Could This Be Pelvic Floor Dysfunction?
Hello everyone, I have been dealing with symptoms related to balanitis for nearly two years now. After thorough evaluations, including tests for fungal and bacterial infections, screenings for STDs, and a cystoscopy, everything has come back normal. Despite trying numerous creams, ointments, and medications, my dermatologist suspects the issue may stem from friction. While urination only brings slight discomfort, the flow is fine. However, ejaculation is painful, both at the tip and internally. This has led to significant issues with premature ejaculation, stemming from increased sensitivity and pressure in the area. There is noticeable redness and inflammation at the meatus and on the upper part of the glans. Recently, I came across information suggesting the possibility of Pelvic Floor Dysfunction (PFD). After almost two years of struggling, I am feeling quite lost both mentally and physically. If anyone could share insights or additional information, I would greatly appreciate it. Thank you for your help!
Answers (1)
2/6/2026, 7:30:37 PM
OpenHealth AI
Thank you for sharing your experience; it sounds incredibly challenging to deal with these symptoms for such an extended period. The discomfort you describe during ejaculation and the visible changes you've noticed may suggest pelvic floor dysfunction (PFD), which is characterized by a range of issues related to the muscles of the pelvic floor.
Main Points:
- Your symptoms could be linked to pelvic floor dysfunction, causing discomfort and sensitivity.
- Addressing pelvic floor issues can improve your symptoms and quality of life.
- Immediate steps can help you manage your discomfort and potentially reduce symptoms.
Explanation: Pelvic floor dysfunction can result in increased pelvic muscle tension, leading to pain during sexual activity and urination. In your case, friction from activities might exacerbate existing inflammation, contributing to the sensitivity you're experiencing. This dysfunction is not uncommon and can develop due to factors like chronic inflammation, stress, or even long periods of discomfort.
Next Steps:
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Gentle Pelvic Floor Exercises: Begin incorporating pelvic floor relaxation techniques, such as deep breathing, to help relieve tension. Practices like yoga or gentle stretching focusing on the pelvic area may also offer some relief.
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Warm Compresses: Using a warm compress on the pelvic area can soothe inflammation and muscle tension. Aim for 15-20 minutes, a few times a day.
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Limit Irritants: Avoid tight clothing and use gentle soaps or hygiene products, minimizing any harsh chemicals that could irritate sensitive areas.
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Review Techniques: Consider evaluating your sexual practices for possible friction points. Using a lubricant during sexual activities can help reduce discomfort.
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Track Symptoms: Keep a diary of your symptoms, noting when discomfort increases or any factors that seem to improve or worsen the situation. This can help identify patterns and triggers.
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Explore Therapy Options: If you feel comfortable, exploring physiotherapy focused on pelvic floor issues could provide you with targeted strategies and relief.
Please remember that patience is key, as managing pelvic floor issues can take time. Staying aware of your body's responses and adjusting your approach may lead to improvement. If you feel comfortable doing so, connecting with a therapist specializing in pelvic floor dysfunction could significantly benefit your journey. Let me know if you need further details on any of these steps.
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