a while.

I had something very similar and found it at times extremely painful. It's happened on and off since my early twenties (I'm 55). I endured the pain for years but one day out of desperation tried a shot of alcohol. This was dicey since I have been sober for twenty years but...It immediately stopped the hurt. One to three ounces-works every time and works within a few minutes. I have to resort to this about three times a year. For me, the alcohol works miracles and completely alliviates my discomfort. I'm still sober and do not count these medicinal shots a few times a year as "drinking". Hope this helps someone else.

Im 23 years old and started with this pain when I was 19. The first time I got this pain it came on very sudden, what they call Acute Bacterial Prostatitis. I went on antibiotics for about 6-8 weeks and it seemed to clear it up. Months later it slowly has come back and has stayed that way until now. Not near the excruciating pain it once was, but is always a dull ache, like a golf ball in my anus and a poor stream of urine.

 

Ive had a cystoscopy, other trials of antibiotics and they say nothing is wrong. I was told I have chronic pelvic pain. Apparently for some people when you have a trauma in that area your body will begin to tense up in your pelvic area causing many different kinds of pain.

 

Certain muscle relaxing techniques can help reduce this pain.

There is a book on Chronic Pelvic Syndromes that is actually very helpful and mind opening. I suggest anyone with any kind of Prostate/Pelvic pain read it, as just by reading it and relieving some mental stress can help ease some pain.

 

The Book:

A Headache in the Pelvis: A new understanding and treatment for prostatits and chronic pelvic pain syndromes, 6th edition.

 

It is written by two doctors who suffered from these problems. It is a great book, and I suggest it to everyone here. It's a decent price on Amazon.

 

Wish you all luck, we are not alone with these problems and I hope everyone finds some sort of relief.