Here Are Reasons Why You Experience Painful Ejaculation

Painful ejaculation which is also known as orgasmalgia or dysorgasmia refers to that pain you get during or after an ejaculation. This can range from mild discomfort to serious or severe pain. The pain usually involves the penis, scrotum, perianal or perineal area.

Painful ejaculation can adversely affect your sex life. Not only will it make you dread sex, but can also give you a bad impression about your well-being. This is why you should not ignore any pain especially painful ejaculation.

What causes painful ejaculation?

Here are some things that could be responsible for the pain you feel when you ejaculate:

Stones or cysts

Stones and cysts can develop in the ejaculatory duct. When this happens, you will most probably experience pain when you ejaculate because this condition blocks you from ejaculating. This could also lead to infertility in men.


This is the term used in referring to an infection or inflammation of the prostate gland. This usually occurs in men not yet up to 50 years of age. You may notice frequent and painful urination when you have this condition. It could be mistaken for a urinary tract infection (UTI).

You are more likely to develop prostatitis if you have weak immune system, diabetes, use a urinary catheter, or are involved in rectal intercourse.

Antidepressant drugs

Such drugs can lead to sexual dysfunction which includes painful ejaculation. Some drugs that could cause this are tetracyclics and tricyclics, selective serotonin reuptake inhibitors, monoamine oxidase inhibitors, serotonin and norepinephrine reuptake inhibitors.


In the treatment of prostate cancer, you may have to go through a procedure to remove some or all parts of the prostate called radical prostatectomy. This could result in painful ejaculation. You may also notice penile and testicular pain as well as erectile dysfunction in the process.

Prostate cancer

Prostate cancer can cause urination problems, painful ejaculation, blood in your semen or urine, and erectile dysfunction.

Pudendal neuropathy

This is a condition that occurs when the pedendal nerve in the pelvis is damaged. It can cause painful ejaculation and lead to rectal pain as well. Some of the things that can affect this nerve are diabetes, injury, and multiple sclerosis (MS).

Radiation therapy

When you receive such therapy, it could lead to erectile dysfunction which includes painful ejaculation. The good news is that this effect is usually temporary.


This is condition where you experience pain or burning sensation during urination. It is a sexually transmitted disease that can lead to painful ejaculation.

When should you seek medical help?

As earlier stated, you should not ignore any pains. If you experience painful ejaculation, you will need to speak to your doctor who will carry out physical examination. You may be required to carry out some tests as well.

How is painful ejaculation diagnosed?

Usually, after the physical examination, you may have to undergo rectal examination as well. You may also be asked some or all of the questions below:

  • How long have you been experiencing this pain?
  • Do you have dry orgasm or produce semen?
  • How long does the pain last?
  • Do you have painful urination?
  • Are you on any medication?
  • How does your urine look?
  • Do you have a family history of prostate cancer?
  • Do you have diabetes?
  • Have you ever undergone cancer treatment?
  • What other symptoms do you experience?

To properly diagnose what the problem is, you may carry out the following tests:

  • Prostate specific antigen test to check for prostate cancer and other problems
  • Urine tests to check for UTI to rule out infection.

After these tests, you may be required to carry out further imaging tests or blood work.

Should you worry about painful ejaculation?

Painful ejaculation is usually an indication of a bigger problem. Not treating it can affect your sex life adversely.

How is it treated?

The underlying issue will be detected first before you can commence on a treatment. If it is a bacterial infection, you may take a course of oral antibiotics. There are pain medications to help with the swelling and pain.

Some side effects of surgery are temporary and you should be able to get relief in a short while. For that of stones or cysts, surgical procedure is usually carried out to remove the blockages.

If you are taking antidepressant drugs, you are not to stop your medication. Consult your doctor for a possible alternative drug.

And if the issue is pudendal neuropathy, there may be need to use numbing agents, nerve blockers, and steroids to help ease the pain. You may have to involve pelvic floor muscles, and in some cases, surgery may be carried out to compress the nerve.

For prostate cancer, this is entirely dependent on the stage, type and aggressiveness of the cancer. You may be put under active surveillance along with minimal treatment. Treatment includes radiation therapy, vaccine treatment, hormone therapy and chemotherapy. In some advanced cases, surgery to remove some part or the whole of the prostate may be required.

For trichomoniasis, a dose of antibiotics may be used to treat it since it is a sexually transmitted disease. Your partner will also be treated. While for that of radiation therapy, the pain may stop once the treatment is completed.


It is never a good idea to leave painful ejaculation undiagnosed. It is not the time to keep to yourself and hide it from your partner. You don’t want to leave your partner guessing what you are going through.

Your doctor will prepare you for what to expect as well as the treatment options available. Every health challenge detected early always has an increased chance of being treated successfully.

So, whatever be the case, do not shy away from speaking to your doctor today regarding any pain you may be experiencing. This is more important if you are having painful ejaculation.

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