Does anyone have post ejaculatory pain and soreness?

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MikeSmith0

I have been off the board for a long time since I developed this in 2010, but I can't seem to get rid of the post-ejaculation pain and soreness which is really annoying & can last a full day.

I was on pentox for 3 weeks at 1200 mg a day, but it hasn't abated yet.  Here's the rest of my list:

Ubiquinol 300 mg  (100 mg x 3)   (Jarrow)
L-Acetyl-Carnitine  1000 mg  (500 mg x 2)   (Now Brand)  
Alpha Lipoic Acid 400 mg (250 x 2)  (Now)
Biotin
Arginine (2000)  (2 500s x 2)  (Now)
Viagra / Cialis (Daily)  (50 mg or 5 mg)

james1947

Mike

Welcome back Mike even I know you was preferring not to.
You are writing that you was on Pentox for 3 weeks. It is too short time to see any effect. In some cases people experienced fast effect, but in most cases it takes months to see effect.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

NeoV

Post ejaculatory soreness has been the main problem for me since 18, and it eventually caused permanent damage. I still struggle with it but have gotten close to getting rid of it.

For me the most important things are these:

1. Never clench your PC muscles, avoid during day and never do it during erection or during sex to achieve orgasm. Keep those muscles loose.
2. Never masturbate or have sex with a less than hard erection. Quitting or limiting porn usage has helped me with this, since during sex it helps me be more aroused therefore having a stronger erection throughout.
3. Traction, I don't know exactly why.  Gentle traction and hot showers after sex help out a lot. Squatting in the shower also helps since it helps loosen all the pelvic muscles. There was while when I had to ejaculate while squatting in order to avoid soreness after.

It may or may not be related to the pelvic floor but paying attention to it helps me a lot. Oddly enough, using the restroom after makes me feel better, even after a bowel movement. Weird eh?


MikeSmith0

Hi James - Thanks for letting me know about Pentox.  I noticed that I've been able to run a LOT faster - with no real soreness or tiredness in the muscle, in just the last few days.  I think it has to be related to pentox, but I don't know for sure... but for pain, yeah I guess I have to wait longer.

Neo - That list is funny because # 2 and # 3 I also discovered on my own!  (I never knew much about PC muscles before - so that's new to me) I totally agree with those two items & can't believe you have the exact same reaction I do.  Wow.  Do you have "classic" Peyronies Disease?  Was it treated at all?   Do you use any other supplements?  What did you mean by permanent damage?  Sorry for so many questions - but we must really be similar so I wonder if we can share some insight on it.  

For # 3, It seems like such a paradox, doesn't it?  But, I think that's definitely right.  How long do you do it for?  I also noticed that if I have sex, it's better to do it for a long time. If I do something brief, it hurts more.  Like, it needs to be stretched out longer.

Do you think it's related to the pelvic muscles being too tight?  Or, is it something in the tissue?  I feel like it's within the shaft on the underside - sort of... hard to explain - but just really sore & very annoying considering how long it lasts.  Advil will help sometimes, but I get other side effects from advil unfortunately.  My doctor gave me another anti-inflammatory drug, but it doesn't help any more than advil.  Same side effects.

NeoV

No problem Mike,

My case appears to be quite a textbook example. Though mine is purely ventral. Plaque is not exactly palpable, and moreover, a basic doppler showed that there was indeed flow through some of my cords which originate from the penile arteries on both sides. In other words, I do not have hard evidence that I have the disease, but who does?. My father has Peyronie's and Dupuytren's, and I've had issues with bending for a long time as I said. When I say permanent damage, I just mean that my acute bending and soreness after ejaculation became chronic or seemingly permanent. I treated mine with manual stretching for years and it improved my deformity greatly. I also take CoQ10, ALCAR, and have a diet sickly high in olive oil, fish, and dark greens. I have taken pycogenol and tried other supplements as well and I enjoyed their effects.

Quote from: MikeSmith0 on December 28, 2014, 09:20:23 AM
For # 3, It seems like such a paradox, doesn't it?  But, I think that's definitely right.  How long do you do it for?  I also noticed that if I have sex, it's better to do it for a long time. If I do something brief, it hurts more.  Like, it needs to be stretched out longer.

I am equally in awe, at the similarity of our issue on this point. If I ejaculate too quickly, I almost always have post ejaculatory bending. If I have sex longer, things tend to be better. I have also theorized that I simply have to stretch out the tissue properly or have it fill with blood properly. If I have an erection for a long long time my deformity almost disappears entirely.

Regarding the origin of our issue, given that it is not Peyronie's, I have long theorized alternatives,

A. That we may have thrombosis of some sort caused by repeated penile aneurisms due to strenuous pelvic clenching during sexual activity. Specifically this theory suggest that we do not have plaque at all, only thrombosed veins similar to DTV which cause bending.

