Pelvic Pain After Ejaculation

Do you experience pelvic pain after ejaculation? If so, you are not alone. Many men suffer from this condition, which could be caused by post-ejaculatory pain syndrome (PEP) or a range of other possibilities.

In this blog post, we will discuss the causes of PEP, what else might cause pelvic pain after ejaculation, and how to get treatment and relief from the pain.

What is post-ejaculatory pain syndrome (PEP)?

Post-ejaculatory pain syndrome (PEP) is one of the continua of psychogenic ejaculatory disorders characterized by pain following ejaculation. PEP generally affects younger men and is not associated with erectile dysfunction or any organic pathology.

It may significantly affect the patient’s quality of life, causing him to avoid sexual encounters. Treatment strategies are similar to those used for other types of ejaculatory disorders and include psychotherapy, sex therapy, and medical therapy.

The pain itself is often caused by involuntary spasms of certain muscles in the genital and pelvic floor area, and can also be aggravated by tension in these muscles. The pain may be sharp or dull and may radiate to the thighs, lower back, or rectum.

Are there other potential causes of pelvic pain after ejaculation?

There are a number of potential causes of post-ejaculatory pain, including:


An inflammation of the prostate that can be caused by infection or other conditions, prostatitis is a common condition that can cause pain, urinary problems, and sexual dysfunction. It can be acute (short-term) or chronic (long-term).

Acute prostatitis is often caused by a bacterial infection. Treatment typically includes antibiotics and pain relief.

Chronic prostatitis is more difficult to treat. It may be caused by an infection, but often the cause is unknown. Treatment typically includes medication and lifestyle changes.


Cystitis is a condition that can cause inflammation of the bladder. The most common symptom of cystitis is a burning sensation when you urinate. Cystitis is usually caused by a bacterial infection, but it can also be caused by other things, such as an injury to the bladder.

Cystitis is treated with antibiotics. In some cases, you may also need to take a pain reliever. If you have cystitis, it is important to drink plenty of fluids so that you can urinate often. This will help to flush the bacteria out of your system.


Epididymo-orchitis is an inflammation of the epididymis, the coiled tube that connects the testicle with the vas deferens. The condition usually affects only one side. Epididymo-orchitis can be caused by a viral or bacterial infection.

This condition often causes pain and swelling in the affected testicle. The scrotum may also be red and tender. Other symptoms may include fever, abdominal pain, and a general feeling of ill health.

Most cases of epididymo-orchitis can be treated with antibiotics or other medications. In some cases, surgery may be necessary to drain an abscess. Bed rest and elevation of the affected testicle may also be recommended.

Urethral stricture

Urethral stricture is the abnormal narrowing of the urethra. Urethral stricture can occur at any age, but is most common in young and middle-aged men. The condition is also seen more often in men of African descent.

Urethral stricture may be caused by an injury, surgery, or a previous urinary tract infection. In some cases, the cause is unknown.

Symptoms of urethral stricture include difficulty urinating, a weak urinary stream, and dribbling urine. The condition can also lead to urinary retention, which may require catheterization.

Urethral stricture is diagnosed through a physical examination, medical history, and imaging tests. Treatment options include dilatation, urethral reconstruction, and urinary diversion

Weak pelvic floor muscles

Weak pelvic floor muscles might lead to a number of problems, including incontinence, sexual dysfunction, and prolapse.

There are a number of reasons for weak pelvic floor muscles, including injury and aging. Fortunately, there are several things you can do to strengthen your pelvic floor muscles.

Many people don’t realize that they have weak pelvic floor muscles until they experience problems.

There are a number of ways to strengthen the pelvic floor muscles, including kegel exercises, biofeedback, and electrical stimulation. In some cases, surgery may be necessary to correct the problem.

Common treatments for pelvic pain after ejaculation

There are a number of different treatments that can be effective in managing pelvic pain. The best approach depends on the underlying cause of the pain and the individual’s response to various treatments.


For some men, over-the-counter or prescription medications can help relieve pelvic pain. Commonly used medications include ibuprofen or other anti-inflammatory drugs, muscle relaxants, and tricyclic antidepressants.


In some cases, surgery may be necessary to treat pelvic pain. For example, surgery may be needed to remove a blockage in the urinary tract or to correct a problem with the reproductive organs.

Physical therapy

Physical therapy can be helpful in treating pelvic pain. A physical therapist can teach the patient exercises to help stretch and strengthen the muscles in the area, as well as provide manual therapy to relieve tension in the muscles.

At Lake City PT, we often treat pelvic pain with a combination of modalities, working with our patients to find the best possible combination of treatments to provide relief.

If you are suffering from pelvic pain, please contact us to schedule a consultation. We will work with you to develop a treatment plan that is tailored to your individual needs.

Helping you get back to normal

Here at Lake City PT, we understand how debilitating pelvic pain can be. We are committed to helping you get back to your normal activities as soon as possible.

Our expert team is here to provide you with the latest evidence-based treatments to help relieve your pain. We will work with you to create a treatment plan that is tailored to your individual needs.

If you are suffering from pelvic pain, please don’t hesitate to contact us today. We can help you get your life back on track.