Pain in rectum after sex

    
      Re: Pain in rectum after sex
    


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Posted by HFHS M.D.-MS on March 07, 1998 at 12:04:00:

In Reply to: Pain in rectum after sex posted by Sam on March 02, 1998 at 00:43:22:

: 40 year old male with a very active sex life up to about 6 months ago when i started experiencing sever pain in the rectum area after ejaculation. At the same time I noticed that my erection would not stay throughout the sex act. I've been seeing a urologist and am taking antibiotics now fro about 1 month. Still no major change in symptoms, although the ability to get and maintain an erection has gotten worse. Doctor suspects a prostate infection. Anyone out there have a similar experience plesae email  me and let me know your results and forms of treatment.
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Dear Sam
Thanks for your questions.
Acute onset of erectile dysfunction is a younger healthy male is  uncommonly caused by systemic diseases like hypertension or diabetes.   Stressors at work or  relationship tensions are the most common causes.  These are usually self limiting and resolve without medical intervention.  Performance anxiety can be a self fulfilling prophecy if you get too worked up about it because erections are closely associated with emotions.   Pain in the rectum included.      
As far as a prostate infection being the sole cause of your acute onset of erectile dysfunction,  the literature does not support this theory.   If this were the case, one would expect the erectile dysfunction would get better on the antibiotic.  Very few if any antibiotics are associated with erectile dysfunction.    Chronic nonbacterial prostatitis has a stronger association with erectile dysfunction.
The objective for your workup should be to determine if there is a treatable cause to your symptoms including the emotional ones.  If the work-up is negative,  I would discuss with your urologist the  treatment options for erectile dysfunction until a treatable cause can be found.
More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568). We can also arrange local accommodations through this number if this is
your need. Please bring any physicians