Ejaculation is a process that occurs in the body of a man after sexual intercourse. Its second common name is ejaculation. Normally, this process does not bring a man discomfort or any unpleasant sensations. Pain during ejaculation appears only in the presence of various pathologies and diseases. It is about them that the article will be discussed.
Why are there discomforts?
In fact, the causes of pain during ejaculation in men may not be so small. It is almost impossible to make a diagnosis on your own, so if a problem occurs, you should immediately contact a urologist. For example, the causes of pain during ejaculation in men can be:
- non-observance of the rules of intimate hygiene and, as a result, the development of balanoposthitis;
- difficulty or complete impossibility of opening the glans penis (phimosis);
- deformation and curvature of the penis (Peyronie's disease);
- short bridle;
- improperly selected condom size (when it is smaller than necessary);
- prolonged lack of sexual activity ;
- interrupted sexual intercourse;
- the introduction of antiseptics with chlorine into the urethra, which could lead to a chemical burn.
But on these few points, the list of causes of pain during ejaculation does not end there. There are other, more dangerous phenomena. Each of them is worth exploring separately.
Coliculitis
This name received an inflammatory lesion of the seed tubercle. With colliculitis, groin pain is observed after ejaculation, which can be given to the perineum. Unpleasant sensations are cutting in nature.
The presence of this pathology is accompanied by the appearance of purulent and blood streaks in the semen, as well as problems with urination, enlargement and soreness of the scrotum, premature ejaculation, sensation of a foreign body in the anus.
Urolithiasis disease
In this case, the patient complains of discomfort, not only after ejaculation, but also during sexual intercourse. The pain does not have a clear localization and can appear in different parts of the urinary system.
In the presence of the disease, other characteristic symptoms will be observed:
- frequent urination;
- increase in body temperature;
- soreness during urination;
- clouding of urine (in some cases, blood can be detected in it).
Prostatitis
This is one of the most common reasons. The disease can have an acute and chronic form. In the first case, the appearance of the disease is caused by hypothermia, sexually transmitted diseases, conditionally pathogenic microflora. With prostatitis, patients complain of:
- anorectal pain after ejaculation;
- problems with urination (lack of pressure, interruption of the process, pain, false desires);
- suprapubic pain;
- fever.
The transition to a chronic form occurs with an incorrect or complete absence of treatment for acute prostatitis. An exacerbation of the disease in this case is accompanied by irregular and mild pains.
Urethritis
The disease is characterized by the appearance of burning, itching and pain in the urethra. They bother the patient almost constantly. In addition, with urethritis, a man develops mucopurulent discharge that has an unpleasant odor.
Orchitis
The main symptom of the disease is testicular pain, which can spread to the groin and back. The development of complications of the disease can lead to infertility.
During the diagnosis, the urologist will definitely pay attention to redness of the skin on the scrotum and an increase in the affected testicle. Other symptoms of acute orchitis are:
- fever up to 38-40 degrees and fever;
- muscle and headaches;
- severe weakness.
The lack of treatment for the acute stage of the disease can lead to its transition to a chronic form. At this stage, symptoms of pathology are usually absent. In most cases, chronic orchitis is detected by chance during the identification of the causes of infertility. The only thing that can bother the patient is minor pains in the testicle, which appear during palpation or in a certain position of the body.
Acute epididymitis
The clinical course of epididymitis is similar to orchitis. The disease is inflammation in the epididymis, which led to the development of a purulent process. If the problem was not detected in a timely manner, the connective tissue begins to grow. As a result, this leads to impaired sperm patency and the appearance of pain during ejaculation.
Vesiculitis
In addition to pain during ejaculation, vesiculitis is accompanied by other symptoms, which include:
- pain in the anus after ejaculation;
- soreness in the genital area and perineum;
- frequent urination;
- the appearance of blood impurities in semen.
BPH
Pain during ejaculation may also be associated with the presence of a benign tumor of the prostate gland. With prostate adenoma, patients also have problems with potency. In some cases, the pathology develops into a malignant process.
Prostate adenoma is very difficult to determine in the initial stages, since the first signs of the disease can appear only a few years after the formation of the tumor.
Venereal diseases
Pain during ejaculation and other unpleasant sensations for men can also cause sexually transmitted diseases. The most common among them are:
- Gonorrhea. The first symptoms of the disease appear a week after infection. In addition to burning and pain after ejaculation, the patient is disturbed by purulent discharge from the urethra. The lack of timely treatment of the disease can lead to problems with potency and infertility.
