Common "Painful Ejaculation" queries answered by top doctors | iCliniq

Painful Ejaculation

Painful ejaculation is also known as dysorgasmia. Mild discomfort to severe pain will occur during the ejaculation, affecting the penis, scrotum, and perianal area. The common causes are prostatitis, cysts, intake of antidepressant drugs, pudendal neuropathy, and trichomoniasis. Treatment usually depends on the cause.

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I have testicular pain and difficulty ejaculating. Kindly help.

Query: Hello doctor, I am a 30-year-old married man and this is my story. Three months back testicle pain and difficulty reaching ejaculation for a few days. Also, a mild pain near the rectum or anus for a few days. A month later received unprotected oral sex from a woman. The very next month started to fe...  Read Full »


Dr. Karthik Rajan

Answer: Hi,Welcome to icliniq.com.I have gone through your query. I would like to know a few more details to answer your query better. Do you strain to pass urine? How frequently do you have the sensation to urinate? Do you pass a good amount of urine everytime you have the urge or is it only a few drops? D...  Read Full »

What can be done for post-ejaculation muscle spasms and nerve irritation?

Query: Hi doctor,I have been struggling with chronic prostatitis (CPPS) for the past five months. A big issue I have been having is post-ejaculation muscle spasms or nerve irritation. I am currently in physical therapy to work out the muscle tension or spasms and hoping that helps with the nerve irritation...  Read Full »


Dr. Karthik Rajan

Answer: Hi, Welcome to icliniq.com. I have gone through your query and the images that you have sent (attachment removed to protect patient identity). There is definitely a curvature that is appreciated in the images, but I cannot confirm whether it is Peyronie's disease without actually examining you mys...  Read Full »

Why do I get headache even when I think of erection?

Query: Hello doctor, One day while having regular sex just before and during ejaculation, I experienced a sudden severe headache. It was painful and lasted for about 10 minutes. It started as a dull ache from my neck and head and it build up just during ejaculation. Two days later, I tried to have sex ag...  Read Full »


Dr. Rishav Bansal

Answer: Hello, Welcome to icliniq.com. You might be suffering from a disease termed as benign vascular sexual headache. To make its diagnosis, we need to rule out intracranial bleed first. Get MRI (magnetic resonance imaging) brain done to rule out structural disease. Once structural causes are ruled ou...  Read Full »

I have been experiencing a sudden onset of painful ejaculation for the past three months, affecting my sexual life. Please help.

Query: Hi doctor, I experienced a sudden onset of painful ejaculation that has been ongoing for two to three months, significantly interfering with my sexual life. The maximum pain is on the glans of the penis, which is spamsic in nature, coming wave-like with every contraction before ejaculation and then...  Read Full »


Dr. Madhav Tiwari

Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. You might have chronic prostatitis. Between the ages of 22 and 50, it is prevalent in men and includes nearly all the symptoms you have mentioned. Unfortunately, many with chronic prostatitis experience flare...  Read Full »

I have a burning sensation after ejaculation with on and off dull pain in the penis. Kindly help.

Query: Hello doctor,I had a slight burning sensation after ejaculating. The burning was felt when I ejaculated for the second time that day, and there was no burning during the first time. It has not returned since, but I noticed a dull pain every once in a while in my penis after that incident. Kindly hel...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. The two main reasons for burning sensation and pain after ejaculation are; infection in the prostate, or allergy to rubbing agent during masturbation. Prostatitis is one frequent issue in males. It is the inflammation of the prostate due to infection. A semen cultur...  Read Full »

During masturbation and ejaculation, the inside of my penis felt burning and painful. Is this serious?

Query: Hi doctor,I am 19 years old. I have been masturbating for several years. Sometimes, it was off, but often done. My penis size is fine according to Asian country. But recently, in the past few days, I have been masturbating three times a day. Last two days ago, during masturbation and ejaculation, th...  Read Full »


Dr. Chibitam Hope Obia

Answer: Hi, Welcome to icliniq.com. I can understand your concern. I am very sorry about your medical condition. Do not worry. I am here to take care of you. Regarding your symptoms, you have a painful masturbation. I suggest you take the following: 1. Tablet Acetaminophen 500 mg thrice a day orally. 2. T...  Read Full »

I have pain before and after ejaculation. Kindly help.

Query: Hi doctor, I have pain before and after ejaculation. Kindly help.  Read Full »


Dr. Saurabh Subhash Pandya

Answer: Hello, Welcome to icliniq.com. Such pain can be due to inflammation of seminal vesicles or the prostate. This will require about one month of treatment. I suggest you get a urine routine and sonography of KUB (the kidneys, ureters, and urinary bladder) done. I suggest you take a tablet of Ofloxaci...  Read Full »

What could be the reason for sensitive penis, rectal or prostate pressure after I ejaculate?

Query: Hello doctor, I am 35 years old male, with a long history of prostatitis, 3 to 4 years, no symptoms. Now a myriad of symptoms including all the following that come and go. Urgency, sensitive penis, rectal or prostate pressure, no pain but happens after ejaculation sometimes and from a bowel movement...  Read Full »


Dr. Choudhary Devendra

Answer: Hi, Welcome to icliniq.com. From history and test report (attachment removed to protect patient identity), it appears as CPPS (chronic pelvic pain syndrome) and not to localize prostate as the source of the problem. You can take capsule Roliflo OD 2 mg (Tamsulosin with Tolterodine 2 mg), Psyllium ...  Read Full »

I am having painful ejaculations and erectile dysfunction for the past six months. Can you help?

Query: Hello doctor, Six months ago, I started having painful ejaculations and erectile dysfunction. The ejaculations are not painful anymore, but the erectile dysfunction is still present. Even Trimix is not working. I also noticed semen comes out in my urine sometimes. When my girlfriend masturbates with...  Read Full »


Dr. Vaibhav Vishal

Answer: Hello, Welcome to icliniq.com. I can understand your concern. There are multiple causes of erectile dysfunction. Pain in your testes during ejaculation can be a sign of a testicular infection called orchitis. Proper diagnosis requires a physical examination by a urologist and a scan of the scrotu...  Read Full »

Why do I get pain in prostate after ejaculation?

Query: Hi doctor,I am just turning 20 years old. This is a bit of an awkward question for me as I have never talked about it before, but I have been worrying about the condition of my prostate. If I masturbate or ejaculate, I get a very harsh pain more than once in about 24 hours period, which I believe to...  Read Full »


Dr. Ankush Jairath

Answer: Hello, Welcome to icliniq.com. I understand your query and concern. You need to understand that painful ejaculation, both during masturbation or intercourse, is mostly due to infection or inflammation of the sexual tract, such as the seminal vesicle, prostate, and urethra, or with the use of certain...  Read Full »

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