Hi doctor, This is a bit of an awkward question for me as I have never talked about it before, but I have been worrying about the condition of my prostate. If I masturbate, or just ejaculate for that matter, I get a very harsh pain more than once in about 24 hours period which I believe to be in my prostate. It is in the same place every time and it can go on for quite a while, and even come back multiple times throughout the day. I am just turning 20. I am very active and healthy, so something like this has harmed me physically and psychologically. Please help.
Hello. You need to understand that painful ejaculation both during masturbation or intercourse is mostly due to infection or inflammation of the sexual tract such as seminal vesicle, prostate, urethra or with the use of certain drugs. Sometimes it can be due to psychological causes with the partner. (I do not think you fall under later categories). Please answer some of my queries. Do you have intercourse before? Any relationship issues? Do you have hematospermia (blood in semen) anytime? Any surgeries in childhood? Any testicular swelling or UTI (urinary tract infection) in the past? Any foul-smelling discharge from urethra? Any other urinary symptoms such as frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Are you a diabetic? Though I still believe that your symptoms are due to inflammation of sex organs but above questions will help me to reach a proper diagnosis.