I am 28 yrs old and for the past few months I have been having pain at the tip of the penis during ejaculation. This is while masturbation and I have had no sexual contact with anyone so far.
I have to hold the tip to avoid the stretch at the tip or else it is almost as if my penis would explode. The pain is immense.
I really dont know how this pain started. I started felling it while I was sitting on a bus and the tip rubbed against my pants and I felt this pain. But I didn't adjust myself due to embarassment.
I visited a urologist and he said it was prostatitis. He gave me some antibiotics to take but these didn't relieve me and the pain continued. Then I visited another urologist and he didn't say much. He suggested hot baths and prescribed these medicines for 15 days:
Gentamicin Sulphate Ointment
Ciprofloxacin Hydrochloride 100mg ( 1 at night 15 days)
Baclofen (Lioresal) (1----1 for 7 days)
Ten days have past and the pain still is present.
So friends please can you all tell me what does this mean. I really need help cause this pain has been taking a toll on me emotionally.
Pain at the tip during ejaculation
-
CppsDad
- Retired Mod

- Posts: 956
- Joined: Sat Nov 20, 2004 7:24 am
- Location: N. America
I can't say what is causing your pain for sure, but the first thing you want to rule out is bacterial infections or other medical problems. I assume if you were taking antibiotics that they made you take a urine or fluid culture to test for infection? If so, what was the result of that?
For many people on this board, the pain you describe comes from referred pain from muscles. I can't diagnose your case and say if you fall in this group; and I'm not a doctor so I wouldn't want to lead you wrong. But I will briefly describe how this pain affects many of the people on the board.
The theory is that tense pelvic muscles and painful trigger points are actually referring pain throughout the pelvic region. This causes a LOT of different symptoms, many of which are immediately diagnosed as prostatitis by urologists who don't really understand at all anything other than what they have been taught - which is that pain in that region is caused by the prostate. But the newer research is suggesting the prostate has nothing to do with this at all, yet the urologists are not catching on so quick and they will still hold to prostatitis as your diagnosis even if your cultures are negative.
If you have chronic prostatitis / chronic pelvic pain syndrome from referred muscle pain, you can get pain in your penis, testicles, perineum, groin, abdomen, back, legs, and stomach. Your symptom is not uncommon here and therefore it certainly falls into the realm of CPPS. But you want to make sure you don't have an STD or other problem as well.
If you have CPPS, it is only diagnosed by exclusion and by some common factors. Some of these factors are tenderness in pelvic muscles in the abdominals, lower back, and rectal area. Others are golf ball feeling in the rectum, weak or split urine stream, pain on ejaculation in testicles, perineum or even penis. Other symptoms are more pain when sitting, especially for long periods of time, more pain during stress or anxiety, hot baths making the pain feel better while you are in it, less pain after lots of relaxation.
People can develop tense and shortened muscles by chronic tensing of the pelvic muscles. These chronic tensing can develop painful trigger points that then do nothing but refer pain. The solution to all of this is to rehabilitate those muscles through PT and stretching (daily), and more relaxation to keep from tensing the muscles (voluntarily or involuntarily).
You should go to the main page, https://ucpps.men/ and read the "new to this site" section. That should give you good information.
I hope I've been helpful,
Michael
For many people on this board, the pain you describe comes from referred pain from muscles. I can't diagnose your case and say if you fall in this group; and I'm not a doctor so I wouldn't want to lead you wrong. But I will briefly describe how this pain affects many of the people on the board.
The theory is that tense pelvic muscles and painful trigger points are actually referring pain throughout the pelvic region. This causes a LOT of different symptoms, many of which are immediately diagnosed as prostatitis by urologists who don't really understand at all anything other than what they have been taught - which is that pain in that region is caused by the prostate. But the newer research is suggesting the prostate has nothing to do with this at all, yet the urologists are not catching on so quick and they will still hold to prostatitis as your diagnosis even if your cultures are negative.
If you have chronic prostatitis / chronic pelvic pain syndrome from referred muscle pain, you can get pain in your penis, testicles, perineum, groin, abdomen, back, legs, and stomach. Your symptom is not uncommon here and therefore it certainly falls into the realm of CPPS. But you want to make sure you don't have an STD or other problem as well.
If you have CPPS, it is only diagnosed by exclusion and by some common factors. Some of these factors are tenderness in pelvic muscles in the abdominals, lower back, and rectal area. Others are golf ball feeling in the rectum, weak or split urine stream, pain on ejaculation in testicles, perineum or even penis. Other symptoms are more pain when sitting, especially for long periods of time, more pain during stress or anxiety, hot baths making the pain feel better while you are in it, less pain after lots of relaxation.
People can develop tense and shortened muscles by chronic tensing of the pelvic muscles. These chronic tensing can develop painful trigger points that then do nothing but refer pain. The solution to all of this is to rehabilitate those muscles through PT and stretching (daily), and more relaxation to keep from tensing the muscles (voluntarily or involuntarily).
You should go to the main page, https://ucpps.men/ and read the "new to this site" section. That should give you good information.
I hope I've been helpful,
Michael
This is NOT medical advice. I am NOT a doctor.
Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
-
boudreaux
- Beginner

- Posts: 35
- Joined: Tue Dec 21, 2004 4:47 pm
tip of the penis pain is an extremely common "1st symptom" of pelvic floor muscle trigger points. it's where my symptoms started also. go to http://www.pelvicpainhelp.com and read Dr. Wise' essay on the physical therapy of the Stanford/Wise-Anderson Protocol - the levator ani muscle in the pelvic floor refers pain to the tip of the penis. read "A Headache in the Pelvis" and seek out a physical therapist who can intra-rectally evaluate your pelvic floor for trigger points. trigger point massage to your levator ani muscle should recreate your pain and further treatment of it will release the restriction in the muscle.
while I'm not a doctor and can't give you medical advice, your "tip" symptom is a classic indicator of a levator ani trigger point that needs deep massage.
while I'm not a doctor and can't give you medical advice, your "tip" symptom is a classic indicator of a levator ani trigger point that needs deep massage.
Age: | Onset Age: | Symptoms: | Helped By: | Worsened By:
