Painful ejaculation is often a symptom of another condition and needs to be treated promptly. This can help prevent serious health complications.
It is most commonly caused by prostate conditions such as prostatitis, benign prostatic hyperplasia or enlarged penis. Other causes include inflammation or a physical obstruction in the urethra.
Burning or tingling
Men who suffer from painful ejaculation often report burning or tingling sensations when they discharge semen. This is a sign that something is wrong in the area and it’s important to seek medical attention to find the source of the problem. Taking note of where the pain occurs and when it comes on can help doctors determine if the cause is minor or more serious.
If the underlying cause is an infection, then a doctor may prescribe antibiotics to treat it. If the pain is a result of surgery complications or irritation, treatment options will vary depending on the severity of the symptoms. If the cause of the pain is pudendal neuropathy, treatment options may include physical therapy and a variety of medications to manage symptoms. Psychiatric issues are also a common cause of painful ejaculation, and in these cases, visiting a therapist is recommended.
Some causes of painful ejaculation are not easily diagnosed by doctors, such as broken bones or sexually transmitted diseases. However, most of the conditions that lead to this symptom can be diagnosed with simple tests, such as an X-ray and a 10-panel STD test. If the underlying condition is an illness like benign prostatic hyperplasia or prostate cancer, the patient will need to undergo a digital rectal examination, where a medical professional inserts a gloved finger into the rectum.
Sharp or stabbing
Painful ejaculation (also called dysorgasmia or odynorgasmia) can feel like sharp, stabbing pain or burning in the penis, scrotum or perineal/perianal region. The pain usually starts immediately after or during ejaculation and can last up to 24 hours. This symptom can be caused by a range of conditions and problems, but most often it is the first sign of prostatitis, an infection or inflammation of the prostate.
If you are experiencing this symptom, it is important to visit your doctor right away to find out the cause and get proper treatment. Untreated painful ejaculation can seriously damage your quality of life and have a negative impact on your sexual and mental health.
The main causes of painful ejaculation are infections and surgical complications, but it can also be caused by nerve irritation in the pelvic area. It is also not uncommon for people who take certain medications to experience this symptom, especially antidepressants. If you suspect this is the case, talk to your doctor about the medication you are taking and whether it could be causing your symptoms. It may be that simple changes in your routine can help alleviate the discomfort. This can include limiting the amount of time you spend sitting and avoiding any irritating foods or drinks.
Dull or throbbing
When a man feels a dull or throbbing sensation during painful ejaculation, it may be a sign of an infection, inflammation, or blockage in the prostate gland, testicles, epididymis, or the tubes that carry semen to the penis. These conditions can affect sexual function and cause pain during sex or when the man masturbates. They may also be associated with other symptoms such as urination problems, erectile dysfunction, blood in the urine or semen, or a sexually transmitted disease like trichomoniasis.
Other causes of painful ejaculation include medications and a nerve condition called pudendal neuropathy. In these cases, treating the underlying condition or discontinuing the medication usually resolves the pain. If the symptom is a result of psychological or emotional issues, talking to a therapist can help.
Painful ejaculation is a common but often overlooked symptom that can seriously interfere with a man’s quality of life and sexual function. Men who are experiencing it should be sure to see a doctor for a diagnosis and treatment advice as soon as possible. This is especially important because untreated painful ejaculation can get worse over time. Fortunately, there are many effective treatments available, including medications, injections, and surgery. These can be complemented by home remedies like drinking cranberry juice and eating turmeric to boost the immune system. Talking to a therapist can also help because some people with painful ejaculation have psychosomatic causes that are best treated through therapy.
Cramping or spasms
Men who experience painful ejaculation should visit their doctor immediately to ensure that the pain is not caused by a more serious medical condition. In some cases, the cause of painful ejaculation cannot be diagnosed and it may be due to emotional or mental problems. In these cases, it is important to visit a psychotherapist to help manage the symptoms.
Men should be honest with their doctors about the symptoms and what has happened to cause them. This can help them get the treatment they need to improve their quality of life. Often, the doctor will perform a physical exam of the penis, urethra and testicles and a digital rectal examination (DRE). They may also ask about the man’s sexual history and if he has had any recent or previous STIs. In addition, they will ask about the medications he is taking and whether he has a family history of prostate cancer.
Painful ejaculation is very common and most of the time, it is due to a medical condition. If the condition can be treated, this will resolve the symptoms. However, in some cases, the cause is not found and the pain will remain. In these cases, a therapist can offer support to help the man cope with the condition and its effect on his emotional wellbeing.
