What Causes Painful Ejaculation?

Painful ejaculation, also referred to as dysorgasmia or orgasmalgia, can manifest as mild discomfort to intense pain before, during, or after ejaculation. This discomfort may affect the penis, scrotum, and the perineal or perianal regions. This condition can seriously impact your sexual life.

If you are experiencing pain and are unsure whether your condition is mild or severe, you can reach out to medical professionals or reach out to us:

Email info.bkk@pulse-clinic.com or any of the following platforms for more information.

+66 65 237 1936   @PULSEClinic   PulseClinic

Common causes of painful ejaculation are:

Prostatitis

Prostatitis is an inflammation or infection of the prostate gland. It is the most common urologic issue in men and can lead to painful or frequent urination, often confused with a urinary tract infection. Additional symptoms may include lower abdominal pain and erectile difficulties.

Risk factors of this condition are usually diabetes, weakened immune system, anal intercourse, and urinary catheter use.

Surgery

If you have just had surgery, your body can have several side effects, including painful ejaculation. One of the surgeries is radical prostatectomy, which is a procedure used to treat prostate cancer. Possible risks of the procedure are erectile dysfunction, as well as pain in the penis and testicles.

Hernia surgery (inguinal herniorrhaphy) may also result in painful ejaculation.

Cysts or stones

Cysts or stones can form in the ejaculatory duct, potentially obstructing ejaculation and leading to infertility and painful ejaculations.

Antidepressants

Antidepressants can also induce painful ejaculation and sexual dysfunction. The types of medication most prone to causing sexual side effects are:

• Selective serotonin reuptake inhibitors (SSRIs)
• Serotonin and norepinephrine reuptake inhibitors (SNRIs)
• Tricyclics and tetracyclics (TCAs)
• Monoamine oxidase inhibitors (MAOIs)

Pudendal neuropathy

Pudendal neuropathy is when a pelvic nerve is damaged, causing pain in the genitals and rectum. Causes include injury, diabetes, and multiple sclerosis (MS).

Prostate cancer

Prostate cancer doesn't usually show signs or symptoms, it can, however, cause painful ejaculation as a sign. Other symptoms may include urination problems, erectile dysfunction, or bleeding while urinating.

Sexually Transmitted Infections

A variety of sexually transmitted infections (STIs) can cause painful ejaculation. Men might experience a burning feeling during ejaculation, urination, or both. Some of the common STIs, such as Chlamydia,  and Trichomoniasis are frequently responsible for these symptoms.

Did You Know 'PULSE PCR 28: One Test for 28 Infections?

Our Multiplex PCR 28 Test detects 28 types of pathogens responsible for sexually transmitted infections (STIs), making it the most comprehensive STI test available worldwide.

Samples can be collected via urine, semen, or swabs (Anal, Oral, Vaginal, Penis, and Skin lesions), depending on sexual activity. Patients can receive their test results as fast as a day.

This comprehensive test significantly reduces the risk of transmitting STDs to partners. Suitable for all genders, it caters to patients who display symptoms or are asymptomatic.

Radiation therapy

Radiation therapy on the pelvic area can lead to temporary erectile dysfunction, including painful ejaculation.

Psychological problems

Sometimes, the cause may remain unknown. If you don't experience pain when masturbating, it might be related to emotional factors. Consulting a therapist could help delve deeper into this issue.

If you are experiencing painful ejaculation, it is recommended to make an appointment to see your nearest physician. A few tests or examinations may be conducted to find out the cause of this condition.

How is it diagnosed?

A physical examination will be required, including a digital rectal exam. Be prepared to provide a comprehensive medical history and respond to questions like:

• How long have you felt pain when reaching orgasm?
• How long does the pain last?
• Do you produce ejaculate, or do you have dry orgasms?
• Are there any other symptoms you have?
• Any pain while urinating?
• Is your urine looking normal?
• Are you taking any medications?
• Have you ever received treatment for cancer in the past?
• Any family member with a cancer history?
• Do you have diabetes?

Testing may include a urine sample to check for infection and a prostate-specific antigen test to examine any prostate problems, including cancer. Depending on your result, tests like blood work or imaging tests may be conducted if necessary.

Treatment

Treatment of painful ejaculation will depend on its cause. In common cases, treatments used to terminate symptoms may include:

• Antibiotics – to treat a prostate infection of STI
• Changing medications if a specific drug is the cause
• Surgical procedures for prostate cancer and related prostate issues
• Therapeutic counselling and lifestyle adjustments to manage emotional and relationship issues

Cases with nerve damage may be irreversible, but doctors will most likely still try to treat the cause of the pain so that your condition does not get any worse.

If your doctor cannot figure out what the cause is, or if the treatment fails, some other alternative solutions may get rid of the pain, such as:

• Sex therapy
• Pain medication
• Muscle-relaxant medications
• Anticonvulsant medications
• Strengthening muscles involved in ejaculation by committing to pelvic floor exercises

Painful ejaculation is not a significant threat to your body, but it can erode a man's quality of life. Men with painful ejaculation conditions can also experience a loss of interest in sex, shame, relationship problems, self-esteem problems, and fertility concerns. That is why we strongly advise seeking medical attention if you are experiencing painful ejaculation.

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We’re here to help

With whatever you’re experiencing, you are not alone. PULSE Social Enterprise is here for any concerns and questions that you might have about your health.

From general wellness to mental well-being to sexual health, we will be sure to give you fast, reliable, and safe diagnosis, treatment, and consultation.

+66-84-226-2569 

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