Sexual Health

Why Does It Hurt When I Ejaculate?

For most men, ejaculation happens without any problems. Unfortunately, there are some men who experience difficulties with their ejaculation.

In some cases, men may find that they ejaculate too soon. There are also some men who have a delay in their ejaculation.

Painful ejaculation is another problem that some men suffer from.

According to one study, up to 10% of the male population may experience pain during ejaculation1. Some men are more likely to experience pain when they ejaculate.

We will look at what painful ejaculation is and possible accompanying symptoms. We also consider possible causes. This post will also consider possible treatments that may be provided.

What Is Painful Ejaculation?

Painful ejaculation refers to pain symptoms that occur when a man ejaculates. This is not an uncommon problem among the male population.

There are also several reasons why this may occur. In some men, the painful ejaculation may only be acute and happen temporarily.

There are also cases where the condition can become a more chronic problem.

A lot of men tend to feel embarrassed about a problem with painful ejaculation. It is something that can interfere with the man’s abilities in the bedroom. Sometimes, men may prefer not to participate in sexual intercourse. The idea is to reduce the risk of experiencing pain in the genital region.

The result may be complications in the patient’s relationship. Poor self-esteem has also been linked to painful ejaculation. The avoidance of sexual activities can turn into mental problems as well.

Men should understand that there are treatments available. In many cases, treatment would yield successful results. This can help the patient regain their confidence in the bedroom. It can also help to alleviate the pain the man experience during ejaculation.

Symptoms

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:

  • The pain may develop while the man is ejaculating. Sometimes, however, the pain only develops immediately after the man has ejaculated. This 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 bladder.

  • Some men will experience pain when they urinate after ejaculating. 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 masturbating. 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.

What Causes Painful Ejaculation?

Recognizing the causes of painful ejaculation is important. This gives men an understanding of why they may experience pain after they ejaculate. It also helps them realize if it may be a severe problem.

There are some cases where medical treatment will be needed for an underlying cause. Failure to acquire such treatment could lead to serious complications.

When we look at painful ejaculation’s causes, we need to turn our focus to two particular conditions.

1) Prostatitis

The first include chronic prostatitis. The second is chronic pelvic pain syndrome.

Researchers at the Sisli Etfal Research and Training Hospital in Turkey found a strong connection between these conditions and painful ejaculation3. Participants in the study had type III chronic prostatitis. The patients also complained about symptoms linked to chronic pelvic pain syndrome.

The study found that these conditions significantly increase the risk of painful ejaculation. Among patients with these conditions, a total of 37.2% experience pain during ejaculation. Both of these conditions also seemed to contribute to erectile dysfunction and other sexual problems.

Prostatitis is a condition where the prostate gland becomes inflamed. There are many reasons why this can happen. Infection is often found to be a significant cause.

Nerve damage has been found to cause prostatitis too. Some men with a urinary tract infection may experience prostatitis. This is because the urinary tract infection may damage the patient’s prostate. Prostatitis caused by nerve damage is most commonly found among men with diabetes.

2) BPH

Benign prostatic hyperplasia (BPH) is also considered a possible cause. This condition causes the prostate gland to become enlarged. An enlarged prostate pushes against the structure of the urinary tract. This includes the urethra and the bladder neck, resulting in frequent urination. The enlargement of the prostate could affect ejaculatory function. In some men, this may include pain during the process of ejaculation.

3) Prostate Cancer

Men with prostate cancer are also at a higher risk of experiencing painful ejaculation. Furthermore, those who previously underwent surgery in the prostate can experience pain when they ejaculate.

There are a few pharmaceutical drugs that have been reported to cause painful ejaculation as a side-effect. Antidepressants are usually the problem here. These drugs can cause several possible adverse effects. This includes painful ejaculations. Antidepressants may also cause erectile dysfunction and low libido.

Other possible causes that need to be taken into consideration include:

  • Problems with seminal vesicles can sometimes be the cause. Calculi can sometimes develop in the seminal vesicle. This is a gland that combines sperm with a range of other fluids. When calculi develop, ejaculation may be painful.

