Painful Ejaculations: Symptoms, Causes and Treatments.

6 minutes

There are various sexual problems that a man suffers from and Painful ejaculation is one of those frustrating and a common problem men face.

According to a study it is stated that around 10% of the total men suffer from painful ejaculation in their lifespan. We are here to discuss in detail about painful ejaculation, it’s symptoms, causes and treatments.

What is painful ejaculation?

Painful ejaculation is the burning or painful sensation that is felt after ejaculation around the testicular or anus area in men.

This painful sensation can be caused due to various reasons like UTI infections, inflammation in the epididymis, or bacterial infection in the testicular region. There are also chances that the pain can be a more chronic problem if left untreated.

Painful ejaculation can cause relationship problems as one can be very much stressed out and can experience anxiety and depression as well.

These painful ejaculations can affect a man’s psychological well-being and can affect a man’s performance in bedroom. Some men experience painful ejaculation only when they masturbate, some when they have sex, and some during both masturbation and sex. The best way to treat painful ejaculation is to find the underlying cause of the condition.

Symptoms of painful ejaculation

Sometimes the symptoms of painful ejaculation may not be noticeable as the pain can be mild and can go away after some time of ejaculation. The usual symptoms of Painful ejaculation are

  • The most important and quite evident symptom of this condition is the pain just after ejaculation and it can be a burning sensation around the penis. There are cases where the pain has continued up to 24 hours after ejaculation as well.
  • There would be a pain in the surrounding region of the penis as well and in some men, the pain can affect the rectum too.
  • Some men do experience the pain while urinating just after ejaculation. There are even cases where the pain developed in the bladder.
  • It’s not that all men will be experiencing painful ejaculation with the same sexual activities. Some men experience symptoms during sexual intercourse and some when masturbating. There are cases, however, where masturbation does not yield such symptoms. In such a scenario, the man will experience pain with ejaculation only when having sexual intercourse.

Causes of painful ejaculation


Orchitis is one of the main reasons for painful ejaculations as it is inflammation of the testes. Orchitis can be related to epididymitis infection that has spread to the testicles, sometimes caused by the sexually transmitted diseases chlamydia and gonorrhea.

It is also reported that in cases of males infected with brucellosis. Orchitis can also be seen during active mumps, particularly in adolescent boys.


Prostatitis is a major cause of painful ejaculation in most men as it is inflammation of the prostate gland. Prostatitis is classified into acute, chronic, asymptomatic inflammatory prostatitis, and chronic pelvic pain syndrome.

Pain may radiate to the back and rectum, making sitting uncomfortable. Pain can be present in the perineum, testicles, the tip of the penis, pubic, or bladder area.

 Dysuria, arthralgia, myalgia, unexplained fatigue, abdominal pain, constant burning pain in the penis, and frequency may all be present. Frequent urination and increased urgency may suggest interstitial cystitis. Post-ejaculatory pain, mediated by nerves and muscles, is a hallmark of the condition. This Prostatitis condition can lead to painful ejaculation in the penis.


Epididymitis is a medical condition characterized by discomfort or pain of the epididymis, a curved structure at the back of the testicle in which sperm matures and is stored. The acute form usually develops over the course of several days, with pain and swelling frequently in only one testis, which will hang low in the scrotum. There will often be a recent history of dysuria or urethral discharge.

Fever is also a common symptom. In the chronic version, the patient may have painful point tenderness but may or may not have an irregular epididymis upon palpation, though palpation may reveal an indurated epididymis.

Ejaculatory duct obstruction(EDO):

 Ejaculatory duct obstruction (EDO) is a congenital or acquired pathological condition which is characterized by the obstruction of one or both ejaculatory ducts. Thus, the efflux of semen is not possible. It is a cause of male infertility and pelvic pain. Ejaculatory duct obstruction must not be confused with an obstruction of the vas deferens. In addition, it is reported to be a cause for pelvic pain, especially shortly after ejaculation. In case of proven fertility but unresolved pelvic pain, even one or both partially obstructed ejaculatory ducts may be the origin of pelvic pain and oligospermia. This way EDO can lead to painful ejaculation in some men.

Nerve entrapment syndrome:

Nerve entrapment syndrome, or compression neuropathy, is one of the major reasons for painful ejaculation in men as it is a clinical condition caused by compression on a single nerve or nerve root. Its symptoms include pain, tingling, numbness, and muscle weakness on the affected nerve’s dermatome (an area of skin that is mainly supplied by a single spinal nerve). Intrapelvic nerve entrapments are, therefore, entrapments of the intrapelvic portions of the nerves described in the previous sessions and will produce symptoms related to their dermatomes.


Certain drugs like Antidepressants that belong to a class of tricyclics, reuptake inhibitors, MAOIs, or venlafaxine are often associated with pain during and after ejaculation. So if you are taking such medications, consult your doctor to make a change in medication.

Treatment of Painful ejaculation

The usual treatment for painful ejaculation normally depends on the specific cause of the condition. If the cause is psychological then counseling can help deal with the problem. If there is no physical cause found to it then some behavioral techniques to relax the muscle in the pelvic area can help some men to treat the condition.

There are some cases of pain during or after ejaculation where the cause remains undiagnosed and in such cases, psychotherapy is given to the patient to manage the condition.

‘If the cause of the condition is infection then oral antibiotics are prescribed to treat the infection which will in turn treat the painful condition.

This condition can be a little embarrassing in front of one’s partner but it is more important to talk it out and get some medical help than will help in treating the condition rather than remaining silent on it.


Painful ejaculation is quite an uncomfortable condition but the doctors will be able to figure out the cause and will be able to treat the condition accordingly. If the cause of the condition is just infection then just antibiotics are enough but in case if the cause is complicated then one needs to consult a Urologist. As it is not a very uncommon condition one need not to worry too much about it as there are advanced treatments available right now.