Prostate pain after ejaculation can sabotage your sex life, break your self-esteem, and turn pleasure into stress.
Painful ejaculation can cause severe discomfort and make it difficult for men to look forward to achieving an orgasm.
If you are wondering what causes burning pain in the penis or urethra after ejaculating, then this article can help.
We compiled a comprehensive guideline that talks more about the causes and treatment of post-ejaculation pain.
What does prostate pain feel like?
Prostate pain after ejaculation can manifest in different ways. Many patients experience awful pain that radiates from their bellies to the testes and penis. It can cause discomfort and inflammation. The pain after ejaculation may persist for some time.
Other symptoms may include:
- Burning sensations in the tip of the penis
- Pain in the abdomen, lower back, hips, flanks, testicles, or penis
- Increased urge to pee
- Difficulty emptying the bladder
- Leakage
The pain can be dull or sharp. It can radiate to other areas of the body, especially the hips, and the excess fat on the sides of your lower back and waist.
The painful ejaculation feels like involuntary spasms (contractions) of specific muscles in the pelvic floor and genitals. If you put any tension or pressure on these muscles, it could make the pain worse.
Burning when ejaculating is a major source of frustration. Depending on the accompanying symptom, such as leakage or urgency, the pain can put a serious strain on your self-esteem and sex life.
Of course, the signs vary based on your current health condition. For example, if you have chronic prostatitis, you can experience burning when ejaculating or after ejaculation for a couple of minutes to hours.
Chronic prostatitis also causes urinary tract symptoms, such as burning or pain when peeing, blood in urine, pain in the groin, nocturia, etc.
It’s important to acknowledge each symptom and consult with a specialist if you have ejaculation problems.
Is prostate pain normal after ejaculation?
It is not normal to experience painful ejaculation. The problem could be nerve and muscular-related or due to emotional and psychological factors.
Prostate pain after ejaculation could be a symptom of blockage (urethra, seminal vesicles, prostate, or bladder), inflammation, or infection.
Many studies talk about the incidence rates of painful ejaculation (also known as post-orgasmic pain or dysorgasmia).
The prevalence of this symptom ranges from 1% to 10% in the general population. But, the incidence rates can rise to 30% to 75% in patients with chronic pelvic pain syndrome or prostatitis.
According to research institutions, prostate problems are widespread after the age of 50. Prostate conditions can lead to a number of urination problems, including after-ejaculation pain.
It’s important to get checked for prostate disorders to mitigate the symptoms and alleviate the discomfort.
What causes prostate pain after ejaculation?
Many medical conditions can cause prostate pain after ejaculation. But, the painful ejaculation can also be an idiopathic problem, which means it may not have a specific cause.
Here is a list of some of the most well-known triggers of pain after ejaculation.
Prostate irritation
Prostate irritation can cause painful ejaculation. If you recently injured your pelvis, had a prostate biopsy, used a urinary catheter, or had intense anal sex, you might experience burning after ejaculation.
Prostatitis or prostate inflammation can also cause irritation and prostate pain after ejaculation. Based on recent statistics, 1 in 2 men with prostatitis has painful ejaculation.
Bladder infection
Cystitis is a common type of urinary tract infection (UTI). It can cause inflammation of the pelvic floor and urethra and trigger after-ejaculation pain.
Based on studies, the incidence of simple cystitis in men is very low. Data shows fewer than 10 cases per year per 10,000 men younger than 65.
Stress
Stress is the bedrock of prostatitis. It can also stir up a number of other health problems.
Psychological stress can make the symptoms of prostatitis worse, such as discomfort and pain when urinating.
So, it is critical to focus on your mental health and try to mitigate some of the psychological stressors.
Chronic pelvic pain syndrome
If you test negative for bacterial infection, the painful ejaculation could be the result of muscular tension. The pain after ejaculation could be a sign of pelvic floor dysfunction, such as chronic pelvic pain syndrome (CPPS).