- Chlamydia The disease, the appearance of which is caused by intracellular microorganisms, causes the appearance of pain in the testicles after ejaculation, discomfort in the groin and perineum, discomfort during urination. After intercourse, a man may experience discharge with impurities of blood. In some cases, the disease is asymptomatic, which complicates its timely diagnosis.
- Ureaplasmosis. Sexually transmitted disease causes spermatogenesis and ejaculation disorders. The appearance of its signs occurs after a period of two weeks to one month after infection.
- Trichomoniasis The man can detect the first symptoms of the disease a week after infection. They will manifest themselves in the form of pain during urination, purulent discharge, burning and pain during ejaculation. In some cases, the disease is asymptomatic.
- Syphilis. A characteristic sign of the disease is the appearance on the head of the penis of a rounded ulcer with a dense bottom. She is painless and does not bring a man discomfort. After some time, there is an increase in regional lymph nodes. Further signs of syphilis are similar to those observed during all other sexually transmitted diseases. Infection is very dangerous, since in the absence of proper treatment it can lead to damage to the musculoskeletal system and nervous system.
Headache
It also happens that after intercourse a man begins to feel a severe headache. With what it can be connected? There are several possible reasons.
- Change in hormonal levels. During severe excitement, the level of endorphin, serotonin and norepinephrine increases significantly, which leads to tissue edema, neck muscle tension and increased blood pressure. In addition, pulse and breathing become more frequent, muscle tone increases. It is difficult to imagine, but during an orgasm, pressure in men can increase to 200 mmHg! It feels comparable to an epileptic seizure. It is such sudden surges in pressure that lead to pain in the back of the head during ejaculation. A few hours after intercourse, a man's well-being normalizes naturally.
- Increased arterial or intracranial pressure. This type of pain is very dangerous and can lead to serious complications, for example, hemorrhagic stroke. If there is a suspicion of increased arterial or intracranial pressure, it is necessary for a while to abandon sexual activity, undergo an examination and a treatment course prescribed by a specialist.
- Neurotic problems. They can be observed in insecure men who are afraid to do something wrong, finish prematurely and so on. Increasing excitement often leads to a headache, not only after intercourse, but also during it, which affects the quality of the process itself.
Diagnostics
As mentioned above, if there is pain during ejaculation (headaches are not considered here), you need to seek help from a urologist. The specialist will listen to the patient’s complaints and will prescribe additional research methods:
- general blood and urine tests;
- spermogram;
- microscopic examination of the secretion of the prostate gland;
- ultrasound examination of the pelvic organs and testicles;
- PCR, ELISA;
- urography;
- uroflowmetry;
- smear from the urethra.
No less important is the external examination of the genitals. The doctor will pay attention to the size and density of the testicles, the absence or presence of nodular formations, and so on.
If epididymitis or orchitis is suspected, a digital examination of the prostate is performed through the anus.
Treatment
Which methods of treatment a specialist chooses depends on the diagnosis. If we consider the issue in general terms, then the patient will be assigned:
- Antispasmodics (to eliminate spasm of the smooth muscles of the urethral canal).
- Anti-inflammatory drugs.
- Analgesics (for the relief of pain).
- Antibacterial drugs (in the presence of an infectious lesion).
In some cases, surgical intervention may be necessary. For example, this occurs in the presence of purulent orchitis, the last stages of prostatitis, advanced prostate hyperplasia, phimosis, Peyronie's disease, a short bridle and so on.
If the patient is concerned about headaches during intercourse or ejaculation, the use of medications will not bring any result. In the presence of neurotic problems, it becomes necessary to consult a psychologist, and in more severe cases, cognitive-behavioral therapy or hypnosis.
Prevention
It is difficult to identify any specific methods for preventing the appearance of pain during ejaculation. But following a few rules will help minimize the risk of a problem several times.
- Exclusion of infectious diseases.
- Having sex only with a trusted partner.
- The use of barrier protection (condoms).
- Maintaining immunity.
- Maintaining regular sexual life to avoid congestion in the pelvic area.
In conclusion, I would like to note that if you experience pain during ejaculation, you do not need to hope that the problem disappears on its own. It is very important to immediately consult a doctor to establish a diagnosis and prescribe treatment. Thus, it will be possible to get rid of the disease as soon as possible and prevent the development of dangerous complications.