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Painful Ejaculation Symptoms

Ouch! It is not supposed to hurt when you do that! Ejaculation is so frequently associated with pleasure that, when it hurts, you know something is wrong. Maybe the pain is isolated to the ejaculation event or maybe it coincides with other symptoms in the body. Either way, it is important to carefully consider all the factors when dealing with painful ejaculation. [7]

Painful ejaculation is noticeable through the following symptoms:

Ejaculation is the culmination of male sexual stimulation and involves the release of semen from the penis. Ejaculation is a part of the male orgasm that, once started, becomes an involuntary set of contractions accompanied by discharge. It is normally a pleasurable experience for a man and should not be accompanied by pain. [7]

Painful ejaculation symptoms are often a sign of a significant issue. Such an event may exist on its own or be associated with other symptoms that require consideration and treatment. [7]

Painful Ejaculation Causes Overview

Any issue with the genital area is often cause for concern and painful ejaculation is no different. Painful ejaculation is caused by a range of underlying conditions, but a traumatic event is most likely not the culprit. [1]

Medical painful ejaculation causes:

  • Inflammatory: When the prostate, urethra or other components of the male genitalia and pelvic area become inflamed, pain can be felt throughout the penis, pelvis, and lower back. Prostatitis, orchitis, epididymitis and urethritis are examples. [1]
  • Cysts or Stones: Cysts or stones can occur in the penile duct through which ejaculation occurs. [2]
  • Sexually Transmitted Diseases (STDs): STDs affect the penis, scrotum, and testicles causing a burning sensation and/or pain during ejaculation. [2] Chlamydia and trichomoniasis are common examples of STDs. [2,3]
  • Tumors: Typically, painful ejaculation is not a result of prostate cancer, but a link has been established between the two. [4] Prostate cancer is one of the most common forms of cancer in men and screening is recommended for all men over the age of 50. [5] In addition to pain during ejaculation, prostate cancer may also cause pain during urination or blood in semen. [4]
  • Health and Wellness: Changes in the body resulting from age, family history, and poor dietary conditions can result in alterations to the function of the prostate. [2,6] Benign prostatic hyperplasia is an example of such a condition. [2]

A.I. Health Assistant Causes for Painful Ejaculation

The list below shows results from the use of our A.I. Health Assistant by Buoy users who experienced painful ejaculation. This list does not constitute medical advice.

  1. 1.Chronic Prostatitis

    Prostatitis is swelling and irritation of the prostate gland. The prostate gland sits under the bladder, near the rectum, and produces the fluid that carries sperm.

    1/3 of men say symptoms go away by themselves after 1 year. With treatment, course is dependent on underlying cause.

    Top Symptoms:
    urinary changes, painful urination, testicle pain, frequent urination, penis pain
    Primary care doctor

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  2. 2.Painful Bladder Syndrome (Interstitial Cystitis)

    Painful bladder syndrome, also known as interstitial cystitis (IC), is a chronic condition that causes discomfort or pain in the bladder and a need to urinate frequently and urgently. The cause of this condition is not very clear and it is usually diagnosed when other causes like urinary tract infections are excluded.

    Chronic disease whose progression varies highly from person to person. Symptoms may persist for years.

    Top Symptoms:
    fatigue, abdominal cramps (stomach cramps), depressed mood, pelvis pain, arthralgias or myalgias
    Primary care doctor

Painful Ejaculation Treatments and Relief

Always take your painful ejaculation symptoms seriously. More likely than not, the cause will not simply disappear over time without treatment. [7]

It is recommended that you contact your doctor for any case of painful ejaculation symptoms, particularly if it's also associated with:

Your medical professional will consider all observable painful ejaculation symptoms and likely perform additional testing to determine if there are more complex issues at work. Typically, at-home remedies will not be appropriate or sufficient. [8,10]

Professional painful ejaculation treatments:

  • Medications: Your doctor may prescribe medications such as antibiotics to treat infections and certain diseases. Sexually transmitted diseases or bacterial forms of prostatitis are treated with prescribed medications. [1]
  • Surgery: Professionally recommended procedures could be required to remove the prostate gland or to treat some forms of prostate cancer. [6]
  • Radiation and/or hormone therapy: The treatment of cancerous cells is commonly done using these techniques. If prostate cancer is identified, your team of medical professionals will evaluate the severity and determine the best course of action to provide proper treatment. [12]
  • Waiting and watching may be the first steps towards treating prostate cancer: Treatment may begin by carefully monitoring new and old symptoms and then progress towards regular testing to determine if the cancer is progressing. [12]

At-home painful ejaculation treatments:

  • Lifestyle: Maintaining a healthy lifestyle and taking steps to reduce stress can be positive steps towards minimizing the potential for painful ejaculation symptoms. [8]

A critical part of dealing with painful ejaculation is to have the condition treated. Sometimes resting with an elevated scrotum and applying ice packs can provide temporary relief, but, most likely, advanced treatment will be required. [13]

FAQs About Painful Ejaculation

Here are some frequently asked questions about painful ejaculation.

