7 Causes of Painful Ejaculation | Buoy Health Ejaculation is the release of semen from the penis during the male orgasm. It is normally a pleasurable experience and shouldn’t be uncomfortable. Yet ejaculation can sometimes be painful, and it’s not an uncommon problem.
- A review article published in the journal,, reported that up to 10% of men have had painful ejaculation at some point in their lives.
- Among those with prostate issues, that rate climbed to 30% to 75%.
- The sensations of painful ejaculation vary.
- It may feel like pain or burning in the perineum (the area between the anus and genitals), the urethra, or scrotum.
The pain may begin during sex and become more severe when you climax, or it may be painful only when you ejaculate. Painful ejaculation can be a symptom of an infection, inflammation, or blockage of the lower urinary tract (bladder, prostate, seminal vesicles, or urethra).
Erectile dysfunction Painful ejaculation Feeling like you have to urinate frequently Pain in your pelvic area
Prostatitis is an inflammation of the prostate gland, which is located between the bladder and penis. The inflammation may be acute (short-lived) or (symptoms last 6 weeks or longer). The severity of symptoms varies. Acute prostatitis symptoms are more severe than chronic prostatitis, which can be bothersome but bearable.
- Prostatitis can be infectious or non-infectious.
- Infectious prostatitis is caused by a bacterial infection.
- Non-infectious prostatitis is an inflammation of the prostate without any signs of infection.
- Your doctor will diagnose prostatitis based on urine and blood tests.
- Non-infectious prostatitis may go away on its own, while infectious prostatitis needs to be treated with antibiotics.
What questions will the doctor ask? “I first want to determine if the pain is with erections, sex, or just isolated to ejaculation. Next, I try to rule out infections such as UTIs or STIs. I would then ask if they noticed anything different about the ejaculate.
- I then try to determine if there is a larger, psychosocial reason.
- Next, I ask about surgical history, looking for recent groin or hernia surgery.
- I also query their medications for any recent additions or increases of doses, particularly antidepressants.”— Cystitis is an infection of the bladder.
- Though it’s more common in women, cystitis can occur in men, particularly in men who have difficulty urinating (such as those who have an enlarged prostate.) The infection occurs when bacteria that line the inside of the bladder enter the bladder tissue, causing inflammation.
Cystitis is treated with antibiotics. If you leave it untreated, it can lead to complications such as a kidney or blood infection.
Painful ejaculation Painful urination Discharge from the penis that may be green or milky Sores or blisters around the penis and genital area Feeling like you have to
Painful ejaculation is a symptom of several sexually transmitted infections (STIs). Common bacterial STIs that may cause painful ejaculation include:
Trichomoniasis
STIs need to be treated by your doctor. A blood test or a sample of fluid from your penis will determine if you have one. STIs are treated with antibiotics. If you’re diagnosed with an STI, you should let your sexual partners know and encourage them to get tested.
Pain during ejaculation or Bladder pain Frequent urge to urinate Discomfort or pain in your lower abdomen
Interstitial cystitis (IC), or painful bladder syndrome, is a chronic condition that causes pain and discomfort in the urinary tract. It may be mild or severe. The cause of IC is unknown, though it’s thought to be an autoimmune disorder. It often occurs in people with,, and,
IC is more common in women than in men but can happen to anyone. The doctor will do several tests, including blood and urine tests, and sometimes a cystoscopy, where they look in your bladder with a scope. You may also need to have a digital rectal examination. While there is no cure for IC, there are ways to control your symptoms.
Treatments include lifestyle changes, pelvic floor physical therapy, oral medication, bladder instillations (bladder washes), or surgery. Does painful ejaculation need to be treated? “Painful ejaculation is not a one-time thing and may not go away on its own.” — Epididymo-orchitis is an infection of the epididymis, a tube in the testicle that stores and transports sperm.
- In some cases, the testicles are also affected.
- Epididymo-orchitis is usually caused by bacterial infections (such as STIs) or a virus.
- Symptoms are similar to the symptoms of, which is a serious condition that may require surgery—see your doctor right away.
