Pain during ejaculation is a non-specific symptom for many diseases of the urological profile and has a significant effect on the sexual life, emotional state of a man. Pain during ejaculation can be different in nature and depend on the underlying disease, a component of which are.

Causes of pain

The following factors that increase the risk of discomfort and pain during ejaculation can be identified:

  • Poor hygiene. Failure to observe personal personal hygiene can lead to the development of local inflammatory processes such as balanthitis or inflammation of the head and foreskin .
  • Phimosis . A disease in which the exposure of the head of the penis is difficult or even impossible. Phimosis can be congenital, but most often in an adult state occurs after suffering severe inflammatory phenomena of the urogenital tract.
  • Indiscriminate sex and lack of barrier contraception in the form of condoms. Significantly increases the risk of developing sexually transmitted diseases.
  • The use of condoms of the wrong size. It leads to excessive compression and compression of the tissues of the penis and pronounced discomfort during sexual intercourse.
  • Prolonged abstinence and lack of sex. It leads to stagnation in the prostate and stagnant prostatitis (see “Sexual abstinence — when is it good and when is it bad?” ).

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

The most common cause of pain are sexually transmitted infections , leading to the development of urethritis or prostatitis.

At the same time, sexual intercourse becomes painful in itself, and ejaculation causes sharp and burning pains along the urethra and radiates to the groin area.


Prostatitis is a disease of the male reproductive system characterized by an inflammatory process in the exocrine gland of the same name - the prostate. In most cases, men of middle and older age groups who are most active in sex life are subject to the disease.

Pain during ejaculation associated with prostatitis, are paroxysmal and aching in nature. An infection in the urethral canal most often results in prostatitis, and an acute or chronic form of the disease develops. The intensity and frequency of pain is higher for acute prostatitis and may result in a complete rejection of sex.

Chronic prostatitis is often stagnant and less likely to cause pain when ejaculating. If this disease still causes pain, then the pain is aching in nature, and the intensity is noticeably lower than with acute prostatitis. The cause of chronic prostatitis is the absence or irregular sex life.

Rare causes of pain when ejaculating

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


If you experience pain during intercourse and ejaculation, you should not postpone a visit to a specialist - urologist.

Untimely seeking medical attention can lead to progression of the disease that causes pain, or even the development of complications.

When seeking medical advice and medical care, the attending physician will conduct an examination, collect a history of the disease and send it to a diagnostic study to confirm the etiology of the disease. To diagnose the causes of pain conduct the following studies:

  • The study of prostatic secretion using microscopy;
  • Ultrasound of the pelvic organs ;
  • ELISA and PCR reaction for the detection of sexually transmitted infections;
  • General analysis of urine and blood to determine the inflammatory process;

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

  • Urethrocystoscopy - endoscopic examination, allowing to visualize the region of the seed tubercle.

Only after a comprehensive examination and identification of the exact cause of pain during ejaculation, the attending physician will prescribe targeted treatment. Full therapy includes not only medication, antibiotic therapy, but also physiotherapy. An important component of treatment is the rejection of factors leading to the development of the disease or directly pain syndrome. Without a change in lifestyle, the effectiveness of treatment is much reduced, because the main cause of the disease is not eliminated.


In most cases, treating only pain during ejaculation is a dubious and ineffective exercise. Self-treatment in this case is not the best option. Be sure to consult your doctor.

The use of painkillers and anti-inflammatory drugs is not the main type of treatment, but only complements drug therapy.

Painkillers and anti-inflammatory drugs have only symptomatic treatment and cannot eliminate the causes of the disease. By blurring and hiding the clinical picture, you can miss the progression of the disease and bring it to serious complications, including infertility and impotence.

For prostatitis and other infectious processes occurring in the urogenital tract, antibiotic therapy is an indispensable component of treatment (see “Treatment of prostatitis with antibiotics” ), contributing to the destruction of the bacterial agent that caused the disease itself.

After the course of treatment, be sure to undergo rehabilitation and adhere to preventive measures in order to avoid the development of a relapse of the disease. Carefully treat your body and be healthy!

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