Can frequent masturbation cause problems with urination?

Question

Hello doctor,

I am a 27-year-old unmarried male experiencing urinary issues for the past two years. I consulted a urologist, and we conducted various tests, including urine culture, serum creatinine, and an ultrasound of the kidneys, ureters, and bladder (KUB). Despite these tests, my doctor concluded that there were no problems with my urinary tract. A few months later, I visited the same doctor again, who recommended a thyroid profile test and uroflowmetry. Both tests returned normal results. Eventually, due to my frequent visits, my doctor performed a cystoscopy and found everything to be normal.

For the past two years, I have occasionally experienced a burning sensation in my penis while urinating, though I have not noticed any significant change in urine color. Sometimes, I observe some fluid at the tip of my penis, which I suspect may be prostate fluid. I frequently masturbate, at least three times a day, and have done so for many years. I have noticed that I become aroused without sexual stimulation, and I also experience some pain after ejaculation. Despite these symptoms, I feel that there is nothing wrong with my urinary system. I find that I need to apply more pressure to urinate, and I feel that my penis does not handle the fluid properly. Could frequent masturbation be the cause of these issues? I am planning to get married next year and would appreciate any guidance.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I am sorry to hear about your problem.

Frequent urination can be a symptom of an overactive bladder. Mild pain in the urogenital region might be due to nerve-related issues. Typically, masturbation does not cause these problems.

If you have not already, you might consider taking a course of empiric antibiotics. I would suggest discussing with your specialist doctor the option of trying Tolterodine 4 mg and Nortriptyline 25 mg once at night for a month. Consult your specialist doctor, discuss with him or her, and take the medicines with take the medicines with their consent.

I hope this helps you.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Yes, you can take Tolterodine again along with Nortriptyline. Combining these two medications can enhance their effectiveness and offer different benefits. The exact cause of your symptoms is not well understood, and research is ongoing. It is similar to experiencing a headache with no specific reason, often related to nerve overactivity.

To address this, follow the prescribed course of medication and understand that there is no major underlying problem. This approach should help alleviate your symptoms. Since your previous tests have all been normal, there is no need to worry. Urologists frequently see patients with similar complaints, and many find relief after a few months of medication. Remind yourself that you do not have a specific disease and that this condition will not harm you.

Your condition should not affect your married or sexual life, as long as you focus on treatment and avoid excessive worry.

I hope this helps.

Thanks for using icliniq, and have a nice day.