Pain during ejaculation is a non-specific symptom for many diseases of urological profile and significantly affects the sexual life, emotional and psychological state of the man. Pain during ejaculation may be of different nature and depend on the underlying disease, a component of which are.
Causes of painful sensations
The following factors can be identified that increase the risk of discomfort and pain during ejaculation:
- Poor hygiene. Failure to observe men’s personal intimate hygiene can lead to local inflammatory processes such as balance or inflammation of the head and foreskin.
- Phymosis. A disease in which it is difficult or impossible to bare the head of the penis. Phymosis may be congenital, but most often occurs in adulthood after severe inflammation of the urogenital tract.
- Disorderly sexual intercourse and lack of barrier contraception in the form of condoms. Significantly increases the risk of developing sexually transmitted diseases.
- Using condoms of inappropriate size. It leads to excessive compression and contraction of the penis tissue and discomfort during intercourse.
- Prolonged abstinence and lack of sexual life. Leads to stagnation in the prostate and stagnant prostatitis (see “Abstinence – when is good and when is bad?”).
The combination of the above factors may cause a painful ejaculation both on their own and lead to diseases causing this symptom.
The most frequent cause of pain is sexually transmitted infections, leading to urethritis or prostatitis.
In this case, intercourse itself becomes painful, and ejaculation causes sharp and burning pain along the urinary tract and irradiates into the groin area.
Prostatitis
Prostate – a disease of the male genital system, characterized by an inflammatory process in the exocrine gland with the same name – prostate. In most cases, men of middle and older age groups, who are most active in sexual life, are susceptible to the disease.
Pains in ejaculation associated with prostatitis are of attack and nagging nature. The presence of infection in the urethral canal most often leads to prostatitis, with an acute or chronic form of disease. The intensity and frequency of pain is higher with acute prostatitis and may lead to complete cessation of sexual activity.
Chronic prostatitis is most often stagnant and less often causes pain during ejaculation. If this disease does cause pain, the pain is nagging, and the intensity is noticeably lower than with acute prostatitis. The cause of chronic prostatitis is the absence or irregular sexual activity.
Rare causes of pain during ejaculation
This symptom is much less common in psychological problems in men or when taking specific medications, a side effect of which is erectile pain. In some cases, men may have hypersensitivity of the penis head, which also leads to discomfort and pain during intercourse and ejaculation.
Diagnostics
In case of pain during intercourse and ejaculation, you should not postpone a visit to a specialist – urologist.
Delayed medical care may lead to the progression of the disease causing the pain syndrome, or even the development of complications.
When seeking advice and medical assistance, the attending physician will conduct an examination, collect anamnesis of the disease and send for a diagnostic study to confirm the etiology of the disease. To diagnose the causes of pain, the following tests are conducted:
- Examination of the prostatic secret using a microscopy;
- ultrasound of small pelvis organs;
- Immunoenzyme analysis and PCR reaction to detect sexually transmitted infections;
- General urine and blood tests to determine the inflammatory process;
If it is difficult to identify the cause, additional methods are used, such as:
- Urethrocystoscopy – an endoscopic examination to visualize the area of seed tuberculosis.
Only after a comprehensive examination and identification of the exact cause of ejaculation pain syndrome, the attending physician will prescribe targeted treatment. Complete therapy includes not only taking medication, antibiotic therapy, but also physical procedures.
An important component of treatment is the rejection of factors that lead to the development of the disease or directly pain syndrome. Without a change in lifestyle, the effectiveness of treatment is much reduced, because the main cause of the disease is not eliminated.
Treatment
In most cases, to treat only ejaculation pain is a questionable and ineffective measure. Self-treatment in this case is not the best option. Be sure to consult with your doctor.
The use of painkillers and anti-inflammatory drugs is not the main type of treatment, but only complements the drug therapy.
Painkillers and anti-inflammatory drugs have only a symptomatic treatment and can not eliminate the causes of disease. Lubricating and concealing the clinical picture can miss the progression of the disease and lead it to serious complications, up to infertility and impotence.
In prostatitis and other infectious processes occurring in the urogenital tract, antibiotic therapy (see “Treatment of prostatitis with antibiotics”) is an essential component of treatment, contributing to the destruction of the bacterial agent that caused the disease itself.
After the treatment, be sure to undergo rehabilitation and adhere to preventive measures to avoid the development of recurrence of the disease. Take care of your body and be healthy!