Why does it hurt when I ejaculate?

Pain during ejaculation is a nonspecific symptom for many diseases of the urological profile and largely affects the sexual life, the emotional and psychosocial state of a man. Pain in ejaculation can have a different character and depend on the underlying disease, of which components are.

Causes of pain

The following factors can increase the risk of discomfort and pain in ejaculation:

• Poor hygiene. Failure to comply with the personal intimate hygiene of men can lead to the development of local inflammatory processes such as balanitis or inflammation of the head and foreskin.
• Phimosis. Disease, in which the exposure of the head of the penis is difficult or impossible. Phimosis can be congenital, but most often in the adult state occurs after severe inflammatory events of the urogenital tract.
• Random sexual intercourse and lack of barrier contraception in the form of condoms. Significantly increases the risk of developing sexually transmitted diseases.
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• Use of condoms of inappropriate size. It leads to excessive compression and squeezing of the tissues of the penis and severe discomfort during intercourse.
• Long-term abstinence and lack of sexual activity. It leads to stagnant phenomena in the prostate and stagnant prostatitis( see "Sexual abstinence - when useful and when it is harmful?").

The combination of the above factors can cause painful ejaculation both independently and lead to diseases that cause this symptom.

Thus, the sexual certificate becomes in itself morbid, and ejaculation causes sharp and burning pains on a course of an urethra and irradiates in an inguinal area.

Prostatitis

Prostatitis is a disease of the male reproductive system, characterized by an inflammatory process in the exocrine gland with the same name - the prostate. The disease in most cases are affected by men of middle and older age groups, the most active sexually active.

Ejaculatory pain associated with prostatitis is paroxysmal and aching. Prostatitis is most often caused by infection in the urethral canal, with an acute or chronic form of the disease developing. The intensity and frequency of pain is higher with acute prostatitis and can lead to a complete rejection of sexual activity.

Chronic prostatitis is often stagnant and rarely causes pain in ejaculation. If the pain is still painful, the pain is noisy, and the intensity is noticeably lower than with an acute prostatitis. The cause of chronic prostatitis is the absence or irregular sexual life.

Rare causes of pain with ejaculation

Much less often this symptom occurs in psychological problems in men or when taking specific medications, the side effect of which is pain during erection. In some cases, a man may have an increased sensitivity of the glans penis, which also leads to discomfort and pain during intercourse and ejaculation.

Diagnosis

If you have pain during intercourse and ejaculation, you should not postpone visiting a specialist - urologist.

When you seek advice and medical help, the doctor will perform an examination, collect an anamnesis of the disease and send it to a diagnostic study to confirm the etiology of the disease. To diagnose the causes of pain, the following studies are carried out:

• Study of the prostatic secret with microscopy;
• ultrasound of pelvic organs;
• Immunoenzyme analysis and PCR reaction for detection of sexually transmitted infections;
• General analysis of urine and blood to determine the inflammatory process;

If there are difficulties in identifying the cause, additional methods are used, such as:

• urethrocystoscopy is an endoscopic examination that allows visualizing the area of ​​the seminal tubercle.

Only after a comprehensive examination and revealing the exact cause of the pain syndrome with ejaculation, the attending physician will prescribe purposeful treatment. Full-value therapy includes not only taking medications, antibiotic therapy, but also physiotherapy. An important component of treatment is the rejection of factors leading to the development of the disease or the pain syndrome itself. Without changing the way of life, the effectiveness of treatment is much reduced, because the main cause of the development of the disease remains not liquidated.

Treatment of

In most cases, only pain is treated with ejaculation - an activity that is questionable and ineffective. Self-medication in this case is not the best option. Be sure to consult with your doctor.

Anesthetics and anti-inflammatory drugs have only symptomatic treatment and can not eliminate the causes of the disease. Lubricating and hiding the clinical picture can miss the progression of the disease and bring it to serious complications, including infertility and impotence.

With prostatitis and other infectious processes taking place in the urogenital tract, antibiotic therapy is an indispensable component of treatment( see "Treatment of prostatitis with antibiotics"), which contributes to the destruction of the bacterial agent that caused the disease itself.

After the course of treatment, be sure to undergo rehabilitation and follow preventive measures to avoid the development of recurrences of the disease. Be attentive to your body and be healthy!

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