Painful ejaculation, also known as orgasmalgia or dysorgasmia, is common for men and can be due to many conditions. Some of these conditions are serious and may lead to health complications if not treated promptly.
STIs like gonorrhea and chlamydia can cause painful ejaculation as well as other symptoms such as sore or itchy testicles. Some treatment options include lifestyle changes, pelvic floor physical therapy, antibiotics, or surgery.
Testicles
Pain after ejaculation is felt in the penis, testicles, urethra, or perianal area (the area between the anus and the genitals during external sex). It can have a marked impact on a man’s sex life, and has been linked to lower self-esteem and mental health. Despite the stigma associated with it, pain during or after ejaculation is fairly common and highly treatable.
The majority of pain during ejaculation is due to problems with the prostate gland. The most common problem is prostatitis, which is inflammation and swelling of the prostate. The pain can be accompanied by painful or frequent urination and lower abdominal pain.
Another common cause of painful ejaculation is a problem with the seminal vesicle, which mixes sperm with other fluids to make semen. Various infections in the groin, such as chlamydia or trichomoniasis can lead to this condition. Problems with the urethra, such as urethritis, can also result in pain during or after ejaculation.
If the pain is in one testicle it’s a good sign that something isn’t cancer of the testicles or hydroceles, but it could be a groin strain from a sports injury. Alternatively, it might be an infection or inflammation of the duct that carries sperm from the testis to the penis, called epidydimitis. This is quite common and can be treated with antibiotics.
Urethra
Men who experience painful orgasm often report pain in their urethra, the tube that semen passes through when they ejaculate. This is also known as dysorgasmia. This condition prevents many men from enjoying sexual activity, and can lead to depression and anxiety. It can even affect their relationship with a partner. If you have dysorgasmia, it is important to seek medical help. A doctor can diagnose the cause and find an effective treatment so you can enjoy a high quality of life.
The male urethra is an essential component of the male urinary and reproductive systems. It functions as a passageway for semen when men ejaculate, and carries semen from the prostate, testicles, epididymis, vas deferens, and seminal vesicles. The urethra is about 20 centimeters long and runs from the bladder to the distal glans of the penis.
In addition to serving as a path for semen, the urethra also acts as an afferent nerve for micturition and urination. Infections of the urethra are usually due to sexually transmitted infections, including chlamydia and trichomonas. These infections may cause pain during ejaculation and urination, and can spread from the urethra to other parts of the body.
There are a variety of medications that can treat pain in the urethra. Muscle-relaxant drugs can be particularly helpful for this condition. These medications work by relaxing muscles, and can be especially helpful in cases of sex-related pain. Anti-convulsant drugs can also be useful, as they work to limit electrical activity in the nerves and prevent them from overreacting.
Bladder
Painful ejaculation, also called odynorgasmia or dysorgasmia, is a common men’s health condition that affects sexual pleasure and sex life. The pain usually originates from the parts of the body involved in ejaculation: the prostate, epididymis, vas deferens, seminal vesicles, urethra, and the bulbourethral glands.
The most common cause of painful ejaculation is an infection, including urinary tract infections and seminal fluid infections. A doctor may order a urine and seminal fluid culture to check for bacteria. A doctor may also examine the testicles for lumps that could indicate a cancerous growth.
Sexually transmitted infections (STIs) can also cause painful ejaculation. Bacterial STIs such as gonorrhea, syphilis, and chlamydia are often the culprits, as well as protozoal STIs such as trichomoniasis. The symptoms of these infections include painful ejaculation; burning during or after urinating; and pain in the penis, scrotum, and perineum (the area between the anus and the genitals).
Treatment options for painful ejaculation vary depending on the source of the pain. The most common treatment is anti-inflammatory medications, which can be taken orally or intravenously. If the pain is due to a blocked ejaculatory duct, surgery may be necessary. Other treatments include a variety of physical therapies, as well as psychological therapy for men with emotional or social issues that may be contributing to their pain.
Vagina
A man who is experiencing painful ejaculation should always seek medical assistance. It is a condition that can negatively impact a person’s quality of life, especially if it continues untreated. Men who experience this symptom should find a doctor that specializes in genitourinary health to receive proper diagnosis and treatment.
To determine the cause of pain during ejaculation, your doctor will conduct a physical examination. They will review your medical history and take note of the medications you are currently taking. They may also recommend a digital rectal exam to assess prostate health and a pelvic ultrasound for any abnormalities. A blood workup and urine sample might also be conducted to check for underlying diseases.
Symptoms related to ejaculation are often related to hormonal changes in the body. If you are experiencing ejaculation pain during sex, it could be because of inadequate lubrication due to changes in hormone levels. It could also be because of a medical procedure, such as vaginal surgery or an infection.
Sexually transmitted infections like chlamydia and trichomoniasis can also cause vulva pain. However, they can be silent and cause no symptoms at all if left untreated. It is important to get an STI screening test when you change partners and practice safe sex. Medications can help treat STIs and alleviate vulva pain after sex. You can also try pouring clean lukewarm water over your vulva to soothe the area.
