Painful Ejaculation: Causes & Reasons

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Possible Causes for Painful Ejaculation

Chronic Prostatitis

Men with dysuria had painful ejaculations more often (60%) than men without (22%) ( p p p Conclusions. [doi.org]

[…] urination, weak urinary stream frequent need to urinate at night low back pain painful ejaculation pain in the perineum ( the area between anus and scrotum) pain in the testicles [pelvicrehabilitation.com]

Dysuria was reported by 30 men (63%) and ejaculatory pain by 22 (48%). Men with dysuria had painful ejaculations more often (60%) than men without (22%) (p <0.01). [ncbi.nlm.nih.gov]

Acute Prostatitis

and area between the scrotum and the rectum (perineum) Painful ejaculation Painful urination (dysuria) Sensation of having to urinate immediately, often accompanied by bladder [healthcommunities.com]

ejaculation (even hematospermia), and perineal, rectal, or pelvic pain. [symptoma.com]

[…] and symptoms (with bacterial prostatitis) When to see a doctor If you have pelvic pain, difficult or painful urination, or painful ejaculation, see your doctor. [mayoclinic.org]

Urethritis

Dear Reader, It's unclear from your question whether your boyfriend always or only sometimes has pain with urination and ejaculation. [goaskalice.columbia.edu]

[…] in men include: Blood in urine or semen Painful ejaculation Penile discharge Burning sensation while urinating Itching, tenderness, or swelling in the penis Enlarged lymph [medicalnewstoday.com]

Alice, My boyfriend has had pain during urination and ejaculation. We have been only with each other for the past year and neither of us have std's. [goaskalice.columbia.edu]

Acute Epididymitis

[…] of the groin, fever, discharge from the penis, painful ejaculation, and blood in the urine. [medicalook.com]

In Epididymitis abdominal pain and pelvic discomforts are also quite common. Painful Ejaculation Victims of this disease also suffer from pain during ejaculation. [primehealthchannel.com]

[…] during ejaculation Pain or burning during urination Painful scrotal swelling (epididymis is enlarged) Tender, swollen, and painful groin area on affected side Testicle pain [medlineplus.gov]

Prostate Injury

[…] and symptoms (with bacterial prostatitis) When to see a doctor If you have pelvic pain, difficult or painful urination, or painful ejaculation, see your doctor. [mayoclinic.org]

Others have pain or burning during urination, blood in the urine or semen, pain in the back, hips, or pelvis, and painful ejaculation. [medicinenet.com]

ejaculation Pain or burning during urination Pain or stiffness in the back, hips, upper thighs or pelvis If your cancer is now more difficult (or even impossible) to treat [kytrial.com]

Seminal Vesiculitis

ejaculation (odynorgasmia) seminal hyperviscosity decreased ejaculate volume hematospermia infertility pain pelvic flank abdominal groin abdominal swelling hematuria pneumaturia [radiopaedia.org]

Six patients with postoperative painful ejaculation were treated successfully with oral antibiotics and α-blockers. [ncbi.nlm.nih.gov]

[…] sexual intercourse, the presence of blood in the seminal fluid, premature or painful ejaculation, and impotence. [britannica.com]

Chronic Urethritis

[…] blood in urine, semen increased urgency to urinate painful intercourse, ejaculation itching, irritated, tender, swollen urethra region penal, vaginal discharge ~ yellow, [healthblurbs.com]

ejaculation. 32.  Proctitis – repetitive anal intercourse or by lymphatic spread from posterior urethra. - Rectal pain - Discharge - mucopurrulent - Bleeding 33.  Reiter [slideshare.net]

Prostatic Disease

Others have pain or burning during urination, blood in the urine or semen, pain in the back, hips, or pelvis, and painful ejaculation. [medicinenet.com]

It can cause pain in the lower back, in the groin area, or at the tip of the penis. Men with this problem often have painful ejaculation. [medicinenet.com]

[…] or burning urination Not being able to urinate Painful ejaculation Frequent pain or stiffness in lower back, hips, pelvic or rectal area, or upper thighs Dribbling of urine [medicinenet.com]

Trichomonas Prostatitis

[…] or painful urination Perineal pain Joint and muscle pain Blood in urine Painful ejaculation Infection of Prostate The home treatment for prostatitis fights against infection [prostatitischina.com]

[…] or burning during urination pain in the genital and groin area lower abdomen and lower back pain pain during ejaculation or sexual intercourse Symptoms associated with chronic [draxe.com]

Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Include pain along the penis, testicles and scotrum; painful ejaculation, low back pain, rectal pain along the inner thigs [abchomeopathy.com]

Prostatic Calculus

Painful ejaculation. Grainy sand-like pebbles that may be discharged during urination or ejaculation. [menshealthcures.com]

Calculi in this case can cause poor flow of semen during ejaculation, hemospermia and painful ejaculation. Reference: http://www.bioline.org.br/pdf? [ultrasound-images.com]

[…] in the lower back, lower abdomen, above the pubic area, or between the testicles and anus painful ejaculation Chronic bacterial prostatitis is caused by a bacterial infection [healthline.com]

