OpenHealth Q&A

Get answered by medical professionals

Discomfort During Ejaculation

8/6/2025, 9:10:29 AMMale25-34

As a 24-year-old male weighing 130 pounds, I experience a sensation of pressure in my urethra during ejaculation, which feels akin to a blockage. Specifically, there is a mild pain located beneath my penis, near the shaft just before the glans. I have not noticed any unusual aspects regarding the appearance of my semen, nor have I seen any blood. Additionally, I find urination to be challenging immediately after ejaculation; I feel a similar obstruction and must exert effort to pass urine, which comes out weakly and is disrupted if I don't push. However, approximately five minutes post-ejaculation, my urination returns to normal.

Joint PainAbdominal PainChronic Pain

Answers (1)

Cony

8/6/2025, 9:10:48 AM

OpenHealth AI

It sounds like you're experiencing some discomfort during ejaculation and urination, which can understandably be concerning. While these symptoms can arise from various factors, it's essential to approach them systematically.

Key Points:

  • You feel pressure and mild pain in your urethra during ejaculation.
  • Urination is temporarily challenging following ejaculation but returns to normal shortly after.
  • There are no unusual changes in the appearance of semen or presence of blood.

Explanation:

The sensations you're describing, including pain during ejaculation and difficulty urinating afterwards, can result from several factors, such as urethral irritation, inflammation, or prostate issues. In younger males like yourself, these symptoms are often related to benign conditions, but tracking them is important.

Next Steps:

  1. Hydrate Well: Ensure that you stay well-hydrated, as this can help ease any irritation in the urinary tract.
  2. Avoid Irritants: Limit consumption of caffeine, alcohol, and spicy foods, as they can worsen urinary symptoms.
  3. Warm Compress: Applying a warm compress to the genital area may help relieve discomfort.
  4. Monitor Symptoms: Keep a detailed record of your symptoms, noting any changes, including frequency, intensity, and any additional factors like sexual activity or stress.
  5. Consider Sexual Activity Patterns: If you are engaging in frequent sexual activity, consider if this could be contributing to irritation or if it might be related to any technique used during ejaculation.
  6. Practice Relaxation Techniques: Stress can exacerbate discomfort, so consider practicing breathing exercises or relaxation techniques if you feel anxious about the symptoms.

If your symptoms persist or worsen, or if you develop additional symptoms such as fever or severe pain, it would be wise to seek professional medical advice for further evaluation.

Related Questions

Experiencing Sudden Breathlessness

I am a 38-year-old male, measuring 5 feet 9 inches tall and weighing 165 pounds. Despite my background as a physician, I find myself perplexed by a recurring issue I encounter. Occasionally, I suffer from sudden episodes of breathlessness where I feel compelled to take deep breaths or yawn to alleviate this sensation. These episodes generally occur without warning, mostly during the night, although they can occasionally happen in the daytime as well. During these instances, I do not experience any accompanying symptoms such as chest pain, headaches, dizziness, palpitations, or feelings of anxiety, nor have I noted any neurological changes. Instead, it’s simply a powerful urge for more oxygen and a need to take a deep breath. Another symptom that may or may not be connected is a sensation of discomfort in my abdomen when I try to fall asleep. It resembles restless leg syndrome, but this sensation is localized to my abdomen. I am not currently on any medication and have self-identified with ADHD. I also have a history of anxiety and my recent tests indicate I am pre-diabetic, with an A1C level of 5.7. Additionally, I have issues with both rotator cuffs. My mood has remained stable for several years now. When I analyze the potential causes of my breathlessness, I consider various possibilities, including hematologic, respiratory, cardiac, or central nervous system (CNS) origins. Blood analysis reveals normal hemoglobin levels, and recent lab results show stable BMP, CRP, and LFTs. I have a history of freediving, where I could hold my breath for 2-3 minutes (although I haven’t practiced in a while). I engage in regular cardiovascular exercise without experiencing these symptoms during physical activity, which leads me to suspect a CNS-related issue. My hypothesis is that there may be a dysfunction in my respiratory control center, although I am unclear on the specifics of what this entails. Given my medical training, I am somewhat concerned that my primary care physician may downplay the significance of this issue instead of investigating it thoroughly.

