The Impact of Masturbation on Ankylosing Spondylitis
A 26-year-old male weighing 93 kilograms is seeking insights on whether masturbation negatively influences bone health in individuals with ankylosing spondylitis (AS). He reports feeling an increase in joint pain following the act of masturbation. Typically, he engages in this activity around two to three times monthly. Could this behavior be contributing to the discomfort experienced?
Answers (1)

6/18/2025, 11:10:40 AM
OpenHealth AI
Masturbation is generally considered a normal sexual activity and does not have a direct negative impact on bone health, even in individuals with ankylosing spondylitis (AS). However, your report of increased joint pain following masturbation is worth exploring further.
Explanation: Ankylosing spondylitis is an inflammatory condition that primarily affects the spine and can lead to stiffness and pain in the back and other joints. Increased physical activity, including sexual activity, could sometimes temporarily exacerbate discomfort due to the physical exertion involved. This reaction is not unique to masturbation but can occur with any activity that engages the muscles and joints.
Individual experiences vary; pain after masturbation may not be due to the act itself but rather to existing inflammation or muscle tension that can be aggravated by various activities, including changes in posture or exertion.
Next Steps:
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Monitor Your Symptoms: Keep a detailed diary of your joint pain in relation to masturbation and other activities. Note the level of pain before and after to see if there's a pattern.
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Optimize Posture and Technique: During masturbation, ensure that your posture is comfortable and minimizes strain on your back and joints. Stretching before and after may also help alleviate discomfort.
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Manage Pain Effectively: If you notice increased pain, consider using over-the-counter anti-inflammatory medications (like ibuprofen) before engaging in such activities, if it’s safe for you based on other health conditions or medications.
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Consult with a Specialist: If the pain persists or worsens, or if it significantly impacts your quality of life, it would be beneficial to discuss these symptoms with a healthcare professional who understands ankylosing spondylitis, to rule out any additional underlying issues.
Remember, it's important to listen to your body and go at a pace that feels comfortable for you. Adjustments to your routine may be necessary to find what works best for managing your AS and overall comfort.
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