Penis Pain below head

I am 45 yrs old and I have pain on the underside of my penis below the head for three weeks now.  It's unlikely to be an STD and feel it's perhaps nerve related or possibly some physical damage although there are no visible signs of swelling or redness. It feels sore alot of the time and a hot shower can make it feel worse. I've been in a relationship for awhile and it came on suddenly after having intercourse: just before I was about to ejaculate I pulled out because my girlfriend wouldn't/couldn't slow down  and I was practicing tantra.  This isn't the first time I've experienced soreness but it by far the worst.  When I was 16 I had some discomfort after messing around with ejaculation which I did only a couple of times:  Once by continuing intercourse after ejaculation and once by masturbating, stopping near ejaculation, then restarting.  During the years there's been  some very occasional, relatively mild discomfort.

[Kevin Pho, MD]

Infection should be completely ruled out - including tests for STDs and urine tests looking for a UTI.  

The prostate should also be carefully examined looking for prostatitis.  A digital rectal exam as well as a transrectal ultrasound can evaluate for abscess or infection.

If infection is not the cause, anatomical issues like a urethral stricture or polyp can be considered.  A cystoscopy is the most comprehensive test to evaluate this.  

Metabolic disease like thyroid dysfunction, diabetes and B-12 deficiency can also be possible and tested for.

You can discuss these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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