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Causes of pain in men during ejaculation

Men with prostate-related diseases, taking drugs with side effects or having sexual diseases… may experience pain when ejaculating.

Pain during ejaculation adversely affects the sex life of couples. This is a phobia for most men, but it is not an uncommon condition. Research shows that at least 1-10% of men experience this symptom during sex. Most pain manifests as pain during or shortly after ejaculation in the penis or bladder. The pain may last only a few minutes or up to 24 hours after ejaculation. Sometimes it can be mild or very intense.

Pain during ejaculation can be a symptom of any of the following conditions:

Prostate disorder

Statistics show that up to 30-75% of men with prostatitis experience pain during ejaculation. The research literature on pain during ejaculation also points to prostatitis as one of the common causes. Men with prostatitis often experience swelling and inflammation in this part. This swelling is usually caused by a urinary tract infection or damage to the nerves affecting the prostate gland.

Other prostate conditions, such as prostate cancer, can also cause painful ejaculation. In addition, another condition called benign prostatic hyperplasia (BPH), which causes the prostate gland to enlarge, can also cause painful ejaculation. Men with benign prostatic hyperplasia also experience painful urination, difficulty urinating or frequent urination.

Painful ejaculation may be related to prostate problems.  Photo: Dreamstime

Painful ejaculation may be related to prostate problems. Image: Dreamtime


Some medications have a side effect of pain during ejaculation. In particular, antidepressants can cause a range of problems that affect your sex life, including low sex drive, erectile dysfunction (ED) and painful ejaculation.

Stress, depression

Psychological factors also play an important role in “love”. Anxiety and stress can completely change a man’s sex life. In addition, problems arising in a couple’s emotional relationship can manifest in physical symptoms, including painful ejaculation.

Inflammation of the seminal vesicles

The seminal vesicles are spermatozoa that mix with other fluids to produce semen. When the seminal vesicles become inflamed, hard lumps called stones can make ejaculation painful. At that time, the seminal vesicles contract strongly to carry out ejaculation, causing pain that extends from the vas deferens to the penis and spreads to the pelvis.

Pelvic Injury

Injuries to the genitals or pelvis, including pelvic inflammatory disease, can damage the prostate and other organs involved in the ejaculation process. This damage can make ejaculation more painful.

Having a sexually transmitted disease

A variety of sexually transmitted infections (STIs) can cause burning pain during ejaculation. Chlamydia and trichomoniasis are common causes.

Nervous system problems

Disorders that affect the nervous system, such as diabetes, can affect the nerves involved in orgasm and ejaculation. Therefore, men with diabetes may experience this condition. Certain physical injuries that are harmful to the nervous system, such as spinal cord injuries in men, can also cause pain during ejaculation.

Men who experience pain or dysfunction when ejaculating should see a fertility specialist. Early treatment can prevent serious complications that affect your sex life later in life.

Bao Bao (According to Medical News Today)

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