Painful ejaculation is a relatively common symptom reported by 10% of men worldwide. It might cause dissatisfaction, and the person affected might start avoiding sexual intimacy on the whole. Sexual intercourse is a necessity and the most pleasurable experience for a couple, but it turns into a nightmare for some. It would cause frustration and might affect self-esteem.
Painful Ejaculation – Symptoms
Also known as dysorgasmia, the symptoms of painful ejaculation may vary. It is characterized by discomfort during the process of ejaculation. The symptoms might include:
- Pain during or before ejaculation
- Pain after ejaculation
- Pain or burning sensation while urinating, especially after ejaculation
The pain might occur either during:
Emission phase – It is when the sperm and fluids are ejected from the testicles and prostate gland to form semen.
Expulsion phase – It is when the muscles contract to expel the semen through the urethra.
The pain usually occurs in the penis but may extend to the lower abdomen, scrotum, testicles, rectum, and perineum. It could last for a few minutes to the entire day after ejaculation. The pain could range from a dull sensation to an extremely sharp pain that could be extremely uncomfortable. You should report the symptoms to get proper premature ejaculation treatment.
Painful Ejaculation – Causes
The pain during ejaculation is not how it should be and could have various reasons behind it. The common reasons include the following:
Prostatitis – It refers to the inflammation or infection of the prostate gland. It is the most common issue reported by men over 50 years of age. The swelling may occur due to a urinary tract infection (UTI), nerve damage, or infection of the prostate gland. Another condition called Benign Prostatic Hyperplasia (BPH) characterized by the enlargement of the prostate gland, could also cause painful ejaculation. It could cause frequent urination and difficulty in urination which could be mistaken for UTI and needs to be diagnosed accurately.
Lower Urinary Tract Infections – Sometimes, UTIs could cause pain during ejaculation. It involves infections of the bladder, urethra, prostate gland, and urinary sphincters that control the flow of urine. Commonly a bacterial infection, timely treatment may alleviate the pain during ejaculation.
Surgery – The surgery to treat prostate cancer, known as radical prostatectomy could cause the side effect. It could also cause erectile dysfunction along with pain during ejaculation. Sometimes the surgery to treat a hernia could also cause painful ejaculation.
Medications – A few medications like antidepressants, could cause sexual issues, including low sex drive, erectile dysfunction, and premature ejaculation.
Cysts – Any blockage in the tract via stones or cysts could also result in painful ejaculation.
Seminal Vesicle Obstruction – It is the gland where sperm mixes with fluids to form semen. The obstruction via calculi can make ejaculation painful.
Pudendal Neuropathy – It is a condition with neural damage to the pelvis. It could happen due to neural injury, diabetes, or other neurological issues.
Sexually Transmitted Infection – A few sexually transmitted infections could also cause pain during ejaculation. The common STIs causing the symptoms are Chlamydia and Trichomoniasis.
Psychological Issues – If you feel no pain during masturbation and only while having sex with your partner, it could be psychological. It could happen due to a difficult relationship with your partner.
Radiation – Radiation therapy of the pelvis due to any reason could also result in painful ejaculation.
These are common symptoms of painful ejaculation. Report to the doctor if you notice any symptoms. Additionally, tell your doctor if you notice other symptoms like early ejaculation. The doctor will look into the symptoms and provide premature ejaculation treatment if required.
Treatment of painful ejaculation
After knowing the symptoms, the next question remains how to stop painful ejaculation? The first thing to do if you face any pain during ejaculation is to talk to a sexologist. The expert will go through your personal and medical history to find the exact cause. The treatment would be suggested according to the underlying condition. The painful ejaculation treatment may include the following:
- Antibiotics for Sexually transmitted infections
- Switching medications if it is the side effect of any medicines
- Treatment of prostate gland enlargement or infection from a urologist
- Talking to the doctor if it happened after surgery to know if it is temporary and to know the ways to help the pain.
- Psychotherapy for mental issues
- Sex therapy for couples
The doctor can also advise pain medication or muscle relaxants to help manage the symptoms. There is no need to succumb to the pain and live a horrible experience. Treatment for painful ejaculation is possible and you should consult your doctor right away.
Painful ejaculation could affect the quality of life and make sexual intimacy unbearable for you. If you start avoiding your partner, it will drive you apart and cause emotional problems. The best way to deal with it is to get timely treatment from an expert.