Painful ejaculation or disorgasmia happens when the testicles contract to push the semen out through the urethra and out through the penis. The pain could be mild to intense and occur during or after ejaculation. Very often the reasons for painful ejaculation can be easily pinpointed by your doctor. It is advisable to get a medical opinion at the earliest as most cases are easy to treat and if it is a more serious condition, getting life-saving treatment early can reduce the risks. Here’s a look at the six common causes that cause painful ejaculation.
1. Prostatitis
This is the swelling or inflammation of the prostate gland, a walnut-sized gland below the bladder that produces semen. The semen is the fluid that carries the sperms produced in the testicles out through the penis. Prostatitis can affect men at any age but more men below 50 suffer from it. The symptoms, apart from painful ejaculation, are also painful and might cause difficulty when urinating. The cause for prostatitis is often difficult to pinpoint and might disappear on its own. If caused by a bacterial infection, there will be accompanying flu-like symptoms, which a course of antibiotics can cure. Other risk factors that can bring it on are diabetes, anal sex or surgery in the pelvic area.
2. Sexually Transmitted Diseases
STDs like gonorrhea or trichomoniasis can cause a sharp pain in the penis. If you have many sexual partners it is best to visit the doctor to rule out or treat this infection. If the tests are positive, keep your partner informed as the infection can spread easily. They are rarely serious; a course of antibiotics will treat these conditions. It would also help if you took a good probiotic if you are on antibiotics. The healthy bacteria in the gut can be destroyed by antibiotics and should be restored or else you can be susceptible to gastric disorders.
3. Prostate Cancer
Prostate cancer is the most common type of cancer among men across races and ethnicities. It has been found that the incidence of prostate cancer is higher among black men and is also more aggressive. Catching it in the early stages when it is confined to the prostate makes treatment more successful. Many prostate cancers grow very slowly and may not even show any symptoms or need much treatment. Symptoms include painful ejaculation, blood in urine or semen and pain when trying to urinate. The treatment varies from radiation therapy, surgery or hormone therapy.
4. Orchitis
Orchitis is hard to miss as one or both of the testicles get inflamed, swollen and painful. Most infections are caused by the viral mumps infection though there are other bacteria and virus that can also cause it. Sometimes the twisting of the spermatic cord might also cause the swelling of the testicles. Your doctor will perform tests to know which is the actual cause of your pain. Treatment for orchitis is antibiotics, anti-inflammatory medication, painkillers and bed rest.
5. Antidepressant Drugs
Painful ejaculation is a side-effect of many antidepressant drugs and patients are rarely informed about this possibility. The pain can be sharp with a burning sensation and be felt deep in the penile shaft. The pain can last till the penis gets flaccid. These drugs are often the cause of painful ejaculation: serotonin and norepinephrine reuptake inhibitors, tri and tetracyclics, monoamine oxidase inhibitors.
6. Psychological Causes
If your doctor has ruled out the possibility of any physical cause for your painful ejaculation then psychological causes need to be examined. This particularly if you do not have any pain during masturbation but only during sex with a partner. The pain could be emotional based so try visiting a therapist who can help you. It is important to realize that the pain is real and that you do not suffer alone. Psychotherapy can help you find a solution for sexual pain that is caused by anxiety and emotional stress.
