Pain after sex, but not in testicles.

I just read through the other thread, and had never experiences any testicular pain so didn't comment.

However, I have occasionally experienced a sudden sharp pain immediately after an orgasm in the area generally where my prostate is. I would have to get out of bed and usually go sit somewhere (the toilet, perhaps) or squat down, which seemed to help. After some minutes the pain would abate. There were never any other consequences, and this only happened 3 or 4 times a year.

I didn't ever ask my GP about this, since it really didn't bother me THAT much, and was so sporadic in nature.

I finally concluded, rightly or wrongly, that it was some kind of muscle spasm, as a result of thrusting vigorously prior to a climax. Either that or something is being pinched.

Hasn't happened for a while, but I'm curious if any of the medically savvy people here have any thoughts?

Hope ibrox is still here, I didn't see this until I was looking for the proper forum to ask a different question.

There are a couple of possibilities, but one that stands out because it happened to me is developing CPPS. This is a muscular issue of the pelvic floor muscles where they are too tight and can lead to a bunch of pain and other issues. The pain can pop up after orgasm/ejaculation because the pelvic floor muscles have just been contracting for the orgasm.

Some doctors get it, some doctors don't know about it, some doctors know and immediately refer out because they personally don't want to be bothered.

Stress can be an issue, as can other triggers (in my case it's pain in the pelvic area that can set it off).

Relaxation exercises, pelvic floor stretching (deep squats, butterflies, and the like), and pelvic floor massage can help.

See a doctor first because there can be other issues, but if they don't mention CPPS or CPPS-like bring it up.

CPPS is Chronic prostatitis/chronic pelvic pain syndrome

https://en.wikipedia.org/wiki/Chronic_prostatitis/chronic_pelvic_pain_syndrome

Hope ibrox is still here, I didn't see this until I was looking for the proper forum to ask a different question.

There are a couple of possibilities, but one that stands out because it happened to me is developing CPPS. This is a muscular issue of the pelvic floor muscles where they are too tight and can lead to a bunch of pain and other issues. The pain can pop up after orgasm/ejaculation because the pelvic floor muscles have just been contracting for the orgasm.

Stress can be an issue, as can other triggers (in my case it's pain in the pelvic area that can set it off).

I'm here, and I am most appreciative of your thoughtful response. I read the entire wikipedia piece and any other material I could find, and the more I think about it the more I am leaning towards a stress-related cause and effect. For me, it is not really a chronic situation. It might only occur 3 or 4 times a year, out of maybe 50 or 60 sexual encounters. When I think back, it may only have happened once in the last year. I used to have trouble orgasming, and there may have been an element of "desperation" entering into my efforts. That would seem to set the scene for the tensing of the pelvic floor muscles, resulting in the pain immediately after orgasm.

I never did mention this to my GP, and, believe me, I am very vigilant about reporting any unexplained ailments. Because the pain went away in a few minutes, and I experienced no other symptoms, I was inclined to treat this as "one of life's little mysteries".

Thank you again, @moliere. Much appreciated.

The best book I found was the one my PT recommended, A Headache in the Pelvis. It has a lot of good information but unfortunately has a noticeable amount of vagueness on details along with the recommendation that you attend one of the "boot camp/clinics" that the author's group offers. While I don't doubt that they're good I don't have a spare couple of thousand dollars and a weekend plus to go to California. I'm not an idiot either, and would have liked to have more discussion about what to do.

Working with my PT we came up with something that's working well. If you want to try it do deep squats held for a minute while spreading your knees apart, child's pose, butterfly stretches, and deep breathing relaxation. When you feel you need internal release/massage lie on your side ("Sims position" but use both sides) and use your thumbs to reach inside and massage any areas of the pelvic floor that feel tight (one thumb at a time, switch sides when you switch thumbs). If your prostate is tender it's probably a good idea to get a doctor's opinion, as prostatitis is not fun.