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I Started To Have Intense Pain During Orgasm After My Colon And Rectum Removed Due To Ulcerative Colitis

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Posted on Fri, 14 Feb 2025
Question: Four years ago, I had my colon and rectum removed due to ulcerative colitis. This surgery caused me to be unable to ejaculate semen.

Now two years ago, I started to have intense pain during orgasm. It will be in my pelvic region and would
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Answered by Dr. Anders Mark Christensen (8 hours later)
Brief Answer:
Your question stopped prematurely

Detailed Answer:
Hi Messagetoddhart,

I am sorry to hear about your troubles. Your question appears to have been stopped in the middle of a sentence. Will you please elaborate?

Looking forward to hearing from you.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Anders Mark Christensen (45 minutes later)
Ever since my surgery, I have been unable to ejaculate semen. Surgery was 4 years ago.

Two years ago, I started to have pain before and during an orgasm, which immediately went away after. This pain radiates across my pelvis in between navel and pubic hair. The pain sometimes hit my lower back.

What can be wrong? I recently had an MRI (I uploaded the results), and it states my seminal vesticles are vertical.

What does that mean?
Is my seminal vesicles in this position prevents semen from coming out?
Is this the cause of the pain?
Does prostatis cause this type of pain and lack of ejaculate fluid?

Thank you!
doctor
Answered by Dr. Anders Mark Christensen (19 hours later)
Brief Answer:
It is probably caused by the surgery

Detailed Answer:
Hi Messagetoddhart,

I would suspect that pelvic autonomic nerves located at your seminal vesicles were damaged during your proctocolectomy. This would cause either absent or retrograde ejaculation and possibly also a form of prostatitis. To determine if you have prostatitis, a rectal exam is necessary. It can typically be treated with long term antibiotics but the absent ejaculation is unfortunately not treatable.

Hope this helps. Please let me know if you have any further questions.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1559 Questions

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I Started To Have Intense Pain During Orgasm After My Colon And Rectum Removed Due To Ulcerative Colitis

Brief Answer: Your question stopped prematurely Detailed Answer: Hi Messagetoddhart, I am sorry to hear about your troubles. Your question appears to have been stopped in the middle of a sentence. Will you please elaborate? Looking forward to hearing from you.