Why is ejaculation unpleasant for a 23-year-old male?

Question

Hello doctor,

I am a 23-year-old male. Whenever I ejaculate, I experience an unpleasant sensation throughout my entire body instead of the expected feeling of pleasure. It is difficult to describe, but it feels uncomfortable and not enjoyable at all. Because of this, I usually stop before climax when I masturbate or have sex. This issue has been present for as long as I can remember.

Do you have any idea what might be causing it?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I have carefully read your query and tried to understand your concern based on the best available medical knowledge.

One possible explanation for what you are experiencing is post-orgasmic illness syndrome (POIS, which is a rare condition in which a person experiences flu-like symptoms, fatigue, or mental fog after ejaculation). There are a few signs that point in that direction, like how you feel the opposite of pleasure around the time of ejaculation. It sounds like you enjoy the act of sex or masturbation but feel unpleasant at the climax, which aligns with POIS. However, one point against this diagnosis is that your symptoms start before ejaculation, whereas most POIS cases report discomfort afterward.

Another possibility could be a hyperadrenergic state, which can happen due to intense emotional arousal or physical effort during sexual activity. This can sometimes be confirmed with lab tests. A third possibility might involve the use of any substances or medications if you are taking any.

I understand this issue is hard to describe, but please provide a more detailed account if you are comfortable with it. It would help if you could mention:

How long does the unpleasant feeling last after ejaculation?
Any physical symptoms like joint pain, fever, or headache.
What triggers or worsens the issue?
Anything that can ease or improve it.
Any known medical conditions or medications you are taking?

The more details you can provide, the better I can help you understand what might be going on.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.