Painful Ejaculation

Making love with your partner is a pleasure act but for some men it is painful. About 10 percent of males suffer from pain during and after ejaculation that leads to fear, frustration and relationship issues.

The foremost step to deal with painful ejaculation is to find the underlying cause so that proper treatment can resolve it.

What Is Painful Ejaculation?

Pain during
or immediately after ejaculation may be defined as painful ejaculation. Some
men with this condition are affected only when they masturbate and others only when
they have sex with their partner. But there are also men who experience painful
ejaculation during both the acts.

What Are The Symptoms Of
Painful Ejaculation?

The symptoms
of painful ejaculation differs from men to men and also may change over the
time. The pain may be mild to severe and may last from a few minutes to 24
hours after the act. The patient may also experience pain on passing urine
immediately after ejaculation. Other notable symptoms include pain around or in
the bladder, penis or rectum.

Painful
ejaculation is not something you should be ashamed of. It is a common condition
affecting men and mostly have an underlying cause that need to be diagnosed and
treated.

What Causes Painful Ejaculation

Below is the
list of conditions that cause painful ejaculation:

1. Prostatitis–
   Prostatitis is swelling and inflammation of the prostate that may be caused due
   to prostate infection, UTI, trauma or nerve damage. Men who suffer from
   diabetes are more at the risk of nerve damage. The risk factors for prostatitis
   include diabetes, weak immune system, rectal intercourse and use of urinary
   catheter.
2. Benign prostate Hyperplasia– Benign prostate hyperplasia or prostate gland enlargement is
   a condition that mostly affects old men. Enlarged prostate leads to
   uncomfortable urinary symptoms and also in some men it causes painful ejaculation.
3. Other prostate issues– Other prostate disorders such as prostate cancer or if you have
   undergone prostate surgery may also lead to painful ejaculation.

• Certain Medication– Antidepressants that belong to class of tricyclics, reuptake inhibitors,
  MAOIs or venlafaxine are often associated with pain during and after
  ejaculation. So if you are taking such medications, consult your doctor to make
  a change in medication.
• Sexually Transmitted Disease- Chlamydia and trichomoniasis are two sexually transmitted
  infections that are associated with painful ejaculation.
• Seminal Vesicle Problems- Calculi or deposits formed 
  in the seminal vesicle causes problems with semen ejaculation and pain.
• Nervous System Disorder– Diabetes may cause nerve damage. Also, men with spinal cord
  damage and back injuries may have pain during or after ejaculation.
• Radiation Therapy– Radiation therapy to the pelvis may cause temperory erectile
  dysfunction and pain during or after ejaculation.
• Pudendal Neuropathy-Pudendal neuropathy is damage to the nerve in the pelvis. This condition
  causes genital and rectal pain.
• Relationship Issues– If a man suffers from painful
  ejaculation after having sex with his partner and not after masturbation, it is
  more likely that there is a relationship issue. Other mental health issues such
  as depression, anxiety or tension may also have a negative impact on sexual
  performance.
• Mercury Exposure- Although rare, but exposure to
  mercury on consuming contaminated fish may lead to pain during and after
  ejaculation.

Treatment Of Painful
Ejaculation

The
treatment of pain during and after ejaculation depends on the underlying cause.
To manage the pain, pain medication is given. Oral antibiotics are prescribed
to treat infections. If the cause is stone or cyst, surgery is done to remove
the blockage. Underlying diseases such as MS and diabetes is addressed. If
painful ejaculation is due to side effect of surgery, then in most of the cases
the condition improves slowly. If you think your condition is a cause of
anti-depressants consult your doctor for an alternative drug or to adjust the
doses but do not stop the medications without the supervision of the doctor.

There are some cases of pain during or after ejaculation
where the cause remains undiagnosed and in such case, psychotherapy is given to
the patient to manage the condition.

Sexual
issues may hamper your self esteem as well as your relationship with your
partner. But it is not something you should be embarrassed off and remain silent.
Talk about it with your partner and seek medical assistance.