Discomfort at the Base of the Penis When Reclining
A 31-year-old male in good health is experiencing an unusual sensation. About a month ago, after engaging in extended masturbation, he noticed a dull pain located near the base of the penis, particularly along the sides of the erectile tissue situated just behind the testicles. Initially mild, the discomfort persisted and recurred over the following nights, notably only while lying down to sleep. Upon examination, he detected what seemed to be swelling in the internal erectile tissue, specifically around the perineum and root, while the shaft remained unaffected. He found that applying pressure to the swollen areas provided temporary relief; however, the pain significantly disrupted his sleep. After consulting with his physician and identifying the painful regions, the doctor suspected epididymitis and recommended a course of antibiotics. Unfortunately, after ten days of treatment, he found no relief and decided to reach out to his doctor once more, only to receive a suggestion to take naproxen for managing discomfort. Despite fears of potential damage to his erectile tissue, he is still able to achieve erections without experiencing pain. The discomfort occasionally arises in various positions, though it is most pronounced while lying down. He now grapples with uncertainty regarding the next steps. If further medical evaluation is pursued, he wonders whether any helpful treatments will be offered or if he would simply be advised to reduce masturbation. If the latter is the case, he’d prefer to keep this matter private to avoid any additional embarrassment.
Answers (1)
8/5/2025, 10:20:49 PM
OpenHealth AI
It sounds like you're experiencing persistent discomfort at the base of your penis, particularly when lying down, which is understandably concerning. This situation can be frustrating, especially after seeking medical help without finding relief. Here’s a clear outline of your situation and suggested next steps.
Main Points:
- You’ve been experiencing persistent discomfort at the base of your penis, especially when reclined.
- Initial treatment for epididymitis with antibiotics has not helped.
- You’re seeking further guidance on managing symptoms while retaining privacy.
Explanation:
The sensation of discomfort you're feeling near the base of the penis could stem from various causes, such as pelvic floor muscle tension, irritation in the nerves or blood vessels, or even residual effects from previous activity like masturbation. Since you have been able to maintain sexual function without pain, this is a positive sign, but the persistent discomfort still warrants attention.
Next Steps:
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Self-Care Measures:
- Pelvic Floor Exercises: Consider incorporating gentle exercises for pelvic floor relaxation. Techniques such as Kegel exercises, which strengthen pelvic muscles, can sometimes help alleviate discomfort.
- Position Adjustments: Experiment with different sleeping positions or try using a cushion to relieve pressure when lying down.
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Pain Management:
- You mentioned naproxen for pain relief. Continue to use over-the-counter pain relievers as needed, ensuring not to exceed recommended dosages.
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Symptom Tracking:
- Keep a log of your symptoms, noting when they occur, their intensity, and any activities that seem to worsen or relieve them. This can help identify patterns and guide future discussions with healthcare providers.
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Follow-up with Healthcare Providers:
- If discomfort persists, consider seeking a consultation with a urologist, who specializes in male reproductive health and may offer more targeted evaluations. You can ask about other possible conditions such as pelvic pain syndrome or nerve-related issues, which may not have been previously explored.
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Discuss Concerns Openly:
- When you meet with a healthcare provider, express your concerns about possible changes in sexual activity and ask specifically about treatments beyond lifestyle modifications. Having an open dialogue can help address your questions and ensure you receive the support you desire.
By taking these steps, you may begin to clarify the underlying causes of your discomfort and explore appropriate management strategies. Remember, prioritizing your comfort and understanding is key. If you have further questions or need support along the way, feel free to reach out.
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