Carcinoma of the Prostate

In the locally invasive stage, the illness causes incontinence, nocturia, hematuria, hematospermia, painful ejaculation, suprapubic and perineal pain, impotence, rectal tenesmus [symptoma.com]

These symptoms include burning or pain during urination, loss of bladder control, painful ejaculation, and swelling in legs or pelvic area. [cancercenter.com]

[…] or burning urination Difficulty in having an erection A decrease in the amount of fluid ejaculated Painful ejaculation Blood in the urine or semen Pressure or pain in the [pcf.org]

Adenocarcinoma of the Prostate

Other symptoms may include: Painful ejaculation Blood in urine or semen, and, Frequent pain or stiffness in the lower back, hips, or legs. [my.clevelandclinic.org]

Symptoms of prostate cancer may include Problems passing urine, such as pain, difficulty starting or stopping the stream, or dribbling Low back pain Pain with ejaculation [medlineplus.gov]

Prostate : Painful urination, bladder control issues, more frequent urges to urinate at night, blood in semen, and painful ejaculation. [medicalnewstoday.com]

Urethral Foreign Body

Symptoms include: pelvic pain painful urination painful ejaculation Chronic prostatitis is ongoing prostate inflammation. [medicalnewstoday.com]

In addition to urethral pain, it can cause penile discharge in men and vaginal discharge in women, pain with ejaculation in men and pain with intercourse in women, though [verywellhealth.com]

Symptoms include: persistent pain in the genitals or pelvic area a heavy, aching, or full feeling in the prostate painful ejaculation frequent UTIs Treatment for prostatitis [medicalnewstoday.com]

Gonococcal Urethritis in the Male

ejaculation. 32.  Proctitis – repetitive anal intercourse or by lymphatic spread from posterior urethra. - Rectal pain - Discharge - mucopurrulent - Bleeding 33.  Reiter [slideshare.net]

[…] with intercourse or ejaculation In women: Abdominal pain Burning pain while urinating Fever and chills Frequent or urgent urination Pelvic pain Pain with intercourse Vaginal [medlineplus.gov]

Discomfort only during ejaculation, deep pelvic pain, or pain radiating to the back is infrequent in uncomplicated urethritis but is consistent with prostatitis or epididymitis [antimicrobe.org]

Nongonorrheal Male Urethritis

discomfort, irritating voiding symptoms, pain during or after ejaculation, or new onset premature ejaculation lasting for >3 months. [wikidoc.org]

The major symptoms are urinary frequency and pain on urination or ejaculation. [madsci.org]

ejaculation. [remedy-prostate-infection.com]

Urethral Stricture

[…] urination, retained urine, and painful ejaculation. [healthcare.utah.edu]

There may be a reduced force of ejaculation. Mild pain on passing urine sometimes occurs. [birminghamprostateclinic.co.uk]

You may have a reduced force of ejaculation. Sometimes, mild pain on passing urine Here’s a typical case: I have had prostate problems off and on for about 18 months. [chronicprostatitis.com]

Gonorrhea in Men

Gonorrheal epididymitis may be identified by dysuria, a foul-smelling discharge, painful ejaculation, and swollen lymph nodes in the groin. [verywellhealth.com]

It should be mentioned that a male does not have to ejaculate to spread or receive the infection. [doctorshealthpress.com]

Pain in scrotum or testicles Unusual discharge from the penis that appears clear or milky before changing to a yellow creamy discharge Pain when urinating Discharge, pain, [doctorshealthpress.com]

Prostatic Abscess

including erectile dysfunction, painful ejaculation and postcoital pelvic discomfort. [antimicrobe.org]

The gland, along with the nearby seminal vesicles, produces much of the fluid that makes up a man's ejaculate (semen). [merckmanuals.com]

Patients usually have dysuria and urinary frequency and urgency along with lower back pain, perineal or scrotal pain, and painful ejaculation that have been present for more [antimicrobe.org]

Seminal Vesicle Calculus

Their presentation may be diverse ranging from a spectrum of loin pain to infertility, hemospermia, painful ejaculation to epididymo-orchitis and urinary tract infection. [bioline.org.br]

[…] duct obstruction or urethral obstruction Painful ejaculation: genital or perineal pain during or after ejaculation Ejaculatory anhedonia: normal ejaculation lacking orgasm [unboundmedicine.com]

Pain on ejaculation, perineal pain, testicular pain. Bruising or bleeding tendencies. Problems urinating. Hypertension. Travel history, especially Africa. [patient.info]

Seminal Vesicle Disorder

[…] sexual intercourse, the presence of blood in the seminal fluid, premature or painful ejaculation, and impotence. [britannica.com]

see also Pain coitus ejaculation (semen) 608.89 Redundant, redundancy scrotum 608.89 Relaxation scrotum 608.89 Sclerosis, sclerotic funicular (spermatic cord) 608.89 Sinus [icd9data.com]