NeurologyChest PainAbdominal Pain
Male25-34
1 hour ago

Post-Workout Aches After Having Baby

To start, I’m seven months postpartum and have scheduled my routine blood tests and a consultation with my primary care physician soon, where I intend to address these concerns. Lately, I’ve been experiencing occasional discomfort lasting three to five days, primarily in my lower back, legs, and sometimes my neck and shoulders. Since I’m breastfeeding and on birth control, I haven’t had a period, and it’s uncertain whether I will with the current birth control method. However, these sensations feel reminiscent of my old menstrual cramps, just prolonged, sometimes accompanied by bloating. I suspect hormonal changes or slow digestion might be factors at play. After discussing this with my OB, she recommended getting an ultrasound during the episodes, so I’m currently waiting for the next occurrence. Recently, I had my blood drawn for unrelated reasons, and everything appeared normal—except my creatinine levels were somewhat elevated. Although they remained within a typical range, it did lower my estimated glomerular filtration rate (eGFR) to 73, which my doctor attributed to mild dehydration. I’ve also noticed an uptick in muscle cramps, especially in my feet and hands during physical activities. Admittedly, I sometimes struggle with maintaining my water intake, though from 5 PM to 7 AM, I manage fairly well, consuming about 90-120 ounces daily, especially in the past week. On average, I produce around 20 ounces of breast milk each day. Despite feeling generally good, I hit the gym for my usual quick workout, involving leg presses (ranging from 190-300 lbs) along with various arm and abductor exercises (about 20-30 lbs). This routine has been consistent for the past four to five months. However, the following day, the familiar aches in my back and legs resurfaced. It felt akin to the onset of the flu, leaving me achy overall. My online searches suggested I might be overtraining or potentially experiencing rhabdomyolysis, but the latter seems a rather serious leap to make. My discomfort tends to subside with rest, there’s no noticeable swelling, my urine appears light yellow, and I experience minimal delayed onset muscle soreness (DOMS). I’m aware that I’m operating on around seven months of limited sleep, as I exclusively pump during the night and often prioritize everyone else’s needs before my own. My body is likely fatigued from these demands. Interestingly, while I enjoy mountain biking, I don’t tend to face this post-ride soreness. I go to the gym several times weekly, suggesting that my experiences might not be directly related. Is there anything concerning about this situation? Do these mild flu-like symptoms post-weight training make sense? I am prone to health anxiety, often linking any physical symptoms to each other. I look forward to discussing this further with my PCP in the coming weeks.

Back PainNeck PainJoint Pain
Male25-34
1 hour ago

Seeking Support for Ongoing Pain Issues

Hello everyone, I'm feeling quite overwhelmed and uncertain about my health situation. I'm a 22-year-old woman, standing at 5’2” and weighing around 100 lbs. For quite some time, I've been experiencing severe, chronic pain in my right lower abdomen, near my ovary, which has persisted since 2024. I've visited the emergency room multiple times, undergone gallbladder screenings, and seen various doctors without much improvement. Earlier this year, I had surgery, but it seems the underlying issue remains unresolved—I’m unsure if any biopsies were taken. I also completed extensive gastrointestinal testing, including a colonoscopy and two endoscopies, but no significant findings emerged from those either. Despite all this, I'm continually prompted to see gastrointestinal specialists by different gynecologists. After receiving a second opinion from a gynecologist at their suggestion, I was informed that my condition could potentially be red endometriosis; however, access to my previous medical images was denied. This led to a referral to a pelvic specialist for another evaluation, but instead of focusing on a physical diagnosis, there was concern that my symptoms might be tied to mental health issues, resulting in a prescription for nerve medication, which unfortunately hasn't made a difference. ### Symptoms I Experience: - **Chronic Pelvic Pain:** The pain is often unbearable with varying intensities; sometimes it's sharp and radiates to my left ovary and uterus. I feel this pain daily, and since getting an IUD, my menstrual periods have stopped, but I still endure intense cramping resembling my flare-ups. - **Menstrual Irregularities:** My periods have been heavy, lasting about six days with fluctuating intensity up until I received a three-month depo shot before my IUD insertion in 2025. During my periods, I would also experience significant nausea and severe, stabbing pains alongside cramping. - **Numbness and Tingling in Limbs:** The severity of my pain often leads me to limp, as I instinctively try to alleviate the discomfort on my right side. I occasionally feel numbness and tingling in my leg, along with joint aches in my ankles and knees, which have been worsening intermittently. - **Pain Related to Eating:** I've noticed that what I eat can exacerbate my pain, leading me to lose my appetite as I try to avoid further discomfort. - **Negative Reaction to Depo:** Approximately a month after beginning the depo shot in 2024/2025, I had an intense reaction that left me bedridden for three days due to extreme pain in my ovaries and uterus. - **Stress-Induced Pain:** I've also found that stress significantly impacts my pain levels. - **Limited GI Symptoms:** Though I don’t experience traditional gastrointestinal issues, I do suffer from extreme bloating and gas and find myself urinating frequently, including at night. - **Smoking for Relief:** Occasionally, I smoke to help manage the pain, though it’s not a consistent solution. If you have any further questions or need additional information, please feel free to reach out. I apologize for the disorganization in my message; the pain is overwhelming, and I appreciate your understanding. Thank you for taking the time to read this.

