What Causes Painful Ejaculation?

Painful ejaculation, also known as dysorgasmia or orgasmalgia is a painful sensation felt during and after ejaculation. It can occur anywhere including the penis, scrotum and perineal/perianal region.

Though embarrassing, it is a serious problem that warrants a visit to your doctor for diagnosis and treatment. In this article, we will explore what causes painful ejaculation and how to go about treating it.


Infections of the genitourinary tract can cause pain during orgasm. The pain can be felt in the perineum (the area between the anus and genitals) or in the urethra. STIs such as gonorrhea and chlamydia are common causes of painful ejaculation. Other infections, such as urinary tract infections or blockages of the ejaculatory ducts, can also lead to pain during orgasm.

Painful ejaculation can be caused by an infection, inflammation or blockage of the lower urinary tract including the prostate gland, seminal vesicles and the urethra. Men with prostatitis (inflammation of the prostate gland) or enlarged prostate (benign prostatic hyperplasia) are often affected. Painful ejaculation is also associated with nerve damage and some medications.

If a man is experiencing symptoms of painful ejaculation, it is important to visit a doctor as soon as possible. The doctor will take a thorough medical history to find out what the cause of the pain is. They may recommend a digital rectal examination to assess the condition of the prostate and a urine test. They may also suggest a X-ray, CT scan or an MRI scan to help them make an accurate diagnosis.

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In some cases, the doctor might need to do a blood test or an STD panel to rule out infections. These can include bacterial infections such as gonorrhea, chlamydia and syphilis, which all commonly cause pain during orgasm.


Painful ejaculation is a common problem that affects a man’s sexual and psychological well-being. It can be caused by infections, prostate issues, and hormonal imbalances. If left untreated, it can impact a man’s self-esteem and relationships. Prompt medical evaluation and diagnosis is essential to identify the underlying cause and guide treatment options.

The prostate gland is responsible for producing semen, and problems with the gland can cause painful ejaculation. Infections that occur in the seminal vesicles, such as chlamydia or trichomoniasis, can also make ejaculation painful. Problems with the urethra and scrotum, such as inflammation and a blockage, can also cause painful ejaculation.

Depending on the underlying cause, pain in the penis or perineum can be treated with medications and lifestyle modifications. If a patient has an infection, antibiotics are generally prescribed. However, the antibiotics prescribed must be tailored to the specific bacteria that are causing the infection.

In some cases, prostate cancer can cause painful ejaculation. If prostate cancer is diagnosed and treated early, it can prevent serious complications. Treatment for prostate cancer can include radiation therapy, hormone therapy, vaccines, and surgery to remove the prostate. If cancer has spread, treatments such as chemotherapy may be required. Psychological and emotional issues can also cause painful ejaculation. In these situations, a psychologist can help patients manage their symptoms and regain a sense of control.

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Pudendal neuropathy

Painful ejaculation is a serious condition that can affect men’s physical and emotional well-being. It can be caused by numerous issues, and it is important that it is not ignored or downplayed. It is also important that it is reported to a doctor, as early diagnosis and treatment can help alleviate symptoms.

Dysorgasmia or painful orgasm in men (and females) can occur when there is a problem with any of the structures involved in the production and release of semen. These include the prostate gland, testicles, urethra, epididymis, and seminal vesicles. The pain may originate in the penis, scrotum, or perineum and may radiate to other regions such as the vulva and anus. The pain can be described as achy or burning, and it can last for hours after ejaculation.

Damage to the pudendal nerve is a common cause of pelvic and rectal pain. This can be due to a variety of reasons, including injury during surgery, multiple sclerosis, and diabetes. The pudendal nerve has sensory, motor, and autonomic functions, and injury to this nerve can lead to bowel, bladder, and sexual dysfunction.

Certain medications can also cause painful ejaculation. This symptom has been seen with antidepressants such as imipramine, desipramine, clomipramine, protriptyline, and fluoxetine. In some cases, stopping these drugs can reduce the frequency and severity of painful ejaculation.

Psychological issues

Men that suffer from pain during ejaculation, also known as dysorgasmia (DO), may be suffering from a number of different conditions. In most cases, however, doctors are able to identify the cause of the pain and prescribe an appropriate treatment. It is important that men seek medical assistance when they experience a symptom like this, as it can have significant negative impacts on their quality of life and sexual functioning.

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The most common cause of painful ejaculation is prostate problems such as prostatitis, which is caused by an infection or injury to the prostate. In addition, certain medications can cause the condition, such as antidepressants.

Symptoms associated with the condition can vary, and many men do not realize that it is an issue until they begin to discuss it with their partner or doctor. Often, the pain is mild and goes away quickly after ejaculation, but in some cases it is more severe or persistent.

To diagnose the underlying cause of the painful ejaculation, the patient will undergo a thorough medical examination. This will include a physical examination of the genitals, a digital rectal examination, and blood tests including PSA. In some cases, the doctor will order an MRI or CT scan to check for abnormalities in the prostate gland.

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