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What Causes Severe Body Pain And Fatigue After Intercourse?

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Posted on Wed, 9 Dec 2015
Question: My question is that after sex i feel very tired. on the same day after intercourse my legs below thie starts penning and sometime it believe nothing is there below thie . on second day entire body starts penning and face become very dull. the concentration in work gets loose and i am unable to think and take complicated decision in workplace. Sometime becomes confused. entire day the sweating starts and its more in underarms and near by penis region. symptoms still remains on third day and its starts subsiding on third day onwards and it take me 5-6 days to restore original. i am masturbating since last 19 years weekly once by seeing porn movies and intimating with girls. i never did intercource till marriage. i am married since last 7 year. i am having son of 5 years and is healthy.
doctor
Answered by Dr. Saumya Mittal (6 hours later)
Brief Answer:
Need more information

Detailed Answer:
HI
I am Dr Mittal
I have read our message
I think I can help you.
The symptoms of the query are actually quite suggestive of a possible back related cause.
Do you have any backache?
The leg pain, does it seem to be radiating down the legs?
Do you have any tingling numbness?
Do you have any premorbid conditions like diabetes hypertension?
I would have suggested 2 tests assuming the above responses are positive- MRI Spine and Vitamin D levels.
Please do let me know the response/reports so that I can help you further.
Best of luck,
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (4 hours later)
Dear Dr. Here are my answers after ?;

Do you have any backache? YES, but not always, it is predominant after intercourse for 3-4 days, after travelling
The leg pain, does it seem to be radiating down the legs? YES
Do you have any tingling numbness? Not understood can you please elaborate.
Do you have any premorbid conditions like diabetes hypertension? NO. but in my family my father and grand mother is having diabetis,

Please suggest me remedial action to come out from this situation. after intercource 3-4 days are very trublesome for me. My face becomes very dull, gets darken. I cannot concentrate on my job and family during these days. also i want to enjoy my sexual life but after intercourse I am unable to do the same for almost 7-10 days. I like to do the sex but due to above issues / fear unable to enjoy.
please note that i am facing this issue since last 8-10 years. in beteen these i had completed Vit B 12 injection cource, Vit d3 sachhet (cholecalciferol) course.
i had did testing of TSH but came normal.
Cholesterol is slightly higher side
doctor
Answered by Dr. Saumya Mittal (1 hour later)
Brief Answer:
this is due to lumbar radiculopathy

Detailed Answer:
Hi,
I have read your response.
I think, in view of the added symptoms, the lumbar radiculopathy is a strong possibility.
I suggest testing an MRI LS spine.
This will help confirm the diagnosis.
The treatment would be mainly in 2 parts
1. for backache- which will need physiotherapy, pregabalin
2. for pain and intercourse related symptoms- these will need a cessation of activity. You will need to abstain from intercourse and masturbation for a few months. Resumption of activities thereafter may be comfortable.
Best of luck.
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (6 hours later)
dear Dr. thanks for the response.

please note that backache is not the main issue. my main issue is the pain of entire body after intercourse, face become dull and i cannot concentrate and my family life gets disturb as i become somewhat short-temper.

can you please elaborate what do you mean by pregabalin.??
how much charges require tentatively to do MRI LS Spine??

as mention by you in between I did as suggested not done intercourse and also not masterbate but enen after situation remains same.

can you discuss the same with sexologist and revert.
doctor
Answered by Dr. Saumya Mittal (2 hours later)
Brief Answer:
specific answers

Detailed Answer:
Hi
You need to understand that the nerves come out of the back and go to the entire body. So if the back is affected, it will affect the nerves supplying the body as well.

Pregabalin is a medicine often prescribed for back ache to relieve the nerves that come out of them. Its a prescription drug and you will have to meet a doctor for the same.

Charges of the MRI will depend on the center and I can possibly not predict where you will get it done and how much they will charge for it. You can get that information from the doctor prescribing the above medicine or from the center directly.

I have discussed the issue with my colleague. They feel that the other possibility may be depression. But from your response I dont think that this is a valid suggestion in your case.

Best of luck,
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (44 hours later)
Dear Dr. Sorry I am replying again. You are correct, Definitely I am not in depression. But since i am not recovering from this issue since last 5 -6 years even after taking treatment on VItd3, B12 treatment, i got somewhat helpless and believe that i will not come out from this situation.
Any how i want to come out from this situation and want to live a normal life like others.
I am afraid to do intercourse as after that I cannot concentrate on my job and family during next 3-4 days.

See I had full faith on you, However as I cannot go on writing everytime to you due to limited sessions, Kindly request you to look into this and discuss with your expert colleagues provide me detail answers to each my query.

1. Whether excessive masturbation created this issue for me??
2. Further the size of my penis is also not normal, it looks like shrink, but at the time of stimulation it gets in large & Hard. Is there any remedy for this??
3. After masturbation my headache started which will be painful for half to full day. what is the reason behind this.??
4. What is the reason behind I am facing this issues after masterbation/intercource. Normally after masturbation/intercourse other peoples are become fresh/and not exhausted. even some can do again intercourse within 1-2 hours. is there any medicine for me to become normal like others.??
5. why face become dry, dull after intercourse??
6. why it takes me 3-5 days to come to normal.
7. I heard about so many ayurvedic medicines but i never tried. is these medicine can work on me??
doctor
Answered by Dr. Saumya Mittal (20 hours later)
Brief Answer:
specific answers

Detailed Answer:
Hi
Here are your answers.
I will respond point wise as per your queries
1, Excess masturbation could have caused the symptoms. I have already suggested a period of abstinence for 6 months or longer for this.
2. Reduction of penis size on non stimulated state is normal. No need for medicines for this, as its a normal phenomenon
3. Post coital headache is a frequent phenomenon and a variant of migraine. Treatment advice - a little later.
4.5.6.7. This is called post orgasmic illness syndrome (POIS). The treatment options are in depth psychiatric evaluation, blood pressure recordings (exertional and non exertional) and a medicine called carbamazepine- this is also a medicine used for migraine prevention and therefore its use will help you for both problems. Back problems may also be related and can cause the stiffness as the muscles in the back are stiff too and can take time to relax.
Therefore I suggest
a. consider treatment with carbamazepine- this is a prescription drug (high doses of same medicine is used in epilepsy while low dose is used for migraine and POIS) and you will need to meet a local physician for a prescription for the medicine.
b. evaluation of the back with MRI and physiotherapy for the same
c. a period of abstinence.
I hope that this helps
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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What Causes Severe Body Pain And Fatigue After Intercourse?

Brief Answer: Need more information Detailed Answer: HI I am Dr Mittal I have read our message I think I can help you. The symptoms of the query are actually quite suggestive of a possible back related cause. Do you have any backache? The leg pain, does it seem to be radiating down the legs? Do you have any tingling numbness? Do you have any premorbid conditions like diabetes hypertension? I would have suggested 2 tests assuming the above responses are positive- MRI Spine and Vitamin D levels. Please do let me know the response/reports so that I can help you further. Best of luck, Dr Mittal