- Your doctor will do an ultrasound and take a urine sample to confirm the diagnosis.
Treatment depends on the cause. If it’s bacterial, you will be given antibiotics. Viral epididymo-orchitis may go away on its own. You can ease any pain with over-the-counter pain medications.
Painful ejaculation Painful urination Frequent need to urinate Low flow or “dribbling” while urinating Unable to start urinating Weak stream Incomplete bladder emptying
Urethral stricture is when there is scarring that blocks the urethra, the tube that empties the bladder. The blockage decreases the flow of urine and makes it difficult to empty your bladder completely. Because semen also passes through the urethra, a stricture can block some or all of the ejaculate during orgasm, causing pain.
The scarring develops from inflammation in the urethra. The inflammation may be caused by an infection (such as an STI), previous surgery, or if you’ve had multiple urinary catheters. A specialist, such as a urologist, can diagnose you by measuring your urine flow, measuring the post-void residual (the amount of urine that is left in your bladder after you urinate), and X-rays.
Treatments include urethral dilation—a procedure to stretch the sides of the urethra—and surgery.
Painful ejaculation Less ejaculate than normal Blood in the semen Pain in the, penis, or scrotum
The ejaculatory duct is the channel semen travels through on its way from the testicles to the urethra, where it’s released from the penis. Though not common, the ejaculatory duct can sometimes become blocked, causing pain and decreasing your normal amount of ejaculate.
Nerve damage from recent hernia surgery. Side effects of medications used to treat depression. Psychosocial causes such as a history of anxiety,, or sexual abuse.
Painful ejaculation can interfere with your quality of life and may be a sign of a more serious medical condition. See your doctor if you have:
Pain when you ejaculate Pain when you urinate Discharge from your penis Blood in your semen or urine Abdominal discomfort Trouble controlling the flow of urine Trouble ejaculating
Don’t be afraid to talk to your doctor “One of the first things I would say is: Thank you for being honest and coming to me with this problem. I understand it is a difficult subject and appreciate your trust. The goal of my questions is not to interfere in your private life or personal relationships.
Extreme pain in the genital area Sudden pain and swelling of the testicle Difficulty urinating with fever or chills
Contents
What causes ejaculation pain?
Infectious or inflammation : Conditions such as orchitis, epididymitis, prostatitis, or urethritis have been found to cause painful ejaculation.
What does ejaculation pain feel like?
By Medicover Hospitals / 08 Mar 2021 Home / symptoms / painful-ejaculation
Do men feel painful ejaculation?
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Pain after ejaculation usually comes from the parts of your body that are involved in ejaculation of semen (the prostate, testicles, epididymis, vas deferens, seminal vesicles, ejaculatory duct, bulbourethral glands, and/or penis). We think painful ejaculation affects somewhere between 1 in 10 and 1 in 100 men, but the true incidence is unknown because some men affected by it probably don’t mention it or seek help.
Some conditions increase your likelihood of experiencing painful ejaculation. Rates of painful ejaculation are between 1 in 3 to 1 in 10 in men who have, and the worse their symptoms, the more likely they are to have pain 1, About 1 in 5 men with, and more than 1 in 2 with prostatitis, have painful ejaculation 1,
Rates are highest in men with chronic pelvic pain syndrome (up to 75%) 2, Painful ejaculation affects about 1 in 5 men who have had prostate surgery 1,
- Painful ejaculation can be caused by:
- •
- • Nerve and muscle pain
- • Stones blocking the ejaculatory duct
- • The effects of surgery or radiotherapy
- • Some sexually transmitted infections
- • The use of antidepressants.
- There may be a psychological cause of painful ejaculation for some men 2,
- There are medications available to treat painful ejaculation.
- Surgical or transurethral procedure s to remove stones blocking the ejaculatory duct can effectively relieve symptoms if such a blockage is the cause of your painful ejaculation.
- If nerve irritation is the cause of your painful ejaculation, minimising the time you spend sitting might help.
- Your doctor can help you to work out what’s causing your painful ejaculations and find a treatment that suits you.
