Ejaculatory Pain in Epididymitis: Causes and Ways to Ease It

For patients with epididymitis, the sudden aggravation of pain during masturbation and ejaculation is undoubtedly a puzzling problem. This kind of pain not only affects physical comfort, but also brings psychological burden. Understanding the reasons behind this pain and mastering scientific relief methods are very important for the recovery of the disease and the improvement of the quality of life. 

Today, we will talk in detail about why patients with epididymitis feel more pain during ejaculation and how to deal with this problem effectively.

Causes of Worsened Pain During Ejaculation in Epididymitis Patients

Pathological mechanism of epididymitis: Epididymitis is a non-specific infection of the epididymis caused by pathogenic bacteria such as Escherichia coli and Staphylococcus, which can be divided into acute and chronic types. 

Acute epididymitis is mostly caused by the spread of a urinary tract infection. The epididymis will be rapidly swollen and congested, and the scrotal skin will be red and feverish. 

Chronic epididymitis is mostly caused by incomplete treatment of acute diseases. The epididymis will be thickened and swollen locally, and may also be accompanied by thickening of the spermatic cord and vas deferens. At this time, the epididymal tissue is in a state of inflammation, and there is pain and discomfort in itself, which is easily aggravated by subsequent external stimulation. 

The influence of masturbation on epididymitis: on the one hand, masturbation will constantly stimulate the genitals, making the originally inflamed epididymis more congested, blood vessels thicker, aggravating local swelling, affecting the recovery of inflammation, thus making the pain more obvious.

On the other hand, if the hands are not clean when masturbating, bacteria and other bacteria easily enter the urethra, which may cause re-infection, making epididymitis worse, and the pain will become stronger. In addition, frequent masturbation can also reduce the local defense ability of the epididymis, making inflammation more difficult to suppress and pain attacks more frequent.

The physiological change in the ejaculation process: When ejaculation occurs, the genital organs, such as the epididymis and vas deferens, can appear regular systole, pushing a little bit of seminal fluid outwards. For people with epididymitis, these contractions will directly involve and stimulate the already inflamed epididymal tissue.

At the same time, the neutral organ will reach the peak of congestion during ejaculation, further aggravating the congestion and edema of the epididymis. If the course of the disease is longer, the epididymis and surrounding tissues may have adhesions, muscle contraction will also pull the adhesion site; a variety of factors lead to a significant increase in pain.

How to Reduce Ejaculatory Pain in Epididymitis Patients

Suggestion to avoid masturbation: Stop masturbation completely during illness, especially in the acute stage and the recovery stage of treatment, so as to reduce the stimulation of the epididymis from the source and provide favorable conditions for inflammation to subside. 

If you masturbate again after recovery, the frequency should be controlled within 1-2 times a week, while avoiding too rough movements, and pay attention to the cleanliness of hands and external genitalia to prevent pain caused by infection.

Drug treatment plan: The first step is to use anti-infective drugs. First, find out the real pathogenic bacteria through epididymal secretion culture, and then select symptomatic sensitive antibiotics, such as ceftriaxone and levofloxacin for sensitive bacterial infections, and azithromycin for mycoplasma infections, and must be taken according to the complete course of treatment to avoid drug resistance. 

The second step is to use anti-inflammatory analgesics. When the pain is more obvious, you can take non-steroidal anti-inflammatory drugs such as ibuprofen under the guidance of a doctor to alleviate inflammation and pain discomfort.

In the chronic stage, Chinese patent medicines such as the Diuretic and Anti-inflammatory Pill developed by Dr.Lee's clinic, can also be taken under the guidance of traditional Chinese medicine to clear heat and detoxify, promote blood circulation, and remove blood stasis. Besides, it helps patients with epididymitis to diminish inflammation and repair, so as to reduce the probability of recurrent attacks.

Lifestyle adjustment: 

Wear loose cotton underwear daily, avoid tight clothes oppressing the epididymis, and reduce local friction.

Avoid sitting for a long time, get up and move for 5-10 minutes every hour to promote perineal blood circulation.

Apply a hot towel at about 104℉ to the epididymis of the affected side for 15-20 minutes every day. 

In the chronic stage, warm sitz baths can be used to help the inflammation absorption. Stay away from spicy stimulation and alcoholic foods. Eat more zinc-rich foods such as oysters and pumpkin seeds, as well as heat-clearing and dampness-promoting foods, such as wax gourd and Coix seed.

Epididymitis Prevention and Long-Term Management

Tips for preventing recurrent epididymitis: 

Maintain regular and clean sexual activities, minimize masturbation, and avoid unhygienic sexual behaviors to minimize the risk of infection.

If you have urinary system problems such as prostatitis or seminal vesiculitis, seek prompt treatment to prevent the inflammation from spreading to the epididymis; always pay attention to personal hygiene, thoroughly clean the perineum every day to reduce the chance of retrograde bacterial infection; in terms of diet, pay attention to balanced nutrition and persist in gentle exercises such as jogging and swimming to build up your body's resistance and reduce the recurrence of inflammation.

The significance of regular examination: 

Regular ultrasound of the reproductive system can be the first time to understand the morphological changes of the epididymis, to see if there are abnormalities such as thickening and nodules.

At the same time, regular urine routine and microbial examination of the secretion of the epididymis can be done to check potential infection risks in advance. For those who have had chronic epididymitis, it is recommended to check every 3-6 months; once the problem is found, it can be dealt with as soon as possible, so as to avoid repeated pain caused by the development of the disease.

Long-term pain conditioning program: 

Patients with chronic epididymitis can make a long-term conditioning plan for themselves, such as gently massaging the epididymis twice a week, slowly pushing and kneading from the head to the tail to help keep the epididymis unobstructed, but this must be stopped in the acute attack period.

You should insist on doing 100 times of the anus lifting exercise every day to strengthen the strength of pelvic floor muscles and improve the local blood circulation of the epididymis; once persistent dull pain occurs, it can be relieved by hot compresses and posture adjustment to avoid further aggravation of the pain. 

At the same time, it is particularly important to maintain a good state of mind. Anxiety and tension will make the nerves more sensitive, thus magnifying the feeling of pain. You can adjust your mood by listening to music and meditation.

Conclusion

Patients with epididymitis have increased pain during ejaculation, which is a common symptom in the course of the disease. Through scientific treatment and reasonable lifestyle adjustment, this symptom can be completely alleviated. It is important to maintain a positive attitude, strictly follow the medical supervision, and give the body enough time to recover.