Understanding Genital Pain in Prostatitis: Causes, Symptoms, and Treatment

[손기정 일중한의원 원장] Along with dysuria, a characteristic symptom experienced by patients with prostatitis is pain. In some cases, body aches may come, and pain in the perineum and lower abdomen may be accompanied by high fever and chills. For testicular pain and lower abdominal pain, painkillers are considered useless. There are many patients who suffer from severe pain that expresses, ‘I can’t believe this much’, and are accompanied by depression due to mental stress.

Among them, pain that cannot be ignored is genital pain that occurs during erection or ejaculation. In most cases, pain occurs in the upper part of the genital area, along with heavy pain around the perineum. Sometimes the waist

Pain also appears at the tip of the penis, and even when it reaches the extreme, you feel a tingling pain when you ejaculate. Some people develop premature ejaculation or seborrhea after experiencing pain.

In fact, as a result of a random survey of 245 patients with chronic prostatitis who visited my hospital, 64.5% suffered from constant pain after the onset. Among them, pain in the perineum between the anus and the testicles was the most common at 68.6%, and 42.4% of patients experienced pain at the end of the genitals, and pain in the testicles also accounted for 39.2%. Even when semen was discharged due to ejaculation, 3.5 out of 10 (36.3%) complained of pain. The average age of the patients was 44.9 years old, and as men, they were at the height of their sexual lives.

Patients with prostatitis are characteristically suffering from genital pain, which is closely related to edema due to inflammation and muscle tension and contraction around the prostate. When the prostate is inflamed, congestion and swelling occur. Edema adversely affects the tissues around the prostate, such as the perineum, and becomes a direct cause of pain. In addition, when the tension of the pelvic floor muscles and muscles around the perineum increase, pain and energy consumption increase significantly, leading to general lethargy. There is also a study that, when electromyography is performed on patients with prostatitis, muscle tension is higher than that of normal people and is not released during urination.

The genital pain of patients with prostatitis directly affects not only the suffering of the man himself but also the marital relationship. Erection pain can cause one to avoid sexual intercourse itself, and can be psychologically frightening if accompanied by a tingling pain at peak times when one should feel extreme. To solve this problem, it is important to promptly and completely treat prostatitis, which is a long-standing disease. The key to treatment is to relieve swelling in the prostate and around it and to increase the immunity of the whole body with the treatment of herbal decoctions with excellent anti-inflammation drainage. According to my clinical thesis, these herbal treatments resulted in rapid reduction of pain and discomfort in 93% of patients. By restoring the health of the prostate itself, pain during sexual intercourse or functional problems in sexual life are naturally resolved.

In addition, it is important for patients with prostatitis to keep the muscles around the pelvis in a relaxed state. Relaxing the muscles of the perineum with warm heat, or taking a half-body bath and sitz bath periodically with hot water of 35 to 40 degrees similar to body temperature helps to lower tension and increase immunity. It is also good to have a massage that gently acupressure the perineum or lower abdomen where there is actual pain.