B. That we have muscular dysfunction, causing poor blood floor, hypoxia, and finally fibrosis (Peyronie's), and with this model any type of clenching causes an aggravation of the whole process.

C. That this is somehow urethral, prostate, bladder related due to something such as cystitis, urethral HSV, or BXO etc, and the urethra is scarred causing the bending because of ulceration or stricture. I cannot see how this makes much sense, but I am not ready to rule this out. I will be getting a cystoscopy quite soon to see if this is the case.

In all cases, it may be argued that the pelvic muscles are indeed related, but it's very well possible that what we describe is Peyronie's in it's purest form. The fact that emptying the bladder helps rid us of the deformity may simply be due to it loosening muscles in the area. I also have reduced deformity when I squat, walk up stairs, or stretch my legs. This also points to A or B.

It's all exhausting to guess like this, but in the end I have a feeling we do indeed have Peyronie's scarring, and that what we experience is quite typical.

MikeSmith0

Hey,  Just wanted to post an update... My pain has decreased by at least 50% since being on that cocktail I posted below.  Pentox definitely takes a while to work on pain.  So, I'm at 2.5 months after starting. Unfortunately, it makes my sleep disrupted.  Maybe the rest of the cocktail will be enough, but they say acetyl-l-carnitine causes insomnia too (argh).  Ubiquinol has no side effects, but it causes bruising/bleeding if you have any procedures.

For the post-ejaculatory pain, I found a random post online from a guy who said he solved his pain by making sure that ALL of the ejaculate was 100% squeezed out...even if you need to sit there for 5 min squeezing it out.  I thought this was the weirdest thing, since the pain is in the tissue of the penis, not the urethra.   But, I thought - what can it hurt?  So, I did this a few times & noticed drastically reduced pain.  I then avoided doing it and had the pain back!  I couldn't believe it & it makes absolutely NO sense.  But, I've done it enough to really think there's something to this.  I have no clue why...but it seems to help.  Maybe give it a try and see what you think.

niandra_lades

Interesting read as I also experience pain after ejaculation. I'm in the acute phase and erection pain has been intermittent in general for the 18 months since I developed symptoms (upwards 30 degree bend and plaques, slight hourglassing. I'm 30 years old)

Attempting to quit any masturbation/sex for the last 7 months & switching to a paleo diet has been difficult but helped with the pain and healing during the acute phase. However, due to massively increased blood flow after recently practicing the Wim Hof method detailed by Scotchmagic on this forum (My story of improvment. Vitamin K2, K and a breathing technique + cold showers - Peyronies Society Forums)
I'm now unable to avoid regular natural erections and long NTEs which were rare before! Only experienced after L-arginine.

The problem is as I'm not masturbating these regularly lead to wet dreams which means the following soreness has returned and erection is steadily increasing again. I enjoy the extra blood flow but this is really setting me back.

I'll try the squats but I'm reluctant to attempt ejaculating and making sure 100% is released as that would involve tensing the PC muscles which usually also irritates things! Also traction I think is probably ut of the question during the acute phase, which I see as just getting rid of inflammation.

FriskyDingo

I do. Its been 2 years since my injury. I have not masturbated or have had sex in over 3 months, and the pain has subsided a lot. However, if I get too many erections while I'm awake then then the pain will come back for a few hours, which makes me think I will still get post ejactulatory pain.

I know enzymes have been seemingly dismissed on this forum, but I figured what the hell and gave them a shot. I swear I noticed an ingredible reduction in general penile pain after taking a really high dosage of serrapeptase, at about 500,000 units. I lowered the to 120,000 and the pain  started to come back. Im going to up the dosage again tomorrow and see what happens. I might also try masturbating and then doing the 500,000 units to see if that helps.

There was a side effect of the serrapeptase at the high dosage that I did not experience at the low dosage. I basically felt thirsty all day or all night, depending on when I took it. I didnt mind the thirst during the day, but it did disturb my sleep at night. So if you try this, take the serrapeptase upon waking to avoid late night thirst.

But IMHO, high dose serrapeptase (enteric coated) seemed to help with pain, blood flow, and improved well being. Im not 100% sure it was in fact the serrapeptase, but I did start using it without adding any other supplements or regimens at the time. Over the next few days or weeks I will try to retest if it was in fact the serrapeptase that helped me.

NeoV

That's interesting with serrapeptase, I don't see how the science would make sense, but id it seems to help I say that's great.

Releasing all your sperm when you ejaculate is a big factor for me as well. Stay hydrated in order to do this. The last thing you want is to ejaculate only a little and have it NOT be thin and watery. I understand that it isn't easy to achieve this goal, but i really improved things by doing this. Certainly if you do not ejaculate enough you will have pain. The trick not binge on masturbation at that point. Masturbate or have sex and then give yourself a break again, or if anything avoid binges. Find out what frequency works for you.