Pain ManagementHeadacheAbdominal Pain
Male25-34
1 hour ago

Seeking Alternatives to Life with Pain at 22

**Personal Details:** - Gender: Female - Height: 5 feet 2 inches - Weight: 204 pounds - Current Medication: Diclofenac 50 mg, taken twice daily Hello there! Let me share a brief overview of my situation. I underwent gallbladder surgery in February, which was prompted by various autoimmune symptoms like exhaustion, joint discomfort, and facial rashes. Fortunately, these issues were resolved within three months, with all symptoms disappearing by mid-May. However, just two weeks ago, everything returned with a vengeance – the pain has intensified dramatically. It's challenging for me to work or even move at times. Despite numerous lab tests showing normal results, my nurse practitioner in rheumatology suggested that I look for a different job and increase my antidepressant dosage. Now, I'm faced with a dilemma: should I seek a second opinion, or simply accept a life filled with pain since my tests appear to indicate that I'm fine? 😁

FibromyalgiaRheumatologyJoint Pain
Male25-34
1 hour ago

A Scary Health Incident: My Experience with Meckel's Diverticulum

Hello everyone, I hope it’s alright to share my experience here. A couple of weeks ago, I went through something quite alarming that has been on my mind ever since. Two weeks back, I woke up feeling extremely unwell with my stomach in turmoil. The pain worsened throughout the day, and by around 3 p.m., I began to vomit repeatedly, all the while finding no alleviation from the discomfort. I made the decision to head to the hospital and arrived by approximately 4:30 p.m. In the emergency department, I detailed my symptoms and was visibly distressed. The attending nurse suggested it might just be a stomach virus, but I insisted that this pain was unlike anything I had previously encountered. I ended up lying on the bathroom floor of the ER for three hours as my condition deteriorated. Despite my husband's insistence that the situation was serious, I was still waiting for help. Eventually, they admitted me, performed blood tests, and by that point, the agony was so intense that I could hardly gather my thoughts. However, everything changed once the lab results came in. They administered Dilaudid for pain relief and swiftly transported me for a CT scan, which revealed a closed loop obstruction in my small intestine with signs of necrosis and micro perforation. This led to an urgent surgery where they discovered that a Meckel's diverticulum had encircled my bowel causing full thickness ischemia, with no viable tissue remaining in that area. Ultimately, they had to remove 17 inches of my small intestines and reattach the healthy sections. In terms of my health, I’m generally fit, standing at 6’1” and weighing 161 pounds, and I have no history of surgical issues, making this event feel particularly random. Just to note, I had contracted COVID a fortnight prior, and I wonder if the extensive coughing could have contributed to my situation. It feels serious, and I can’t shake the feeling that perhaps I should have been assessed much earlier than after three hours. While I’m not pointing fingers at the triage nurse, I can’t help but question whether hospitals evaluate these situations. Is it typical for emergency departments to handle cases like mine this way? Had there been a quicker response, could the ischemia have been prevented? It’s challenging to reconcile the fact that I was in such a precarious situation for so long. Thank you for any thoughts or insights. I believe I'm still coming to terms with everything that unfolded.

Pain ManagementJoint PainAbdominal Pain
Male25-34
5 hours ago