Patient's question:
I had sex with my girlfriend on December 24th, and we were both very drunk at the time. Afterward, my penis was very painful, especially when I urinated. However, it returned to normal after three days. On January 1st, we had sex again, and my semen kept leaking out. When it leaked on the 1st, it was a bit painful, so I went to urinate an hour later, and it was excruciatingly painful, and it was a little bloody. I’m very worried. It’s still painful, and I always feel like I need to urinate, but only a few drops come out, and my penis is extremely painful afterward, with a little blood in my urine. I’m so worried, please help me.Doctor's answer:
??????Hello, based on your description, let me tell you about the causes of post-coital pain. You can compare them yourself. Prostatitis is a common disease in adult males, characterized by mild pain, unclear location, and often a sense of fullness, heaviness, and vague pain in the perineum, as well as discomfort or pain in the spermatic cord, testicles, and other areas. It may also be accompanied by mild urinary frequency, urethral itching, and increased urethral discharge. Seminal vesiculitis often occurs concurrently with prostatitis and may sometimes result in hematospermia. The prostate fossa is located at the bottom of the urethra near the bladder, rich in nerves, and can directly control sexual intercourse movements, as well as assist in the contraction of the seminal duct opening. Its inflammation is mainly caused by bacterial infection or excessive sexual activity. The main pathogens causing urethritis are E. coli, streptococcus, and staphylococcus, and patients often experience symptoms such as urinary urgency, dysuria, and urinary frequency. The pain from orchitis and epididymitis is relatively severe and is often accompanied by swelling of the testicles and epididymis. The consequences of inflammation in these organs can lead to contraction and compression of tissues during intercourse, resulting in painful ejaculation.