About 90% of men with painful ejaculation consider it to be a serious problem 1, If treatment of your painful ejaculation is not effective, you should discuss further options with your doctor. Painful ejaculation may go away by itself after one to two years, but that’s a long time to wait for something that might seriously affect your wellbeing.
- What treatments for painful ejaculation do you think would be most effective for me?
- How long after I start treatment should I expect improvement?
- When should I come back to see you about my painful ejaculation?
: Painful ejaculation
Does ejaculation pain go away?
Symptoms of Painful Ejaculation – Symptoms related to the condition can differ between patients. Some men also find that the symptoms change gradually. Sometimes, the symptoms may not be too bothersome. Pain may be mild and goes away quickly after ejaculation.
- Other times, it may be more uncomfortable.
- The man may experience severe pain when they ejaculate.
- The pain could possibly also last longer.
- Painful ejaculation seems to be a self-explanatory condition.
- The condition refers to pain that is experienced with ejaculation.
- Men must take certain factors into account—this includes where the pain occurs.
The man should also consider when they experience pain symptoms. Some symptoms often reported by men include:
Some men may experience pain when ejaculating. Sometimes, however, you may find yourself experiencing pain after ejaculating. This may happen immediately and can be described as a burning sensation.
The pain may affect the penis and the surrounding region. In some men, pain symptoms also affect the rectum. There are also cases where pain develops in the,
Some men will experience pain when they, This is another common symptom to look out for. For most men, the pain should go away in a short while. There are cases where the pain may remain for as long as 24 hours since the man ejaculated2.
Another thing to consider is that not all men experience painful ejaculating with the same sexual activities. Some men experience symptoms during sexual intercourse and when, There are cases, however, where masturbation does not yield such symptoms. In such a scenario, the man will experience pain with ejaculation only when having sexual intercourse.
By taking note of symptoms in such a specific way, it also provides the doctor with more information. This allows the doctor to determine what may be the underlying cause.
Can an enlarged prostate cause pain when ejaculating?
Abstract – Objectives: To determine the prevalence and importance of pain/discomfort on ejaculation (prostatitis-like symptom) in men with lower urinary tract symptoms (LUTS) diagnosed with clinical benign prostatic hyperplasia (BPH). Patients and methods: Baseline data from 5096 men reporting LUTS suggestive of BPH, and enrolled in the ALF-ONE study by general practitioners and urologists in Europe, Asia, Latin America, the Middle East and Canada, were analysed to determine the prevalence and significance of pain/discomfort on ejaculation. All the men were asked to complete the International Prostate Symptom Score (IPSS) questionnaire, the bother score (IPSS question 8), and the Danish Prostate Symptom Score sexual-function questionnaire (DAN-PSSsex) which assesses three symptoms (rigidity of erection, amount of ejaculate and pain/discomfort on ejaculation) and their bothersomeness. Results: There were 3700 sexually active men who had an evaluable answer to the DAN-PSSsex question related to pain/discomfort on ejaculation. Of these, 688 (18.6%) reported pain/discomfort on ejaculation and 609 (88%) considered it was a problem. Patients with painful ejaculation had more severe LUTS and reported greater bother (P < 0.001). Of men with painful ejaculation, 72% reported erectile dysfunction, of whom 91% considered it a problem, and 75% reported reduced ejaculation, of whom 81% considered it a problem. By contrast, of men with no ejaculatory discomfort, 57% reported erectile dysfunction, of whom 79% considered it a problem, and 56% reported reduced ejaculation, of whom 57% considered it a problem. A history of urinary tract infection was reported by 12% of men in the ejaculatory pain group, compared with 7% in the LUTS-only group, while 5% of men in the ejaculatory pain group reported macroscopic haematuria, compared to 3% in the LUTS-only group. Men with ejaculatory pain were slightly younger, but there were no significant differences in duration of LUTS, history of acute urinary retention, prostate-specific antigen concentrations or maximum urinary flow rate compared to the LUTS-only group. Conclusions: Of sexually active men with LUTS suggestive of BPH, approximately 20% complain of specific prostatitis-like symptoms of pain/discomfort on ejaculation, and these men clearly differ from those who present with LUTS only. For most the symptom is a significant bother. Men with BPH and painful ejaculation have more severe LUTS and reported greater bother, and had a higher prevalence of erectile dysfunction and reduced ejaculation, than men with LUTS only. Evaluation and treatment strategies should address this population of men with symptoms suggestive of both prostatitis and BPH.
