Chronic Pain in the Penis During Erections: Seeking Advice
Greetings, I'm a 25-year-old individual from Ukraine. Since I was 17, I've been dealing with ongoing discomfort in my penis during erections. Initially, the pain was merely a dull sensation, but over time it has intensified significantly. It feels as if there's an immense pressure surrounding it, particularly after I engage in masturbation. Additionally, I have a history of depression, irritable bowel syndrome (IBS), and constipation. Throughout these years, I have undergone various tests and treatments in search of relief, including an MRI, ultrasound, and prostate massage. I have also attempted medications such as antidepressants—specifically Clomipramine, which provided only brief relief—as well as muscle relaxants and a Vasoprostan injection aimed at assessing venous outflow. Unfortunately, that injection resulted in severe pain (rated 9 out of 10) lasting for four hours. Despite all my efforts, no concrete diagnosis has been established, but there have been suggestions of pelvic floor neuropathy. Is there anyone who has faced similar issues or has any recommendations for treatment? Your input would be greatly appreciated. For many who share their stories, I understand that pain often manifests during sustained erections after sexual activity. However, in my case, the discomfort is persistent, occurring during erections and even when I’m not aroused. This has been my reality for the past eight years. I even received a prescription for an opioid analgesic, but I am hesitant to use it due to concerns over its implications. Medical opinions have hinted at conditions like pelvic floor myofascial pain syndrome, prostatitis, or neuropathy, yet none have led to a definitive conclusion. The pain is particularly acute when there is blood flow to the area, creating a sensation reminiscent of overpressure. It is quite distressing because I cannot grasp what is truly happening in my body. Additionally, I wish to clarify that I have not suffered any injuries to the penis; my self-pleasure techniques are not aggressive, and I have not experienced any bruises. Thank you for your attention and any assistance you may provide.
Answers (1)
6/20/2025, 12:20:52 PM
OpenHealth AI
I'm sorry to hear about the chronic pain you're experiencing; it sounds very distressing. Based on your description, it seems you're dealing with a complex issue that could be related to pelvic floor tensions, neuropathy, or myofascial pain syndromes. Here's a structured approach that may help you manage your symptoms.
Summary of Main Points:
- Chronic pain during and after erections can relate to pelvic floor issues or nerve sensitivities.
- There are several management strategies to try, given your complex medical history.
- Focus first on relaxation techniques and pelvic floor exercises.
Explanation:
Chronic penile pain, especially during erections, can be caused by various factors. Since you've mentioned no apparent injuries and extensive medical evaluations without a definitive diagnosis, conditions like pelvic floor myofascial pain syndrome or neuropathy may be significant contributors. It's also notable that stress or anxiety can exacerbate pain, especially in chronic conditions.
Next Steps:
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Pelvic Floor Physical Therapy: Consider consulting a pelvic floor specialist. They can assess and help you with targeted therapies that can relieve muscle tension and pain in the pelvic region.
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Daily Relaxation Techniques: Incorporate relaxation strategies like deep breathing, yoga, or meditation. These can help reduce overall tension, which may ease pelvic floor tensions and associated pain.
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Gentle Stretching and Exercises: Engage in light pelvic stretches. Exercises like diaphragmatic breathing and pelvic floor relaxation techniques can be beneficial. Avoid aggressive exercises or activities until you get a clearer understanding of your condition.
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Medication Review: If you're still experiencing pain, revisit the medications you're using. While you have concerns about opioids, consider discussing alternative medications with your healthcare provider that could offer relief without the risks associated with opioids.
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Symptom Diary: Keep a detailed log of your pain episodes, including triggers, duration, and intensity. This can help identify patterns and provide your healthcare providers with more insights during follow-ups.
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Community Support: Look for support groups, either online or in person, where you can share experiences with others who may be facing similar challenges. Sharing your journey can provide not only emotional support but also potential coping strategies.
Closure:
It's understandable to feel worried and frustrated given your prolonged experience. Please remember that you're not alone, and there are professionals and resources available to help you explore better management strategies for your symptoms. If you feel comfortable, keep the lines of communication open with your healthcare team to find the most effective approaches for your unique situation.
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