Health Organization for Pudendal Education

Hi, all. I have a long (30 year+) history of PN pain. Recently after a sexual encounter (non-coital) I had a flare up almost immediately following ejaculation (maybe half an hour) and although this has happened in the past occasionally, this time the pain has been severe (penis, testicle and foot) and lasted thus far two weeks. The question I have is can ejaculation initiate a flare up? Anyone who can reassure me this is the case or has something else gone wrong?

Welcome to the group, thelonius,

I'm not sure, but it seems like a possibility. I know that sexual activity can aggravate pn symptoms. It sometimes takes a while for pain to kick in, so it may not have been the ejaculation per se that created the pain; it may instead have been the encounter more generally. Have you seem a doctor yet?

April

Or it could be related to the spasm of the muscles irritating the nerve because the pelvic floor contracts when you ejaculate. But yes, it is very common for ejaculation to cause a flare-up in symptoms. Two weeks is a long flare-up though. What pain management measures are you taking to manage the pain?

Violet