prostate pain after sex

[red5033]

I'm 36 years old and I year ago I had what I would call serious prostatitis (non-bacterial) lasting for several months. After lots of tests My Uro doc could never find anything (except an inflamed prostate) and he even did a cysto, finding nothing. Slowly my prostate has returned to normal however, any and every time that I have sex my symptoms immediately return for about 24 to 48 hours (no pain during the act but within an hour concluding). The only other thing that sets my prostate pain off is in event that I have to hold my bladder for any length of time. My symptoms can be somewhat managed with 800mg of motrin and time. Any suggestions, comment or... My doc has none, nor can he offer me an explaination. I've almost resolved to the fact that I'll never have sex without pain ever again. I also have tried the ProstQ with no success..

Red

[webslave]

My suggestion, and others may want to suggest something else, is that you should attempt to get some form of intra-rectal trigger point massage treatment. Buy the Headache in the Pelvis book too.

[TK]

Red,

Pain following ejaculation -- building to a peak 1-2 days afterwards -- is one of the hallmarks of what has variously been called prostatitis/CPPS (chronic pelvic pain syndrome)

The mechanism involved in this "delayed onset" is sometimes called windup pain and involves complex neurological factors that are not completely understood -- even by the research community. If you are curious, you can learn more about it.

Some of what you can learn about the neurological aspect can have practical value; otherwise it's generally useful in order to make some sense of what you are experiencing. But there are other areas of inquiry that can lead more directly to positive results so -- beyond basic understanding -- I would advise you not to get bogged down in the neurology at this point.

Many at this website, myself included, have experienced this "day after" pain. The good news is that with the right approach, many of us have found a way to slow, incremental improvement that leads to a point where symptoms are all but imperceptable.

I urge you to explore the sections of this forum (and the associated website) dealing with muscle tension disorder. Of course I cannot diagnose your condition, but it sounds like there is a good probability that this approach will help you. Rather than restate what I have written before, I will direct you to:

viewtopic.php?t=630

Re ejaculation, many of us have found that the more or less universal male tendency to "squeeze hard" or "ram it home" at the moment of climax can be replaced by a gentler "just let it happen" approach that is just as pleasurable, but has less traumatic impact on the pelvic muscles.

Finally, welcome to the forum. This is one of a very few places on the web where you can find accurate and reliable information about our condition.

[Mike]

I find the best way to *manage* post ejaculatory pain is to relax during and after, this is a very good suggestion that this forum came up with. Time ejaculation at a time when you don't have to do anything afterwards but relax, even simply minutes before going to sleep at night makes a big difference in the morning I find personally. Often I can reduce it dramatically using this simple but effective measure. Over time you just learn to manage these things in your own individual way as you become more educated.