What Causes Painful Ejaculation?

Painful ejaculation is a lot more common than you’d think. Based on a PubMed search, somewhere between 1-25% of men around the world experience painful ejaculation, either alone or with other symptoms. That’s a lot of men. And a lot of pain.

If ejaculation causes pain in your penis, scrotum, rectum, or pelvic area, you may dread sex and masturbation. You may cut back on your sexual expression because you want to avoid the pain that accompanies orgasm. 

Abstinence affects not only your relationship with an intimate partner, but also your relationship with yourself. And, ultimately, it can affect your overall physical and mental health.

Alex Lesani, MD is an expert and caring urologist who wants men to enjoy sex without pain or dysfunction for the entirety of their lives. At his Las Vegas office, he diagnoses and treats painful ejaculation. Below are a few of the most common reasons for this distressing condition, and recommendations for treatment. 

Benign prostatic hyperplasia (BPH)

Your prostate gland is only about the size of a walnut, but it has a big job. The prostate produces some of the seminal fluid that conveys your sperm outside your body during ejaculation.

Almost all men who live long enough develop BPH, which is a benign, noncancerous condition. Unlike other organs, your prostate continues to grow throughout your life, which is why 90% of men who live until their 80s or 90s have BPH. However, you can develop it even in your 30s.

If you have BPH, painful ejaculation is probably only one of several symptoms. Others may include:

Sometimes simply losing weight, getting lots of exercise, and eating a healthy diet can improve BPH and alleviate symptoms. If lifestyle changes don’t help, Dr. Lesani may recommend medications, laser therapy, or surgery. Once your BPH resolves, your ejaculations should be pain-free.

Infection

Urinary tract infections (UTIs) and sexually transmitted infections (STIs) can inflame your urethra and other pelvic organs, leading to painful ejaculation. Past infections may also produce scarring that obstructs your urethra, so your seminal fluid is blocked while ejaculating.

Dr. Lesani usually prescribes a full course of antibiotics if you have a UTI or STI. If your urethra is scarred from past infections, he may recommend urinary tract reconstruction surgery. 

Obstruction

If the tubes in your reproductive tract are obstructed, the pressure from an ejaculation could cause tremendous pain. In addition to scar tissue, some of the most common obstructions include:

Dr. Lesani conducts X-ray, ultrasound, or MRI studies to determine if you have any blockage in your urethra, vas deferens, seminal vesicles, or other areas. If so, you may require medications to quell inflammation, or surgery to remove the obstructions. 

Pelvic pain

Pain in the pelvic area that lasts for more than three months is considered chronic pelvic pain. One of the symptoms of chronic pelvic pain is painful ejaculation. Dr. Lesani first conducts a work-up to determine the different factors involved in your pain, and then customizes a treatment plan. 

Medications and miscellaneous

Some kinds of medications, such as antidepressants and muscle relaxants, may also cause painful ejaculation, as can underlying medical conditions. During your evaluation, Dr. Lesani conducts a thorough physical exam and also takes a complete medical history to identify all sources of your ejaculation pain.

Don’t deprive yourself of sexual satisfaction due to painful ejaculation or other discomfort. Call us today for an evaluation, diagnosis, and treatment at 702-470-2579. You can also book online.

You Might Also Enjoy...

The Link Between Dehydration and Kidney Stones

If you want to stay free of kidney stones: Drink up! Water, that is. Staying hydrated and flushing your kidneys helps them stay stone free and helps you stay free of pain. But why is hydration so important? And how do you stay hydrated?

I'm Nervous About Getting a Vasectomy: Can You Help?

You’ve decided that you don’t want to father children, and so you’ve booked your vasectomy. But now you’re getting nervous. What if something goes wrong? What if the vasectomy doesn’t work? Or what if you change your mind?

How a Healthy Diet Can Help Treat Your Erectile Dysfunction

Erections have a life of their own. When you were a pre-teen or teen, you’d get them even when you didn’t want them. Nowadays, though, even when you’re psychologically and emotionally ready for sex, your erections aren’t happening. What can you do?

The Link Between Obesity and Kidney Stones

Nobody wants to be obese, but shedding those extra pounds is a lot harder than it was to put them on in the first place. Here’s some extra motivation to trim your figure: obesity raises your risk for excruciating kidney stones.

How to Know if You Have an Enlarged Prostate

Your prostate is one of the few parts of your body that continues to grow throughout your lifetime. As you age, your prostate may enlarge to the point where it causes symptoms and needs treatment. Do you have an enlarged prostate? Here’s how to tell.