Painful ejaculation is a symptom of many conditions that can affect the prostate, penis, urethra and testicles. It can be embarrassing, but it’s also a sign of a serious condition and should be investigated by a doctor.
The good news is that most painful ejaculations are caused by health conditions that can be treated. Some are also caused by certain medications or psychological problems.
The most common cause of painful ejaculation is prostatitis. This occurs when there is an infection or obstruction in the prostate gland that causes it to irritate the surrounding genital area. This can also lead to problems with sexual function and may cause pelvic pain or burning.
The first step in diagnosing a prostatitis is to take a history of your symptoms and do a physical exam. Your doctor will look for a swollen, tender scrotum and feel the back of your prostate with a gloved finger. They will also perform a digital rectal examination to check for prostate problems. They will also test your urine and semen, and they might order an X-ray or CT scan.
If the prostatitis is due to an infection, antibiotics will usually treat the condition. If the problem is caused by a virus, it will likely go away on its own. If the problem is caused by a urethral stricture, treatment might include sex education or counseling and anti-inflammatory medications.
Symptoms of painful ejaculation can affect a man’s quality of life and may interfere with sex. However, it is important to get the condition diagnosed and treated as soon as possible to prevent complications. If the underlying issue is not treated, it can lead to urinary symptoms and even prostate cancer.
Men who have urethritis experience pain in the urethra when the seminal vesicles produce semen. The urethra is a tube that empties the bladder and carries urine and semen out of the body. The urethra can become inflamed and painful when the prostate gland is infected or irritated. Urethritis can also occur when there is a blockage in the urethra, called urethral stricture. A stricture blocks the flow of semen and may cause pain during orgasm.
If you are experiencing a painful ejaculation, consult with a healthcare professional for evaluation and treatment. They will conduct a physical examination and run tests to determine the cause of your symptoms.
If your doctor identifies the cause of your symptoms, they will prescribe antibiotics to eradicate the infection. Be sure to finish the entire course of antibiotics, even if you start feeling better before your prescription expires. If the urethritis is caused by an STI, it is important that both sexual partners are treated to prevent spread and reinfection. If the urethritis is due to a trichomonas infection (called trichomoniasis), the antibiotics metronidazole (Flagyl) and tinidazole (Tindamax) can help. If the urethritis is not due to an STI, the treatment options are less clear. Other strategies to reduce symptom severity include pelvic floor physical therapy, diet and exercise, and stress management.
Urinary Tract Infections
Many of the same nerves and tissues that are involved in ejaculation are also involved in urination, so conditions, injuries, or procedures that affect these areas can cause painful ejaculation. For example, a prostate gland or seminal vesicle infection can create blockages in the urethra and the area around the testicles that can prevent normal ejaculation and lead to pain during orgasm. In addition, some sexually transmitted diseases can cause painful ejaculation and a burning sensation during orgasm as well as genital itching and painful urination.
Urinary tract infections are often caused by germs that live in the digestive system, including E. coli. These germs can enter the urethra, where they stick to the lining and cause inflammation. Symptoms may include painful ejaculation and burning during orgasm, pain when you urinate, and a cloudy or bloody urine. If you are infected with these germs, you should see your doctor for treatment.
Another common symptom that can cause painful ejaculation is a condition called epididymo-orchitis, which is an infection in the tube in the testicles that stores and transports sperm. This can also cause painful ejaculation as well as symptoms like a burning sensation during orgasm and swollen, reddened testicles. Treatment for this condition includes antibiotics and a procedure to remove the infected tissue.
Painful ejaculation can be due to cancer in the prostate, the seminal vesicles, the urethra or other parts of the lower urinary tract. Men who have prostate cancer often don’t experience symptoms until their cancer grows to the point where it affects urination and orgasm. Other conditions that can cause painful ejaculation include pelvic radiation, prostate surgery and a condition called pudendal neuropathy. This occurs when nerves in the pelvic region are damaged.
The most common symptom of painful ejaculation is an unusual feeling in the perineum or the scrotum, which is usually accompanied by pain when ejaculating. If a man experiences these symptoms, it’s important to see a doctor so the cause of the pain can be diagnosed and treated.
If the problem is an infection or inflammation, treatment will involve antibiotics. In severe infections, IV treatment or hospitalization may be required.
Sometimes, the cause of painful ejaculation isn’t medical and could be related to mental or emotional issues. In these cases, a visit to a therapist can help the person deal with their problems. Painful ejaculation isn’t life-threatening, but it can have an impact on sexual pleasure and relationships. Many people feel embarrassed about it, and they may avoid sexual activities because of it. This can lead to a loss of self-esteem and other problems in the relationship.