Dealing With Painful Ejaculation


Dealing With Painful Ejaculation

Painful ejaculation is one of the most difficult, debilitating conditions a man may face. Seeking medical help is an important step in identifying the cause.

Orgasms are the ultimate in sexual gratification. In fact, many of us equate this experience with total nirvana. Unfortunately for some men, their medical conditions result in ejaculations that cause pain and negate the usual rush of pleasure and sexual gratification. Needless to say, painful ejaculation can have a significant impact on a man’s quality of life, negatively impacting self-esteem and reducing desire for sexual intercourse.

What Is Painful Ejaculation?

When a male ejaculates, his muscles suddenly contract and send semen from the testicles to the urethra, where it is eliminated from the body through the opening of the penis. Any condition that causes inflammation or an infection of the structures that contribute to ejaculation or in the surrounding area may result in painful ejaculation. The discomfort usually presents itself as penile pain, a perineal ache, or pain in the testicular or glans areas.

The incidence of painful ejaculation is more common among men older than 50, and certain estimates put the figure of men experiencing this condition as high as 6 percent of the population. 

Possible Causes of Painful Ejaculation


Orchitis is the inflammation of one or both of the testicles. The condition usually occurs as a result of inflammation of the epididymitis, a tube that connect each testicle to another structure called the vas deferens. Epididymitis also commonly occurs as a result of a bacterial or viral infection. Treatment for orchitis consists of a combination of antibiotics, anti-inflammatory medications, pain medications, and bed rest.



Prostatitis is a disease of the prostate gland, characterized by pain and various urinary symptoms. There are different types of prostatitis: bacterial, chronic, and asymptomatic. Bacterial prostatitis occurs as a result of bacteria that travel into the prostate from the urethra. Chronic prostatitis and asymptomatic prostatitis have no known cause. Bacterial prostatitis can usually be effectively treated with oral antibiotics. In severe cases, intravenous antibiotics may be necessary. Chronic and asymptomatic prostatitis are difficult to treat, since the causes are unknown.

Prostate Cancer

According to the Centers for Disease Control and Prevention, prostate cancer is the most common cancer among men of all races and ethnicities. Symptoms of prostate cancer differ among individuals but generally include difficulty urinating, interrupted urine flow, difficulty emptying the bladder, pain during urination, blood in the urine and semen, pain in the back and pelvis, and painful ejaculation. Treatment options are available for prostate cancer, and it is up to the individual to decide which type of therapy to undergo. Available treatments include removal of the prostate, radiation therapy, and hormone therapy 


Urethritis is a painful inflammation of the urethra, usually caused by bacteria or virus infections. The bacteria responsible for urinary tract infections and some sexually transmitted diseases like chlamydia and gonorrhea can cause urethritis. The herpes simplex virus is another cause.


Painful ejaculation has been reported in association with a variety of antidepressants such as tricyclic antidepressants, or TCAs (such as clomipramine, imipramine, desipramine, protriptyline, amoxapine); selective serotonin reuptake inhibitors, or SSRIs (such as fluoxetine and venlafaxine); and MAOIs (such as selegiline and moclobemide). Apart from lowering the dose and changing the antidepressant, no strategies are available to treat these side effects.

Men may also experience painful orgasms due to injury or sensitivity to spermicides and contraceptive jellies and creams. As with any sexual problem or medical condition, you want to be an informed, caring advocate for your partner.


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