Why does my penis hurt after sex?

By Shannon Strauch, PTA, STMT-1 on 7/12/2024

Experiencing penile pain after sex can be concerning and uncomfortable. There are several potential reasons for this pain, some of which may be related to pelvic floor dysfunction. Here’s a detailed exploration of possible causes and how pelvic floor therapy might help:

Potential Causes of Penile Pain After Sex

1. Pelvic Floor Muscle Tension or Dysfunction

   • Muscle Spasms

     : The pelvic floor muscles can become tense or spasm during sexual activity, leading to pain.

   • Trigger Points

     : These are sensitive areas within the pelvic floor muscles that can cause referred pain to the penis.

2. Friction or Trauma

   • Skin Irritation

     : Excessive friction during intercourse can cause irritation or microtears in the penile skin.

   • Trauma

     : Rough or prolonged sex can lead to minor injuries, such as bruising or abrasions.

3. Infections

   • Urinary Tract Infections (UTIs)

     : Infections in the urinary tract can cause pain during and after sex.

   • Sexually Transmitted Infections (STIs)

     : Some STIs can lead to penile pain.

4. Inflammation

   • Prostatitis

     : Inflammation of the prostate gland can cause pain during ejaculation or after sex.

     

   • Urethritis

     : Inflammation of the urethra can cause pain and discomfort.

5. Structural Issues

   • Peyronie's Disease

     : The development of fibrous scar tissue inside the penis can cause curved, painful erections.

   • Phimosis

     : A tight foreskin that is difficult to retract can cause pain.

6. Nerve Issues

   • Pudendal Neuralgia

     : Irritation or damage to the pudendal nerve, which runs through the pelvic floor, can cause penile pain.

How Pelvic Floor Therapy Can Help

Pelvic floor therapy focuses on the muscles, nerves, and connective tissues in the pelvic region. Here’s how it can address penile pain:

1. Assessment and Diagnosis

   • Comprehensive Evaluation

     : A pelvic floor therapist will conduct a detailed assessment, including your medical history, symptoms, and a physical examination of the pelvic region.

   • Identifying Triggers

     : The therapist can help identify specific triggers or contributing factors to your pain, such as muscle tension, poor posture, or previous injuries.

2. Manual Therapy

   • Trigger Point Release

     : The therapist may use manual techniques to release trigger points in the pelvic floor muscles.

   • Myofascial Release

     : This technique targets the connective tissue (fascia) to reduce pain and improve mobility.

3. Pelvic Floor Exercises

   • Strengthening and Relaxation

     : Tailored exercises to strengthen weak muscles and relax overactive muscles, improving overall pelvic floor function.

   • Biofeedback

     : Biofeedback may be used to provide feedback on muscle activity, helping you learn how to control and relax your pelvic floor muscles.

4. Education and Lifestyle Modifications

   • Ergonomic Advice

     : Recommendations for posture and activities to reduce strain on the pelvic floor.

   • Behavioral Changes

     : Advice on sexual practices and positions that might reduce pain.

5. Pain Management Techniques

   • Breathing Exercises

     : Techniques to promote relaxation and reduce muscle tension.

   • Stretching

     : Specific stretches to improve flexibility and reduce tension in the pelvic region.

When to Seek Help

If you experience persistent penile pain after sex, it’s important to seek medical advice. A healthcare provider can rule out infections, structural issues, or other medical conditions. If pelvic floor dysfunction is suspected, they may refer you to a pelvic floor therapist for specialized care.

Conclusion

Penile pain after sex can be caused by various factors, including pelvic floor dysfunction. Pelvic floor therapy offers a range of techniques to address muscle tension, improve pelvic floor function, and alleviate pain. If you're experiencing ongoing pain, a thorough evaluation by a healthcare provider and possibly a pelvic floor therapist can help determine the cause and appropriate treatment. Having pain in the penis during or after sex? Reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.

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