[51F] Experiencing lower back pain and difficulty reaching orgasm

What might be happening

Based on the information you've provided, several potential issues could be contributing to your fiancé's symptoms:

• Groin Hernia: Initially, the acute groin pain and bulge could have been due to a hernia. Hernias can cause significant pain, especially with physical exertion or strain. Although the bulge has resolved, it's possible that the hernia could still be present and intermittently symptomatic.

  • Treatment: Hernias often require surgical intervention to repair the weakened area of the abdominal wall. It's important to consult a healthcare provider for an accurate diagnosis and appropriate treatment.

• Chronic Pelvic and Lower Back Pain: Given his history of a severe pelvic injury, chronic pain in the lower back and hip is not uncommon. This pain can be exacerbated by physical activity and may contribute to other symptoms.

  • Treatment: Chronic pain management may include physical therapy, pain medications, and lifestyle modifications to avoid activities that exacerbate the pain.

• Sexual Dysfunction: The inability to orgasm could be related to several factors, including chronic pain, psychological stress, or side effects from medications. The recent increase in physical exertion and pain could also be contributing factors.

  • Treatment: Addressing the underlying pain and stress, as well as consulting a healthcare provider, can help identify the cause and appropriate treatment for sexual dysfunction.

What you can do

1. Consult a Healthcare Provider: It's important for your fiancé to see a doctor to get a proper diagnosis and treatment plan. This is especially crucial given his history of severe injury and chronic pain.
2. Pain Management: Continue to manage pain with rest and avoid activities that exacerbate the pain. Over-the-counter pain relievers may help, but it's best to consult a doctor for a tailored pain management plan.
3. Lifestyle Modifications: Encourage your fiancé to avoid heavy lifting and strenuous activities that could aggravate his condition. Gentle exercises and physical therapy may be beneficial.
4. Mental Health Support: Given the psychological impact of chronic pain and sexual dysfunction, seeking support from a mental health professional may be helpful.

What you should look out for

• Worsening Pain: If the pain becomes severe or unmanageable, seek medical attention promptly.
• New Symptoms: Watch for any new symptoms such as numbness, tingling, or weakness in the legs, or changes in bowel or bladder control, as these could indicate a more serious condition.
• Persistent Sexual Dysfunction: If the inability to orgasm persists, it's important to discuss this with a healthcare provider to identify any underlying causes and appropriate treatments.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please encourage your fiancé to seek care from a healthcare provider for a formal diagnosis and treatment plan.