What is Painful Ejaculation?

Painful ejaculation is a pain or burning sensation during or immediately after ejaculation. It can occur between the anus and genitals, in the testicles, or the urethra.

Many men with this condition suffer from depression and anxiety. Painful ejaculation can damage relationships, erode self-esteem, and turn pleasure into frustration.

This symptom is relatively common and highly treatable. It can indicate other problems like prostate swelling.

Studies show that 1-10% of men experience this symptom. As many as 30-75% of men with prostatitis experience pain during ejaculation.


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What are the Causes of Painful Ejaculation

Prostatitis

Prostatitis is the term for inflammation or infection of the prostate. It is the most common urological problem in men under 50. This can cause painful or frequent urination, so it is easy to be mistaken for a urinary tract infection. Other signs include lower abdominal pain, ejaculation, and difficulty getting an erection.

Surgery

Some types of surgery can cause several side effects, including painful ejaculation. One of these is radical prostatectomy, a procedure to remove all or part of the prostate and some surrounding tissue. Surgery is used to treat Prostate cancer.

Cysts or stones:

It is possible to develop cysts or stones in the ejaculatory duct. They can block ejaculation, causing infertility and painful ejaculation.

Pudendal neuropathy

Pudendal neuropathy is a condition in which a nerve in the pelvis is damaged. This can lead to genital and rectal pain. Some things that can affect the pudendal nerve are injury, diabetes, and multiple sclerosis (MS).

Prostate cancer

Although often asymptomatic, prostate cancer can cause painful ejaculation. Other symptoms may include problems with urination, erectile dysfunction, or blood in your urine or semen.

Trichomoniasis

Trichomoniasis is a sexually transmitted infection that can also cause burning or pain during urination.

Radiotherapy

Radiation therapy to the pelvis can cause erectile dysfunction, including painful ejaculation. These side effects are usually temporary.

Psychological problems

Sometimes, the cause cannot be determined. If you don't have pain when you masturbate, it can be emotional. Consider seeing a therapist to investigate this further.


Diagnosis Painful Ejaculation

You will need a physical exam, including a digital rectal exam. Be prepared to give a complete medical history and answer a few questions, such as:

  • How long have you had an orgasm?
  • How long does it last?
  • Do you produce ejaculate, or do you have a dry orgasm?
  • What other symptoms do you have?
  • Does it hurt or burn when you urinate?
  • Does your urine look normal?
  • Are you currently taking any medication?
  • Have you ever been treated for cancer?
  • Is there a family history of prostate cancer?
  • Do you have diabetes?

Diagnostic tests can include:

  • urine tests to check for infection
  • prostate-specific antigen test to assess prostate problems, including cancer

Depending on the results, additional tests, such as blood tests or imaging tests, may be needed.


Treatment Painful Ejaculation

Treatment for painful ejaculation depends on the cause.

An examination should begin with a complete medical history, including questions about a man's mental health and relationships. The doctor will ask questions about medications used now and in the past, as well as any current or history of STIs. Comprehensive STI screening can also be helpful.

In most cases, treating the underlying cause also corrects the symptoms of painful ejaculation. Some treatment options may include:

  • antibiotics to treat a prostate infection or STI
  • change medication if the culprit is a medication
  • surgery to treat prostate cancer and other prostate problems
  • psychotherapy and lifestyle changes to resolve relationship and emotional issues

Nerve damage can be irreversible, but a doctor will still want to treat the underlying cause. This can prevent nerve damage from getting worse.


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When should I see a doctor?

It is recommended that you contact your doctor for any case of painful ejaculation symptoms, significantly if it is also associated with:

  • Blood in semen
  • Frequent or painful urination
  • Inability to urinate
  • Recurrent pain: in the lower back, hips, pelvic area, rectal area, or upper thighs
  • Fever, chills, nausea, or body aches

Your healthcare professional will review any observable painful ejaculation symptoms and likely perform additional tests to determine if there are any more complex issues at work. As a rule, home remedies for painful ejaculation will neither be appropriate nor sufficient.

Prevention Painful Ejaculation

When treatment fails, or a doctor cannot determine the cause, a man may try alternative strategies that may reduce the pain. Some options include:

  • sex therapy
  • pelvic floor exercises to strengthen the muscles involved in ejaculation
  • analgesic
  • muscle relaxants
  • anticonvulsant drugs
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Frequently Asked Questions

1. What does painful ejaculation feel like?

Painful ejaculation occurs when you experience pain after ejaculation and burning sensations during or after ejaculation. You will feel this pain in your perineum and urethra.

2. What causes pain in the urethra after ejaculation?

Urethritis is a medical term for inflammation of the urethra. Minor problems can cause this inflammation, including inflammation or contact dermatitis from spermicides, soaps, semen, and lotions, but they are also usually linked to infections, especially sexually transmitted infections.

3. What are the signs of painful ejaculation?

These are the signs of painful ejaculation:

  • Pain during ejaculation
  • Pain immediately after ejaculation
  • General pain in the penis and/or scrotum
  • Lower backache

4. What is the common cause of painful ejaculation?

A number of conditions can lead to painful ejaculation, such as infections like prostatitis or urinary tract infections, urethritis, inflammation of the prostate gland, pelvic floor muscle dysfunction, obstruction of the ejaculatory duct, and psychological conditions like stress or anxiety.

5. Who should I see for painful ejaculation?

If experiencing painful ejaculation, it is advisable to see a healthcare professional, preferably a urologist or a primary care physician. They can conduct a thorough evaluation to determine the underlying cause and recommend appropriate treatment for painful ejaculation.

6. Can ejaculating many times cause pain?

While occasional ejaculation should not cause pain, excessive ejaculation or vigorous sexual activity might lead to discomfort or pain in some individuals. It's important to listen to your body and moderate sexual activity if you experience any discomfort.

7. What medications cause painful ejaculation?

Some medications have been reported to cause painful ejaculation as a side effect. These may include certain antidepressants, antipsychotics, alpha-blockers used to treat hypertension or benign prostatic hyperplasia (BPH), and 5-alpha-reductase inhibitors. If you're experiencing painful ejaculation while taking medication, it's essential to consult a healthcare provider for further evaluation and potential adjustments to the treatment regimen.

8. What is the home remedy for ejaculation pain?

Home remedies include pelvic floor exercises, warm baths, staying hydrated, avoiding irritants, and stress management techniques like meditation.

9. What causes abdominal pain after ejaculation?

Abdominal pain after ejaculation can be caused by conditions like prostatitis, pelvic muscle tension, or infections.

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