In addition to premature ejaculation, painful ejaculation is a common concern that affects many sexually active men. Unfortunately, many men hesitate to seek medical help for sexual health issues and often delay visiting a specialist. However, there is no reason to feel ashamed—the earlier you seek medical attention, the sooner the problem can be resolved.
Causes of Painful Ejaculation
Men with this condition may also report pain during urination and, in some cases, pain that persists for hours after intercourse. In most cases, the discomfort is linked to sudden, intense contractions of the prostate during ejaculation. Possible causes include:
Chronic prostatitis
Urethritis
Inflammation of the prostate and urethra
Urethral stricture (narrowing of the urethra)
Painful Ejaculation vs. Painful Orgasm
Many patients confuse these terms. Painful ejaculation can result from infections or inflammation, while painful orgasm may be due to organic issues in the pelvic region or spine. Since it's difficult for patients to determine the underlying cause on their own, a medical consultation is essential.
An appointment with an andrologist is the first step toward identifying the cause. A key symptom is sharp pain or cramping right before ejaculation, which may subside quickly or last several hours.
Diagnosis
During the consultation, it's important to provide a clear and honest account of your symptoms. The doctor may order bacteriological tests of urine and semen. An ultrasound of the prostate may also be recommended to help identify the source of the pain.
Treatment
Once the cause of painful ejaculation is identified, treatment may include:
Medications to eliminate infection and inflammation
Pain relievers, including targeted analgesics
Sedatives to manage discomfort and anxiety
Maintaining regular sexual activity is beneficial and helps avoid stagnation in the reproductive system. Other recommendations include:
Following a balanced diet
Limiting chocolate, caffeine, alcohol, and carbonated drinks
Maintaining a healthy body weight, as excess fat may compress the urinary tract and worsen symptoms
Addressing both physical and lifestyle factors is key to successfully managing painful ejaculation.
