What discomfort will you feel after holding back ejaculation?

Holding back ejaculation may cause perineal swelling and pain, prostatitis, sexual dysfunction, seminal vesiculitis, neurasthenia and other discomforts. Long-term deliberate suppression of ejaculation may have multiple negative physiological and psychological consequences.

1. Perineal swelling and pain:

The reproductive system is in a highly congested state before ejaculation. Forcibly interrupting the sexual response will cause continuous contraction of the pelvic muscles, causing perineal swelling and pain. The pain may last from hours to days, and some patients experience a burning sensation when urinating. It is recommended to take a warm water sitz bath to relieve local muscle tension and avoid sitting for a long time to compress the perineum.

2. Prostatitis:

Reflux of semen may induce aseptic prostatitis, manifested by frequent urination, urgency, and dull pain in the pubic area. Clinical statistics show that about 35% of patients with chronic prostatitis have the habit of holding back semen. This type of inflammation usually needs to be treated with α-receptor blockers such as tamsulosin and plant preparations such as Puxita tablets, and regular semen ejaculation needs to be maintained.

3. Sexual dysfunction:

Repeated suppression of ejaculation may cause ejaculation threshold disorders, and premature ejaculation or difficulty in ejaculation may occur later. Abnormal regulation of nerve reflex arcs can also lead to decreased erection hardness. Progressive training in behavioral therapy combined with serotonin reuptake inhibitors such as dapoxetine can improve symptoms, but it needs to be used under the guidance of a doctor.

4. Seminal vesiculitis:

Semen retention may cause congestion and edema of the seminal vesicle mucosa, leading to symptoms such as hematospermia and lower abdominal pain. During an acute attack, the semen may be dark red, accompanied by low-grade fever. Ultrasound examination shows thickening of the seminal vesicle wall, and treatment requires quinolone antibiotics such as levofloxacin combined with local physical therapy.

5. Neurasthenia:

Long-term non-release of sexual excitement can lead to autonomic nervous system disorders, resulting in symptoms such as insomnia, dreaminess, and lack of concentration. Abnormal fluctuations in dopamine and serotonin levels in the body may worsen anxiety. Cognitive behavioral therapy combined with aerobic exercise can effectively regulate neurological function. It is recommended to maintain moderate-intensity exercise for more than 30 minutes three times a week.

Maintaining a regular and moderate sexual frequency is key to preventing related discomfort. You can eat more zinc-containing foods such as oysters, pumpkin seeds and antioxidants such as lycopene every day, and avoid excessive intake of spicy foods. Sitz bathing in warm water at around 40°C for 15 minutes a day can improve pelvic blood circulation. If persistent discomfort occurs, you should promptly see a urology department or andrology department for a clear diagnosis through routine semen and prostate fluid examination. Middle-aged and elderly patients need to pay special attention to the identification of symptoms of prostatic hyperplasia.