Do UTIs cause painful ejaculation?

Yes, urinary tract infections (UTIs) can cause painful ejaculation, especially if the infection has reached the prostate gland. This causes an inflammatory response of the prostate known as prostatitis. You may require antibiotics and should see your primary care physician right away. [9]

Can STDs cause painful ejaculation?

Yes. Sexually transmitted diseases (STDs,) which are also called sexually transmited infections (STIs,) are conditions such as chlamydia, gonorrhea, and trichomoniasis. These can cause pain with ejaculation, urination, and sexual intercourse. You should consult your primary care physician immediately if you believe you may have an STD. [3,14,15]

Why do I have pain when I ejaculate and urinate?

Pain with urination and ejaculation can be caused by urinary tract infections (UTIs) or sexually transmitted diseases (STDs, or sexually transmited infections, STIs) such as herpes, chlamydia, and gonorrhea. [2,14] Pain with ejaculation in particular may be due to infection or inflammation of the prostate. [2]

Can kidney stones cause painful ejaculation?

Yes, kidney stones (nephrolithiasis) can cause painful ejaculation when passing through the ejaculatory duct. The stones may also block the ejaculatory duct and cause infertility. Alternatively, many kidney stones pass without lodging in the ejaculatory duct. [16]

Why do I have random painful ejaculation?

There are a number of causes of painful ejaculation. They may be caused by urinary tract infections (UTIs,) [9] sexually transmitted diseases or infections (STDs or STIs,) [3,14,15] or the passing of kidney stones. [16] Painful ejaculation may also be caused by prostate surgery, [7] certain antidepressant drugs, (I cannot document that antidepressants cause painful ejaculation. Some are used to treat premature ejaculation but that is all) prostate cancer, [2] and radiation therapy. [2]

Questions Your Doctor May Ask About Painful Ejaculation

  • Q.Have you ever been diagnosed with a sexually transmitted disease (STD)?
  • Q.Do you feel pain when you urinate?
  • Q.Do you notice anything going on with your testicles or scrotum?
  • Q.Are you sexually active?

If you've answered yes to one or more of these questions, try our painful ejaculation symptom checker to find out more.

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Painful Ejaculation Symptom Checker Statistics

  • People who have experienced painful ejaculation have also experienced:

    • 17% Painful Urination
    • 6% Penis Pain
    • 4% Testicle Pain
  • People who have experienced painful ejaculation were most often matched with:

    • 50% Chronic Prostatitis
    • 50% Painful Bladder Syndrome (Interstitial Cystitis)
  • Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

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  1. Painful ejaculation. NHS Lanarkshire Sexual Health. Lanarkshire Sexual Health Link.
  2. Parnham A, Serefoglu EC. Retrograde ejaculation, painful ejaculation and hematospermia. Transl Androl Urol. 2016;5(4):592-601. NCBI Link.
  3. Trichomoniasis. NHS. Updated October 23, 2018. NHS Link.
  4. What are the symptoms of prostate cancer? Centers for Disease Control and Prevention. Updated June 7, 2018. CDC Link.
  5. Who is at risk for prostate cancer? Centers for Disease Control and Prevention. Updated June 7, 2018. CDC Link.
  6. Eleazu C, Eleazu K, Kalu W. Management of benign prostatic hyperplasia: Could dietary polyphenols be an alternative to existing therapies? Front Pharmacol. 2017;8:234. NCBI Link.
  7. Disorders of ejaculation. Harvard Medical School: Harvard Health Publishing. Published February 2006. Harvard Health Publishing Link.
  8. Prostatitis (male pelvic pain). UCSF Department of Urology. UCSF Link.
  9. Ferrari N. Prostatitis: Inflamed prostate can be a vexing health problem. Harvard Medical School: Harvard Health Publishing. Published October 29, 2013. Harvard Health Publishing Link.
  10. What are the signs and symptoms of prostatitis? Prostate Cancer UK. Updated April 2016. Prostate Cancer UK Link.
  11. Prostatitis (male pelvic pain). UCSF Department of Urology. UCSF Link.
  12. How is prostate cancer treated? Centers for Disease Control and Prevention. Updated June 11, 2018. CDC Link.
  13. Discharge instructions for epididymitis. Fairview Health Services. Fairview Health Services Link.
  14. Gonorrhoea. NHS. Updated June 29, 2018. NHS Link.
  15. Chlamydia. NHS. Updated April 6, 2018. NHS Link.
  16. Prostatitis: Inflammation of the prostate. National Institute of Diabetes and Digestive and Kidney Diseases. Published July 2014. NIDDK Link.