Painful Urination After Ejaculation: What You Should Know

Ejaculation is usually associated with pleasure and satisfaction. 

However, some men may experience painful urination afterward. 

Dealing with painful urination can be frustrating and negatively affect your mood and quality of life. 

If you have this problem, this post will help you out. Scroll down to learn more about painful urination after ejaculation, when to see a doctor, and how it’s treated. 

What is painful urination after ejaculation?

Painful urination after ejaculation is the presence of pain, discomfort, and burning sensation while urinating after you ejaculate. 

The medical term for painful urination is dysuria. It’s important to mention that painful urination after ejaculation is not a standalone or specific health problem. In fact, it’s usually a symptom of some health condition. 

Men and women alike can experience painful urination after sex. However, men are typically more reluctant to talk about this problem and seek professional help. 

The good news is that painful urination after ejaculating is manageable. Sometimes no medications are necessary to recover. 

What causes painful urination after ejaculation?

Painful urination after ejaculation can occur due to a wide range of causes. These can be external and internal.

External causes of pain during urination after ejaculation include:

Rough and long sexual intercourse (or harder masturbation) 

This hurts the penile skin and causes pain when you urinate.

Medicine or chemical sensitivity

The penile skin may react to latex condoms and become irritated and inflamed. As a result, you may experience pain when you pee. 

Additionally, some medications can cause swelling in the bladder and contribute to painful urination after ejaculation. These medications include those prescribed for kidney stones, chemotherapy, and even radiotherapy. 

Skin conditions and inflammation 

Some skin problems can affect the penis and lead to pain during urination. These skin conditions include eczema, lichen planus, and balanitis. The latter is inflammation around the penis caused by friction during sex or other causes.

Internal causes of painful urination after ejaculation are as follows:

Urinary tract infections (UTIs) 

This is the most common cause of painful urination and burning sensation after ejaculating. The UTI happens when bacteria travels through the urethra and reaches the urinary tract. 

While women are more likely to have UTIs, men can have them too. In fact, UTIs can affect a man’s prostate, epididymis (tube at the back of the testicles), and testicles.

Prostate problem 

In many cases, problems with this gland can make it painful to urinate after ejaculation. One of the problems is prostatitis, inflammation of the prostate gland. 

There are four types of prostatitis: acute prostatitis, chronic bacterial prostatitis, chronic pelvic pain syndrome, and asymptomatic inflammatory prostatitis. 

One of the most common symptoms of this condition is dysuria, i.e., pain when urinating. Men also experience pelvic pain. 

Besides prostatitis, other problems that cause this issue include prostate stones, benign prostatic hyperplasia (enlarged prostate), prostate infection, prostate cancer (including advanced prostate cancer), and others.

Sexually transmitted infection (STI) 

Sometimes painful urination is a symptom of an STI, such as Chlamydia, genital herpes, and gonorrhea. 

Genital infections

Like women, men can also develop thrush, a harmless yeast infection that may contribute to painful urination after ejaculating.

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How long can painful urination after ejaculation last?

Painful urination after ejaculation affects every man differently. That’s why there is no “one size fits all” rule regarding duration. 

In some cases, the problem can go away within a few days, but sometimes it lasts longer. It all depends on the underlying cause of this uncomfortable issue. 

In cases when the medical condition is the main culprit, it may take a while for the problem to go away. This is particularly the case for chronic conditions. 

The doctor needs to adjust the treatment first. As you manage the underlying condition, you will also be able to treat painful urination after ejaculating. 

When to see a doctor

In most cases, painful urination after ejaculating isn’t a serious problem. If the problem happens once or twice and you identify the reason, you can manage it at home. However, if painful urination after ejaculation is persistent and you’re not sure why, it’s important to see a doctor.

In other words, you should see a doctor if the pain worsens or doesn’t go away within two days. Also, if you’re experiencing UTI or thrush for the first time, it’s practical to see a doctor. 

Other reasons to see a doctor for this problem include taking prescription medications, suspecting you have STI, and experiencing symptoms of prostatitis.

While men are usually reluctant to see a doctor for problems with the genital area, it’s important not to ignore the problem if it becomes persistent. The doctor will recommend the most suitable treatment option to alleviate pain. 

doctor

Treatments

Sometimes men with painful urination after ejaculation can manage this problem easily at home. The exact treatment approach depends on the specific cause of painful urination. 

Below, you can learn more about treatment approaches for different causes of painful urination:

Prostate problems 

Treatment options depend on the specific issue. For example, prostatitis treatment is based on the type of the disease. 

Painkillers and antibiotics can help with acute bacterial prostatitis. Treatment of chronic prostatitis usually calls for laxatives, painkillers, and medications to relax the muscles in the bladder and prostate. 

Prostate cancer treatment may require surgery. Enlarged prostate is often treated with medications and surgery, but many natural remedies can help you.

Sensitivities 

If the main cause of painful urination is sensitivity to latex condoms or other problems, you need to find alternatives that will not cause this effect.

Medicines

If you suspect medications are the problem, consult a doctor who will adjust the dosage or prescribe alternative options. Avoid tweaking the dosage or ceasing the use of drugs on your own.

Skin conditions or inflammation 

Keeping your foreskin and penis clean is crucial. Your doctor may prescribe steroid creams, antibiotics, or antifungal medicines to treat balanitis. Topical creams are also practical for the treatment of eczema.

UTI 

Although these infections tend to go away within a few days, you should consider seeing a doctor. 

The healthcare professional may prescribe antibiotics or provide useful self-care tips. You should also drink plenty of fluids and avoid sexual intercourse until you feel better.

STI 

Antibiotics are the most common treatment approach for sexually transmitted diseases.

Can ejaculation cause urinary problems?

Ejaculation and urinary problems may not seem like they’re connected at all. But, the reality is different. Ejaculation can, indeed, induce urinary problems in men. 

A study from Neurology and Urodynamics found that ejaculation can influence micturition (urination). While ejaculation increased urine flow rates, abstinence decreased them. Scientists confirm ejaculation could play a role in men with lower urinary tract symptoms, but this role is worth exploring even more.

Other evidence has also confirmed the link between lower urinary tract symptoms and ejaculatory disorders. However, a lot more research is necessary to elucidate their mechanisms and learn how these problems affect one another. Sometimes urinary problems can lead to painful ejaculation

Frequent sexual intercourse or masturbation can increase the sensitivity of the urethra and thereby contribute to urinary symptoms in men.

Conclusion

Most men experience painful urinating after ejaculating at one point or another. Various causes are behind this uncomfortable symptom. 

Studies show ejaculation plays an important role in urinary flow. Treatment of this problem depends on the underlying cause. By managing the root cause, you can also relieve this uncomfortable issue. 

Practice proper hygiene to keep your penis and foreskin clean. That way, you can reduce the risk of infections and other problems that affect penile skin and cause irritations. Make sure to see a doctor if the problem persists. 

Explore More

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Sources

  1. Cindolo L, De Nunzio C, Sountoulides P, Bantis A, Tubaro A, Schips L. The influence of ejaculation and abstinence on urinary flow rates. Neurourol Urodyn. 2011. https://pubmed.ncbi.nlm.nih.gov/21780169/
  2. Rosen RC, Fitzpatrick JM; ALF-LIFE Study Group. Ejaculatory dysfunction in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia. BJU Int. 2009. https://pubmed.ncbi.nlm.nih.gov/19426189/

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