Symptoms of pain after the ejaculation of sperm are a problem that a number of men face but do not often speak about. Some think it is a matter specific to the prostate gland, or understand that it is a temporary matter that will go away by itself. However, repeated symptoms of pain after ejaculation may be related to the muscles of the pelvic floor and to the nerves more than to the prostate gland itself directly. This article explains what these symptoms may indicate, and when a physician should be seen in order to assess them

The character of the symptoms of pain after ejaculation that are met often

The symptoms of pain after the ejaculation of sperm may show themselves in several forms. Some people feel a cramping pain immediately after ejaculation; some feel heaviness, tightness, burning, or a deep discomfort for several minutes to several hours

The symptoms that can be met often are

Hurting or cramping pain after ejaculation
Heavy pain at the area of the perineum, the testicles, or the base of the sexual organ
Pain radiating to the anus or to the deep part of the pelvic floor
A feeling of tightness or deep pressure after the ejaculation
Symptoms arising repeatedly until anxiety begins or sexual activity is avoided
There may also be incomplete passing of urine, pain in the perineum, or pain when sitting for a long time

If the symptoms arise only once and go away, it may not yet be a matter to be anxious about, but if they arise repeatedly or disturb life, an assessment should be received in order to find the cause

The causes of the symptoms of pain after ejaculation

The symptoms of pain after the ejaculation of sperm may arise from several mechanisms. The mechanism that can be met often is an abnormality of the muscles of the pelvic floor, particularly the Bulbospongiosus and Ischiocavernosus muscles, which have the duty of squeezing in order to expel the sperm fluid out. If these muscles are in a state of being held tense or have hidden points of pain, the severe contraction during the ejaculation may stimulate acute pain

Another mechanism is chronic inflammation in the lower part of the reproductive system, which may not come from a bacterial infection directly, but is related to states classed in the group of states of chronic pain in the pelvic floor (CPPS). Nerves that are pressed on or are too sensitive to stimuli may make the area that receives stimulation during the ejaculation send a signal of pain

The relation with CPPS

The symptoms of pain after ejaculation may be met together with a state of chronic pelvic floor pain in men, or Chronic Pelvic Pain Syndrome (CPPS), and with other accompanying symptoms, such as

Chronic pain in the perineum
Pain in the testicles when sitting for a long time
Passing urine frequently or passing urine incompletely
A feeling of tightness at the area of the base of the sexual organ or of the pelvic floor
Hurting or discomfort after having sexual relations
A state of early ejaculation or anxiety concerning capability as well

Looking at the symptoms of pain after ejaculation as part of the system of the pelvic floor overall usually helps the assessment be more accurate than looking at it as a problem of the prostate gland alone

The clinical assessment

The assessment of the symptoms of pain after ejaculation should look at the muscles, the nerves, the prostate gland, and the working of the pelvic floor together. At PYONG MEN the assessment may consist of

Pelvic Floor Mapping & Trigger Point Assessment, assessing the muscles of the pelvic floor as to whether there are points of tightness, hidden points of pain, or holding tense that is related to the symptoms or not
Genitourinary & Prostate Evaluation, assessing the reproductive system and the prostate gland, in order to separate a state of inflammation, an infection, or another lesion that may be related
Transrectal Color Doppler Ultrasonography, used to assess the structure of the prostate gland, the tissue in the deep part, and the system of blood circulation at the area of the pelvic floor
Uroflowmetry & Biofeedback, assessing the flow of urine and the rhythm of the working of the muscles of the pelvic floor, in order to see whether there is tensing or relaxing out of rhythm or not

These assessments help the physician separate whether the symptoms are related to the muscles, the nerves, the prostate gland, or several factors together

The approach to care at PYONG MEN

If the symptoms of pain after ejaculation are related to CPPS or to the muscles of the pelvic floor being held tense, the plan of care emphasises reducing the points of pain, restoring the nerves, and adjusting the working of the pelvic floor systematically

The approaches that may be considered are

Pelvic Floor Release & Neuromuscular Rehabilitation, helping reduce the holding tense of the muscles of the pelvic floor, and restoring the relaxing of the muscles connected with ejaculation
Doctor's Selection Pain Recovery, which may use Western Medical Dry Needling together with High Power Laser in some cases, in order to help care for the points of pain in the muscles, reduce tightness and pulling, and support the restoration of the tissue
Transrectal QMR, using waves of energy of a kind that does not give rise to heat, in order to support the restoration of the deep structures of the pelvic floor, the prostate gland, the nervous system, and the tissue concerned
Focused Shockwave Therapy, which may be used in some individuals in order to support the restoration of the tissue, the circulation, and the response of the nerves at the target area
Advanced Pelvic Neuro-Vascular Protocol, using technology connected with the nervous system and the blood vessels, in order to support the relaxing of the deep muscles and the working of the pelvic floor

The plan of care is designed according to the result of the assessment of each individual, and gives importance to the privacy of the patient

In short summary

The symptoms of pain after ejaculation may be connected with the muscles of the pelvic floor and with CPPS more than with the prostate gland directly
The Bulbospongiosus muscle being held tense may give rise to pain during ejaculation
It is usually met together with other symptoms of CPPS, such as pain in the perineum or abnormal passing of urine
A comprehensive assessment helps identify the cause more accurately
The care should be designed according to the result of the assessment

Frequently asked questions (FAQ)

1. Is pain after ejaculation dangerous? For the most part it is not a dangerous state, but if it arises repeatedly, an assessment should be received in order to distinguish the cause and set the suitable approach

2. Is it because of inflammation of the prostate gland or not? It may be related in some cases, but the symptoms of pain after ejaculation are often related to the muscles of the pelvic floor and to the nerves more than to inflammation of the prostate gland from an infection

3. Can these symptoms affect sexual capability? They can. Some patients begin to avoid sexual activity, or have a state of early ejaculation and accompanying anxiety, which may make the cycle of symptoms more severe

4. Can symptoms like this improve? Many individuals respond to restoration that is right at the cause. The result depends on the length of time it has been going on and on the response of each individual

5. Where should one begin? Begin from seeing a physician in order to have an examination and assessment of the muscles of the pelvic floor, the prostate gland, and the nervous system concerned, systematically