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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Why does my foreskin retract during masturbation?

Query: Hello doctor, When I masturbate, then my foreskin retracts. If I pull the foreskin backward and then forward again, the end of my foreskin pulls in further and further, as if my glans were pulling it in. And, because my glans are very sensitive, it can sometimes suddenly happen when masturbating th...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to I got your first point that foreskin keeps retracting and your glans is sensitive, and you feel discomfort. Let me assure you that this is normal and does not require treatment. Many people get a circumcision, and glans are always exposed, so the glans' sensitivity wi...  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 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 »

Why do I get pain in prostate after ejaculation?

Query: Hi doctor, 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 just ejaculate for that matter, I get a very harsh pain more than once in about 24 hours period which I believe to be in m...  Read Full »

Dr. Ankush Jairath

Answer: Hello, Welcome to 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 seminal vesicle, prostate, urethra or with the use of certain drugs. Sometimes it can be due to psychologica...  Read Full »

What causes the penis skin to rip?

Query: Hi doctor, I am a 38 year old male. When I was 19 years old, I had a circumcision due to a tight foreskin. This has never been a problem until of late. There are two issues that I am suffering with. The first is on the under side of my penis when I get an erection to have sex or masturbate, where my...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to I read your query and understand your concerns. I completely agree with the first problem although it is unlikely to be related to circumcision. I also feel that the underneath scar tissue is responsible for the closing of the pee hole rather than the procedure which was ...  Read Full »

I have sensitive penis, rectal pressure and pain after ejaculation. Why?

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 movemen...  Read Full »

Dr. Devendra

Answer: Hi, Welcome to 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. I would like to add anticholinergic to your alpha-blocker (Flomax) and Psyllium Hu...  Read Full »

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

Query: Hi doctor, I have been struggling with chronic prostatitis or CPPS for the past five months. A big issue I have been having is the 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 irr...  Read Full »

Dr. Karthik Rajan

Answer: Hi, Welcome to 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 on the images, but I cannot confirm whether it is Peyronie's disease without actually examining you mys...  Read Full »

Can testicle pain and difficulty in reaching ejaculation be prostatitis?

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 f...  Read Full »

Dr. Karthik Rajan

Answer: Hi, Welcome to 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...  Read Full »

My erection is fine, but my ejaculation is painful. What is the cause?

Query: Hi doctor, I am perfectly healthy. I never had sex with anyone except my wife. For the past two months, I started having a pricky ejaculation every time when I have sex. My erection is perfectly fine, but my ejaculation is painful. I have consulted a local doctor here. Currently, I am taking Calamo...  Read Full »

Dr. Ramchandra Lamba

Answer: Hi, Welcome to It seems that the delay in ejaculation and erectile dysfunction is probably due to the side effects of Safepram (Escitalopram), which is an SSRI (selective serotonin reuptake inhibitors). They are known to cause such effects. Painful ejaculation and micturition are most...  Read Full »

I have discomfort and pain during ejaculation. Could it be due to prostatitis?

Query: Hello doctor, I am having a discomfort and mild pain during ejaculation. I was diagnosed as having chronic prostatitis with seminal vesiculitis, and I was put on Quinolones for three months and an alpha-blocker (Alfuzosin) for five months. The urinary symptoms completely resolved, but discomfort and...  Read Full »

Dr. Devendra

Answer: Hello, Welcome to As your urinary symptoms have resolved, and pain during ejaculation is localized to the inguinal region, it is very likely to be a muscular pain of the cremaster. This muscle suspends the testis, and contracts during ejaculation, more strongly in young men. Tthe pain...  Read Full »

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