Does ejaculation pain go away?
Symptoms of Painful Ejaculation – Symptoms related to the condition can differ between patients. Some men also find that the symptoms change gradually. Sometimes, the symptoms may not be too bothersome. Pain may be mild and goes away quickly after ejaculation.
- Other times, it may be more uncomfortable.
- The man may experience severe pain when they ejaculate.
- The pain could possibly also last longer.
- Painful ejaculation seems to be a self-explanatory condition.
- The condition refers to pain that is experienced with ejaculation.
- Men must take certain factors into account—this includes where the pain occurs.
The man should also consider when they experience pain symptoms. Some symptoms often reported by men include:
Some men may experience pain when ejaculating. Sometimes, however, you may find yourself experiencing pain after ejaculating. This may happen immediately and can be described as a burning sensation.
The pain may affect the penis and the surrounding region. In some men, pain symptoms also affect the rectum. There are also cases where pain develops in the,
Some men will experience pain when they, This is another common symptom to look out for. For most men, the pain should go away in a short while. There are cases where the pain may remain for as long as 24 hours since the man ejaculated2.
Another thing to consider is that not all men experience painful ejaculating with the same sexual activities. Some men experience symptoms during sexual intercourse and when, There are cases, however, where masturbation does not yield such symptoms. In such a scenario, the man will experience pain with ejaculation only when having sexual intercourse.
By taking note of symptoms in such a specific way, it also provides the doctor with more information. This allows the doctor to determine what may be the underlying cause.
How do I check my prostate?
Digital Rectal Examination (DRE) – Digital rectal examination (DRE) is when a health care provider inserts a gloved, lubricated finger into a man’s rectum to feel the prostate for anything abnormal, such as cancer. The U.S. Preventive Services Task Force does not recommend DRE as a screening test because of lack evidence on the benefits.
Should I worry about prostate pain?
Common problems – Here are some examples of non-cancer prostate problems: Benign prostatic hyperplasia, or BPH, is very common in older men. It means your prostate is enlarged but not cancerous. Treatments for BPH include:
Watchful waiting, also called active surveillance. If your symptoms are not too bad, your doctor may tell you to wait to see if they get worse before starting treatment. Your doctor will tell you how often to return for check-ups. Medications. can help shrink the prostate or relax muscles near your prostate to ease symptoms. Surgery. If nothing else has worked, your doctor may suggest surgery to help urine flow. Other treatments. Sometimes radio waves, microwaves, or lasers are used to treat urinary problems caused by BPH. These methods use different kinds of heat to reduce extra prostate tissue.
Acute bacterial prostatitis usually starts suddenly from a bacterial infection. See your doctor right away if you have fever, chills, or in addition to prostate symptoms. Most cases can be cured with antibiotics. You also may need medication to help with pain or discomfort.
- Chronic bacterial prostatitis is an infection that comes back again and again.
- This rare problem can be hard to treat.
- Sometimes, taking antibiotics for a long time may work.
- Talk with your doctor about other things you can do to help you feel better.
- Chronic prostatitis, also called chronic pelvic pain syndrome, is a common prostate problem.
It can cause pain in the lower back, in the groin, or at the tip of the penis. Treatment may require a combination of medicines, surgery, and lifestyle changes. Be sure to talk with your doctor about the possible side effects of treatment. right away if you have any of these symptoms:
Frequent urge to urinate Need to get up many times during the night to urinate Blood in urine or semen Pain or burning urination Painful ejaculation Frequent pain or stiffness in lower back, hips, pelvic or rectal area, or upper thighs Dribbling of urine
