Pain during arousal can occur in men at any age. Before you begin treatment, you need to determine the cause of pain during erection, why it occurs, and what factors can affect it. Many men are embarrassed to consult a doctor if discomfort occurs. However, it is important to remember that constraint in this case is inappropriate, as these may be signs of a serious illness, and untimely treatment can cause health problems.
Physiological causes of pain
The physiological causes of pain in the genitals of a man include phimosis. And this number also includes frequent masturbation, injuries of the penis and scrotum, prolonged abstinence, an allergic reaction to the use of drugs or lubricants.
Other reasons
Erection pain is the most common sign of the development of such diseases:
- Infectious genital inflammation. The inflammatory process can develop not only as a result of any ailments caused by the common cold, but also as a result of sexually transmitted diseases.
- Prostatitis is an inflammation of the prostate gland. In most cases, this disease develops due to the multiplication of fungi and viruses.
- Peyronie's disease. For this disease, a characteristic feature is the curvature of the penis, which causes pain during an erection, in addition, it becomes completely impossible to have sex in this case.
- Urethritis and other diseases of the kidneys and genitourinary system. For such diseases, a pain sensation is characteristic not only during an erection, but also during urination.
- Priapism is a painful tension of the penis that does not subside even after discharge.
- Diabetes. During this pathology, the patient may appear stagnant in the penis, which begins to subsequently cause pain.
- Orheoepididymitis is an inflammation of the testicles and its appendages. With orchoepididymitis, painful sensations occur not only in the penis, but also in the scrotum and groin. In addition, the patient may experience changes in body temperature. A dangerous disease that can lead to male infertility if it is not cured on time.
- Colliculitis. A characteristic feature of this pathology is the throwing of seminal fluid into the bladder. Sexual intercourse with colliculitis can be unstable - it can be either a very long intercourse or, conversely, rapid ejaculation.
Symptoms
In addition to pain during an erection, the patient may also have other signs indicating the presence of any pathology in the body:
- Pain in the groin and lower back.
- Burning sensation during urination.
- Difficulty in the outflow of urine.
- The excited state of the penis, which does not subside even after a full discharge.
- Rash, redness and sores on the genitals, discharge from the urethra.
Diagnostics
Painful sensations during arousal are a rather broad concept, therefore, during the examination, pay attention to all the subtleties of the patient's lifestyle and general health.
If there is pain in the head during an erection, men should immediately consult a doctor. A full examination of the patient is prescribed only after the relief of pain and stress relief. Classical examination includes:
- Ultrasound examination of the scrotum and pelvis in order to examine the spermatic cord, epididymis and the lymph nodes located next to them.
- Bacteriological analysis of urine.
- Spermogram.
- Culture tests.
- In order to detect the presence of a genitourinary infection and sexually transmitted diseases, or, conversely, to refute them, the patient is prescribed scrapings of the mucous membrane from the urinary canal.
- If it is not possible to identify the cause of the pain, an urethrocystoscopy is performed using endoscopic equipment.
Painkillers
After the main cause of pain during an erection in men is clarified, pain medications are prescribed to help relieve pain and relieve inflammation. Such funds can be used in the form of ointments that need to be applied to the head of the penis, as well as in the form of rectal suppositories.
Other drugs
When establishing the exact cause of the development of pain during an erection, the doctor prescribes appropriate therapy. Depending on the severity of phimosis, it can be treated in several ways:
- At the initial stage, it is necessary to rinse the penis several times a day with decoctions of medicinal herbs. During the procedure, the head of the penis should be fully open, this can be achieved by displacement of the foreskin.
- In the case of ineffectiveness of herbal decoctions, drug therapy is used. The patient needs to gradually stretch the foreskin, using a special lubricant. As a lubricant, the doctor usually prescribes drugs such as Clobetasol, Hydrocortisone, Valerat, Betamethasone and Triamcinolone Acetonide.
- If none of the above examples had the necessary effect and the patient did not feel relief, then a decision is made on the surgical intervention.
Peyronieโs disease is actually not undergoing any therapy except surgical intervention, but at the early stage of the pathology, the doctor may prescribe medication. With a mild form, the patient is prescribed: vitamin E in large quantities, "Colchicine", "Potaba", "Verapamil" in injections, "Lidase", "Hydrocortisone" and "Demixid".
If pain during an erection has arisen against a background of sexually transmitted diseases, then a venereologist will treat this problem. In such cases, the patient is usually prescribed antibiotics and antibacterial suppositories. Antibiotics can be used both as tablets and as injections.
It is worth noting the fact that regardless of the cause of the appearance of pain in the penis during an erection, sometimes after a course of therapy in men the libido decreases, but you should not worry about this, since this is a temporary phenomenon.
If there are stones or salts in the kidneys and urinary tract, you need to consult a urologist who can prescribe adequate treatment. One of the most popular drugs in this case is Kanefron, which can be taken both in the form of drops or in the form of tablets.
Surgical intervention
Surgery to eliminate pain during erection is indicated in connection with the development of the following pathologies:
- Phimosis. In this case, circumcision or circumcision of the foreskin of the penis is performed. The development of phimosis can begin from early childhood. With improper hygiene of the genitals, the boy accumulates salts and pathogenic microflora under the foreskin, then the child begins to experience pain during urination. In this regard, in order to avoid the re-development of phimosis in an adult male, circumcision is recommended in early childhood.
- In case of a fracture of the penis, the patient requires the immediate assistance of specialists and a surgical operation.
- If pain in the groin during an erection or during sexual intercourse is accompanied by other symptoms that indicate the presence of a disease such as prostate cancer, then an operative measure is performed to eliminate the underlying pathology in order to help the patient live a full life again.
- Pathologies such as Peyronie's disease and priapism also require surgery. The main objective of the operation for these diseases is to improve blood flow in the penis, alignment of the organ. Sometimes penile prosthetics may be required.
- Prostatitis, in which the main methods of therapy did not give the desired result.
Possible consequences
Lack of diagnosis and necessary therapy for pain during an erection can lead to serious complications:
- A malignant tumor of the prostate gland that develops if treatment for adenoma of the prostate and prostatitis is not started in time.
- With untreated penile injuries, the patient may develop an infectious and inflammatory process.
- Impotence.
Prevention
To avoid problems, you should be more attentive to your health and treat all colds that can trigger the development of the inflammatory process throughout the body in a timely manner. These include: ear, nose and throat diseases, as well as pneumonia. In addition, there are a number of preventive measures that will help men avoid the occurrence of such an unpleasant symptom as pain during erection, as well as diseases associated with this symptom:
- You need to engage in sex with only one trusted partner, if this is not possible, then during contraception it is necessary to use means of barrier contraception.
- Avoid genital injury.
- You need to have sex regularly and if sexual intercourse is started, you must always bring it to the end.
- Maintaining personal hygiene of the genitals is an integral part, and in some cases will help prevent the formation of pain in the penis.
- If there are any unpleasant symptoms that indicate the presence of problems in the genitals, you should contact a specialist and not self-medicate.
- A balanced diet, an active lifestyle, daily sports, as well as refusal to use alcohol, cigarettes and drugs will help to prevent many problems in sexual life for a long time.
Conclusion
Pain in the penis during an erection can occur for a variety of reasons, but whatever they are, you should immediately consult a doctor when the first signs appear, since they may be the result of any pathology. This will help to avoid more serious complications and health problems.