Painful ejaculation - Symptoms, Causes, and Treatment

The pain during ejaculation is also called Dysorgasmia or Orgasmalgia in medical terms. Along with normal pain, severe pain can also be felt during ejaculation. During painful ejaculation, there may be a problem of pain in the penis, scrotum, perineal or perianal area. Not only this, painful ejaculation can also affect sexual life.

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Symptoms of ejaculation may vary from person to person, and may also change over time. Some men experience symptoms only after having sex but do not experience them during masturbation. Some common symptoms of this problem can be as follows -

• Pain during or immediately after ejaculation.
• Pain in or around the penis, bladder, or rectum.
• Pain that begins shortly before or after ejaculation.
• Pain during urination, especially immediately after ejaculation.

The pain after ejaculation can last from a few minutes to 24 hours. This pain can range from mild to severe.

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There is not one but many reasons for painful ejaculation -

Pain during ejaculation can cause the following problems -

• Loss of interest in sex.
• Having problems related to infertility.
• Having relationship-related problems.
• Having problems related to self-esteem.
• Feeling embarrassed.

The problem of painful ejaculation can cause other physical and mental problems. Therefore, to avoid any such situation, its treatment should be started as soon as possible.

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Some more physical tests are also done during the checkup. Also, the doctor can ask some questions to the patient during treatment, such as -

• Do you feel pain during orgasm or not?
• Is there a problem with dry orgasm?
• Are there any problems related to ejaculation?
• Is there pain, burning, or any other problem during urination?
• Do you take any kind of medicine?
• Have you had any kind of cancer treatment?
• Has there ever been a problem of prostate cancer in the family?
• Do you have a diabetes problem?

Apart from this, some tests may also be done, like -

• Urine test to check for infection.
• Prostate-specific antigen tests to assess prostate problems, including cancer.

Depending on the results of these tests, other tests, such as blood or imaging tests, may be needed.

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In most cases, the symptoms of painful ejaculation can be cured by treating the main causes of this problem. Some treatments for this problem are as follows -

• Antibiotics to treat prostate infections or STIs.
• If this problem is occurring due to taking any medicine, then change that medicine on the advice of the doctor.
• Having surgery for prostate cancer and other prostate problems.
• Psychotherapy or lifestyle changes to resolve relationship and emotional problems.

When the treatment does not help or the doctors are not able to find out the main reason behind this problem, then in such a situation some alternative methods can be used, which can reduce the pain to some extent -

• Sex therapy.
• Pelvic floor exercises to strengthen the muscles involved in ejaculation.
• Pain medicines.
• Muscle relaxants.

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The problem of painful ejaculation is considered normal, but if its treatment is not started on time, the problem can increase, due to which both the physical and mental health of the patient can be affected. Therefore, start treatment on time and also answer the questions asked by the doctor properly. Keep in mind that by treating any disease in the initial days, the disease can be cured as soon as possible and the patient can live a healthy life again.

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