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What Causes Nerve Pain In Calf Area While Ejaculating?

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Posted on Wed, 3 Dec 2014
Question: In my early 50's and healthy not over weight PSA in mid 2013 of .45, pretty typical for me. For years my doctor has said I have a mildly enlarged prostate. Three weeks ago I started having a shooting low level pain (nerve feeling) in my left calf muscle when ejaculating. Absolutely no pain at all prior of after; position makes no difference and again it is only during the actual pulse. No discomfort anywhere else, no urination problems at all or frequent at night (usually go once of twice) and drink 7-8 glasses of water per day. Everything online seems to lead toward prostate which I don't like to read but I also have no other symptoms and this started and has not gotten any worse or better but is there every time. But again no other aches or pains anywhere during the day.
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Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
BPH seems likely, but other causes listed as well

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I understand you are a well-informed individual which I greatly respect, but from the description provided I can only think of 2-3 causes for a presentation described by you.

1. Benign prostate hyperplasia: Which is a benign condition that results in enlargement of the prostate. On careful examination and with the help of PSA level and at times even a biopsy, cancer is ruled out. As your PSA level is normal, this could just be a simple case of BPH requiring medication and in the later stages a minor procedure, nothing serious at all

2. Diabetes: If your blood sugar is well controlled, then this can be ruled out

3. Vascular condition: Poor vascular health can at times result in pains and aches, poor organ function (e.g. the bladder) due to poor blood circulation, etc.

In my opinion BPH is the most likely cause, which is why I have listed it first but it would still be best to get a scan conducted. I would also like to add that when you are at the doctors, do request for an ultrasound KUB scan which should help rule out renal stones that can also at times present with pain as described by you intermittently.

I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes sir.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes Nerve Pain In Calf Area While Ejaculating?

Brief Answer: BPH seems likely, but other causes listed as well Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. I understand you are a well-informed individual which I greatly respect, but from the description provided I can only think of 2-3 causes for a presentation described by you. 1. Benign prostate hyperplasia: Which is a benign condition that results in enlargement of the prostate. On careful examination and with the help of PSA level and at times even a biopsy, cancer is ruled out. As your PSA level is normal, this could just be a simple case of BPH requiring medication and in the later stages a minor procedure, nothing serious at all 2. Diabetes: If your blood sugar is well controlled, then this can be ruled out 3. Vascular condition: Poor vascular health can at times result in pains and aches, poor organ function (e.g. the bladder) due to poor blood circulation, etc. In my opinion BPH is the most likely cause, which is why I have listed it first but it would still be best to get a scan conducted. I would also like to add that when you are at the doctors, do request for an ultrasound KUB scan which should help rule out renal stones that can also at times present with pain as described by you intermittently. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes sir.