  • Men who received radiation therapy in their pelvic region are at risk too. Any procedure done to the area may actually contribute to painful ejaculation.

  • A man with a spinal cord injury may also cause painful ejaculation.

  • There are certain sexually transmitted infections that can cause these symptoms too. Trichomoniasis and Chlamydia are both examples of such STIs.

How Is It Diagnosed?

Painful ejaculation itself is usually not considered a condition. Rather, a doctor will consider this a complication of an underlying disease. The cause behind the painful ejaculation needs to be identified.

The doctor will generally start by asking the patient a few questions. The doctor will ask about the specific symptoms the man experience. The patient will also be asked about a history of sexually transmitted infections. If the man didn’t receive a comprehensive ST test recently, this might be advised.

All of the data is collected to help the doctor make an accurate diagnosis. The doctor will look at all possibilities.

A digital rectal exam may be performed too. In some cases, the doctor may ask for a prostate-specific antigen test to be performed. During this test, a blood sample is taken. It helps with the diagnosis of problems like prostate cancer. The doctor will consider benign prostatic hyperplasia as a possible cause too.

How Is It Treated?

The treatment a patient is provided largely depends on why they experience painful ejaculations. There are several ways that the symptom can be caused. To provide treatment, however, a doctor first needs to consider why the man experiences the symptom.

If the patient has an STI or an infection in their prostate, antibiotics may be provided. This helps to fight off the infection. In the case of an STI like Chlamydia, specific antibiotics can also yield effective results.

The doctor will also consider the medications used by the patient. If one of the drugs may contribute to painful ejaculation, the doctor may change them to a different drug.

Appropriate treatment will be provided if the patient has prostate problems. Surgery may be advised if prostate cancer is identified. There are other treatments available too. The doctor will generally consider the severity of the prostate problem. This will allow them to determine what the best treatment may be.

Other treatments that may be recommended include:

  • Muscle-relaxant pharmaceutical drugs

  • Anticonvulsant pharmaceutical drugs

  • Pain medications

  • Pelvic floor exercises

Can It Cause Complications?

Painful ejaculation itself has a few possible complications to consider. This will generally include changes in the man’s self-esteem as a result of sexual dysfunction. Some men find that painful ejaculation leads to problems in their relationship.

It is also important to consider the underlying factors. Some causes behind painful ejaculation may cause complications. Failure to diagnose and treat benign prostatic hyperplasia (BPH) may lead to urinary symptoms. This may increase the risk of recurring urinary tract infections.

Similarly, a man with prostate cancer requires appropriate treatment. When the cancer is not treated, it can become worse. Prostate cancer that progresses to a more advanced stage can become life-threatening.

When To See A Doctor?

Early treatment for conditions related to painful ejaculation can offer more effective results. Thus, men are generally advised to seek medical assistance in the presence of painful ejaculation.

Men should take note of if the symptom is causing them a reduced quality of life. This is considered a vital call for concern that should never be overlooked.

Some doctors specialize in ejaculation dysfunction that the man can consult. Alternatively, the male patient may consult a genitourinary health specialist.

While painful ejaculation itself will generally not be considered harmful, the underlying causes may be. This is why the patient should get a view on why they experience these symptoms.

Conclusion

Ejaculation is an integral part of reproduction. Several problems may occur with a man’s ejaculatory abilities.

Painful ejaculation is one such problem. This refers to pain that occurs during or after the male patient ejaculates. There are several possible causes for these symptoms. Addressing the causes may assist in alleviating the symptoms. A thorough examination can help a doctor make an appropriate diagnosis.

Sources

  1. Translational Andrology And Urology. (2016) Retrograde ejaculation, painful ejaculation, and hematospermia. [online] Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5002007/
  2. European Urology Journal. (2005) The utility of tamsulosin in the management of orgasm-associated pain: a pilot analysis. [online] Available at: https://www.ncbi.nlm.nih.gov/pubmed/15716202/
  3.  International Urology And Nephrology Journal. (2011) Sexual dysfunction in type III chronic prostatitis (CP) and chronic pelvic pain (CPPS) observed in Turkish patients. [online] Available at: https://www.ncbi.nlm.nih.gov/pubmed/20680450/

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