Epididymitis

Urination becomes painful with an increased urge to urinate frequently Painful ejaculation and intercourse Presence of blood in semen Pain in the lower abdominal region Development [symptoma.com]

You may also have: tenderness in the scrotum painful urination painful ejaculation a swollen scrotum blood in the semen abnormal discharge an enlarged prostate swollen lymph [healthline.com]

Cyst of the Seminal Vesicles

3 (13.7%), pain after ejaculation in 3 (13.7%), scrotal pain in 2 (12.5%) and dysuria in 1 (6.3%). [ncbi.nlm.nih.gov]

Painful ejaculation. BJU Int. 2007 Jun;99(6):1335-9. Epub 2007 Apr 6. 12) Nadler RB, Rubenstein JN. [bjuinternational.com]

Classically, EDO presents with blood in the ejaculate (hematospermia), painful ejaculation, or infertility. [theturekclinic.com]

Prostatic Cyst

painful ejaculation (24%), hemospermia (24%) and infertility (12%). [ncbi.nlm.nih.gov]

If symptoms do occur, patients may experience: Urgent need to urinate Blood in urine or semen Difficulty stopping or starting the flow of urination Painful ejaculation Pain [chistlukeshealth.org]

Transrectal aspiration of the cyst resulted in return of antegrade ejaculation and resolution of epididymal pain. [experts.umich.edu]

Orchitis and Epididymitis

Symptoms may include: Pain and swelling in the scrotum Frequent urge to urinate Discharge from the penis Pain during ejaculation Fever Chronic inflammation is most often the [veteranshealthlibrary.va.gov]

You may also have: tenderness in the scrotum painful urination painful ejaculation a swollen scrotum blood in the semen abnormal discharge an enlarged prostate swollen lymph [healthline.com]

•TENDERNESS IN THE SCROTUM •PAINFUL URINATION •PAINFUL EJACULATION •A SWOLLEN SCROTUM •BLOOD IN THE SEMEN •ABNORMAL DISCHARGE •AN ENLARGED PROSTATE •SWOLLEN LYMPH NODES IN [de.slideshare.net]

Orchitis

Symptoms of orchitis The symptoms of orchitis include: Blood in the semen, a clear or yellow discharge from penis, fever, g roin pain, painful ejaculation, Pain with intercourse [neilbaum.wordpress.com]

You may also have: tenderness in the scrotum painful urination painful ejaculation a swollen scrotum blood in the semen abnormal discharge an enlarged prostate swollen lymph [healthline.com]

[…] or ejaculation, pain with urination, scrotal swelling, tender, swollen groin area on affected side, tender, swollen, heavy feeling in the testicle, and testicle pain that [neilbaum.wordpress.com]

Pudendal Hernia

Painful ejaculation, also known as dysorgasmia or orgasmalgia, can range from mild discomfort to severe pain during or after ejaculation. [healthline.com]

[…] or scrotum for men, labia for women) Painful ejaculations Pain with bowel movements or urination Pudendal neuralgia may be a sensitive matter for both men and women. [pelvicrehabilitation.com]

In men, sexual dysfunction presents as pain during erection, difficulty sustaining an erection or painful ejaculation. [gynpain.com]

Oropharyngeal Carcinoma

You may also have: tenderness in the scrotum painful urination painful ejaculation a swollen scrotum blood in the semen abnormal discharge an enlarged prostate swollen lymph [healthline.com]

Pain in the testicles and groin is the primary symptom of orchitis. [healthline.com]

Prostate Leiomyosarcoma

burning on ejaculation or weight loss. [radiopaedia.org]

Additional associated symptoms include perineal pain, hematuria, burning on ejaculation, constipation and weight loss. [ncbi.nlm.nih.gov]

[…] symptoms related to the urinary tract as urinary frequency, urgency, voiding difficulties, poor flow or urinary retention, other symptoms might include perineal or rectal pain [radiopaedia.org]

Pudendal Neuralgia

[…] along pudendal nerve distribution Perineal Scrotal/testicular Peri-anal Suprapubic Pain with ejaculation Pain elicited with pressing along the course of the nerve Pain aggravated [accessphysiotherapy.mhmedical.com]

Painful ejaculation Cutaneous hyperalgesia, deep tenderness, paresthesia, tingling, and/or numbness The pain associated with pudendal neuralgia is typically unilateral and [ainsworthinstitute.com]

Male sexual dysfunction may include pain during erection, pain during ejaculation, and difficulty sustaining an erection. [corephysiopt.com]

Trichomoniasis

Painful ejaculation Prostatis Excessive urination The most frequent symptom described by men with Trichomonas infection is non-gonococcal non-chlamydial urethritis that appears [allhealthsite.com]

Symptoms in men include pain during ejaculation or urination, itching within the penis, and discharge from the urethra (urethritis). How to diagnose Trichomoniasis? [medindia.net]

Symptoms of Trichomoniasis in Men: The fastest results possbile - available in 1 to 2 days Get Tested Today Pain after ejaculation Burning sensation after urination Men are [stdcheck.com]