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 pain before and after ejaculation. Kindly help.
Query: Hi doctor, I have pain before and after ejaculation. Kindly help. Read Full »
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 »
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. I would like to add anticholinergic to your alpha-blocker (Flomax) and Psyllium Hu... 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 »
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 »
I am having frequent urination after ejaculation with a silicon ring on the penis. Why?
Query: Hello doctor, I am 34 years old male. A few years back, in some instances, I had suppressed my sexual urges, after which I had got a terrible urine infection, and with that, I got frequent urination. I have no problem with erection, but while masturbating, I get some pain sensations in my feet, and ... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your problem. First of all, the reports (attachments removed to protect the patient's identity) are normal, so there is no need to get worried. Frequent urination or weakness is just related to psychological reasons, and there is no valid organic issue ... 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; 1) Infection in the prostate. 2) Allergy to rubbing agent during masturbation. Prostatitis is one frequent issue in males. It is the inflammation of the prostate ... Read Full »
How to resolve the pain and discomfort faced during ejaculation?
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 »
Answer: Hello, Welcome to icliniq.com. 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 »
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 Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. 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 »
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 »
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 »
Answer: Hello, Welcome to icliniq.com. 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 »
Answer: Hi, Welcome to icliniq.com. 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 »