3 Problems Associated with Ejaculatory Pain

For most men, ejaculation brings a sense of pleasure and sexual release. But for men with painful ejaculation, the experience can be entirely different. 

While many men never experience ejaculatory pain, the condition is more common than most men realize, with data estimating as many as 25% of men experience symptoms at some point. Painful ejaculation can be alarming, but the good news is, treatments can help.

Alfred Shtainer, MD, FACS, helps patients at Adult and Pediatric Urology learn the cause of their painful symptoms, providing treatment options to relieve symptoms and prevent complications. Here, learn about three possible reasons why you could be experiencing pain during ejaculation.

Prostatitis

Located near your bladder, the prostate gland is a walnut-shaped gland that produces semen fluid. Prostatitis happens when the gland becomes irritated and inflamed, sometimes from an infection or noninfectious causes.

Prostatitis can be either acute or chronic, and both types can cause pain when you ejaculate. Depending on the severity of the disease, you may have other symptoms, too, like pain during urination or pain in your pelvis or lower back.

Prostatitis can be treated, although the type of treatment depends on the underlying cause of prostatitis and whether it’s acute or chronic. Men with prostatitis usually benefit from a combination of antibiotics, anti-inflammatory medications, and lifestyle changes to support prostate health.

Infections

While prostatitis may be caused by an infection, other infections can cause ejaculatory pain, too. Urinary tract infections and sexually transmitted infections, like gonorrhea or chlamydia, can affect the prostate gland and other parts of the genitourinary system. These infections frequently cause irritation and inflammation near the urethra or around the tubes that carry sperm. 

Many infections involve other symptoms, depending on the type of infection, its severity, and other factors. Those symptoms can include unusual penile discharge, pain or difficulty with urination, pelvic discomfort, or flu-like symptoms.

Without proper and prompt medical attention, untreated infections can lead to more serious problems, including systemic infections, chronic pain, and infertility. The key is to seek treatment as soon as possible, so we can prescribe medication that can help.

Cancer

While ejaculatory pain is often associated with infections, it can also be caused by cancer. Tumors involving the prostate, bladder, or other parts of the genitourinary tract can cause pressure on local structures involved in ejaculation.

Other potential symptoms associated with these cancers include pain or difficulty with urinating, blood in the urine, blood in the semen, pelvic pain, and weight loss. Prostate cancer specifically often causes no symptoms until the disease has progressed, which is why it’s so important to have regular prostate exams.

Finding the cause of painful ejaculation

Painful ejaculation can have other causes, too, including nerve-related issues, radiation therapy, and some types of medications. To find out what’s causing your symptoms and how we can help, request an appointment online or over the phone today at the office nearest you in Manhattan, Brooklyn, or Queens, New York.

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