What Causes Pain During Ejaculation?

Painful ejaculation, or painful orgasm, is commonly described as a pain or burning sensation that happens when a man ejaculates. He may feel pain between his anus and genitals or in his testes. He may also feel it in the urethra, the tube that semen passes through. 

A man may become so frustrated by this pain that he starts to avoid sex. His relationship with his partner may suffer as a result. Many men with painful ejaculation experience depression and anxiety. Prostatitis is only one of several causes of sexual pain in men. If you are experiencing sexual pain, which can include pain in the penis, testis, or pelvis area that occurs during sex, while ejaculating, or after sex, it could stem from a variety of causes.

The causes of sexual pain can be medical, structural, or psychological. Here’s a look at six causes of sexual pain, also known as dyspareunia.

Infections in the prostate gland, bladder, urethra, or seminal vesicles can cause intense burning or itching after ejaculations.

Some sexual pain disorders have been linked to anxiety. Pain may occur as a result of having anxiety related to sex or intimacy. Being a victim of sexual assault or abuse can manifest in sexual pain or anxiety.

There are some other common causes of sexual pain in men. While it is important to make sure you have enough lubrication, an irritation you are experiencing may actually mean you are allergic to your lubricant. That goes for other products such as spermicides and even the detergent you use to wash your clothes, as these can cause allergies and irritations that lead to sexual pain.

Physical abnormalities, such as Peyronie’s disease, a tight foreskin, other foreskin issues, scarring, or frenulum breve, can also cause sexual pain. You should see your doctor to get a complete examination to rule out any physical problems that could be causing your sexual pain.

To treat painful ejaculation, a doctor must first determine the cause of the painful orgasm.Usually this involves a thorough medical exam. Sometimes, samples of urine or semen are analyzed. Medications may help if there is inflammation of the testicles, prostate or urethra.