From the Guidelines
Tremors after ejaculation are typically a normal and temporary response to the intense autonomic nervous system activity during sexual climax, and they usually require no specific treatment. These tremors are often caused by the surge of adrenaline and other neurotransmitters, along with muscle contractions and rapid changes in blood pressure and heart rate that occur during ejaculation 1. However, in some cases, tremors after ejaculation can be a side effect of certain medications, such as selective serotonin reuptake inhibitors (SSRIs), which are sometimes used to treat premature ejaculation 1. It's essential to note that SSRIs can cause a range of side effects, including tremors, and patients should be advised to avoid sudden cessation or rapid dose reduction of daily dosed SSRIs as this may precipitate SSRI withdrawal syndrome 1. Some key points to consider when evaluating tremors after ejaculation include:
- The intensity and duration of the tremors
- The presence of any underlying medical conditions, such as neurological or cardiovascular disorders
- The use of any medications that may be contributing to the tremors
- The impact of the tremors on the individual's quality of life In general, simple interventions such as deep breathing exercises, staying warm after sexual activity, or gentle stretching may help alleviate mild tremors 1. However, if the tremors are severe, persistent, or accompanied by other concerning symptoms, medical evaluation is recommended to rule out any underlying conditions 1. It's also important to note that a systematic review of 70 studies found no significant difference in suicidal ideation in adult men treated with anti-depressants versus placebo 1, but caution is still suggested when prescribing SSRIs to adolescents or men with a co-morbid depressive disorder. Overall, tremors after ejaculation are usually a normal and temporary phenomenon, but it's crucial to evaluate each individual's situation and provide guidance and treatment as needed to ensure the best possible outcome in terms of morbidity, mortality, and quality of life.
From the Research
Causes of Tremors after Ejaculation
- The exact cause of tremors after ejaculation is not explicitly stated in the provided studies, but it can be related to various factors such as neurological or physiological conditions 2, 3.
- Ejaculation is a complex process that involves the coordination of neurophysiologic, anatomic, and psychological phenomena, and disruption of any component can lead to abnormalities, including tremors 4.
- Delayed ejaculation or anejaculation can be caused by multifactorial factors, including organic and psychosocial factors, but the exact pathogenesis is not yet known 5.
- Pudendal nerve entrapment is a potential cause for weak ejaculation, and it may also contribute to tremors after ejaculation, although this is not directly stated in the study 6.
Treatment of Tremors after Ejaculation
- The treatment of tremors after ejaculation depends on the underlying cause, and it is essential to evaluate the phenomenology of the tremor and determine the presence or absence of other neurologic signs and symptoms 3.
- Treatment considerations should take into account objective assessment of tremor severity and the degree of disability or impairment experienced by the patient 3.
- For ejaculatory dysfunction, treatment should be cause-specific, and various approaches can be employed, including psychological interventions, pharmacotherapy, and specific treatments for infertile men 5.
- Pudendal nerve release may contribute to the improvement of the ejaculatory stream and potentially alleviate tremors after ejaculation, although more research is needed to confirm this 6.