Statistics show that CPPS affects 2% to 6% of men, and it is a common reason people see a urologist.
Ejaculatory duct obstruction
Ejaculatory duct obstruction is a rare pathological condition that can lead to painful ejaculation and prostatic pain.
This condition causes a blockage in one or both sperm ducts. The blockage interferes with the sperm’s ability to get into the ejaculate.
Those affected can experience pain in the prostate, pain after or during sex, low sperm output and sperm count, and reduced volume of ejaculate.
Benign prostatic hyperplasia
Benign prostatic hyperplasia (BPH) can cause discomfort during and after ejaculation. As the prostate gets bigger, it blocks the flow of urine.
It also causes kidney and urinary tract problems. Other symptoms can include erectile dysfunction, urinary frequency, dribbling, etc.
According to studies, painful ejaculation was recorded in 5% to 19% of men with lower urinary tract symptoms associated with BPH.
Medication side effects
Some medications can trigger painful ejaculation.
Many antidepressants, such as tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), MAOIs, and venlafaxine, can spark discomfort during or after ejaculation.
Other than a change in medicine or lowering the dose, no other strategies can manage this side effect.
Seminal vesicle stones
Stones can form in the seminal vesicles. A stone is a hard and small calcification that can cause serious bleeding and discomfort when ejaculating.
Conditions such as infections, diabetes, UTI, and reduced drainage of the ejaculatory duct can cause these stones to form.
Seminal vesicles and prostate cysts
Vesicle cysts and midline prostatic cysts (MPCs) are rare. Based on 2022 reports, the incidence of MPC is less than 1%.
Most people don’t have any symptoms. But, if the cysts become infected or enlarged, they can compress the nearby tissues. Especially the bladder neck, urethra, and ejaculatory duct. In a case such as this, men can experience painful ejaculation and discomfort.
Sexually transmitted infections (STIs)
If you burn after ejaculation, this could be a clear sign of a sexually transmitted infection. Bacterial infections like chlamydia, syphilis, and gonorrhea can have a drastic impact on your sex organs and cause prostate problems.
Pudendal neuropathy
Pudendal neuropathy is a long-term health problem. It occurs due to a damaged or irritated pudendal nerve. This nerve compression can cause painful ejaculation.
The pain can affect the penis, scrotum, and perineum, which is the thin layer of skin between the scrotum and the anus.
It can cause complications such as heightened sensitivity to pain, numbness, or pins and needles-like sensations in the pelvic area.
Should you see a doctor?
If the prostate pain after ejaculation is causing severe discomfort and makes it difficult to enjoy a pleasurable sex life, then see a specialist.
Men with painful ejaculation often experience ED and use erectile dysfunction medicine to get a hard and erect penis.
If you ejaculate often or multiple times a day, you might want to reduce the frequency and see if the symptoms improve.
If you have symptoms other than painful ejaculation, such as trouble urinating, weak flow, frequent urination, or urgency – talk to a urologist. You might have an underlying health issue that requires treatment.
The doctor can talk about your medical history and sex life. They can also do a physical examination, such as order urine or blood tests.
Testing can help rule out any health conditions that might cause pain after ejaculation.
If you do experience prostate problems, a doctor can help suggest the best treatment options or medicine that can work for you.
Treatment
Treatment for painful ejaculation varies based on what’s causing the problem.
For example, if you suffer from inflammation or swelling of the prostate gland, then you may need prostatitis treatment. Men with prostatitis usually take antibiotics for a couple of weeks to a few months.
Acute prostatitis is usually managed with painkillers.
If you experience sexual dysfunction and ejaculatory pain from untreated STIs, then antibiotics or antiviral drugs can help.
Muscle relaxants may be recommended for patients with pelvic floor muscle spasms.
If the painful ejaculation is the result of a medication side effect, then you may have to switch the medicine or change the doses.
Only a doctor can suggest the best medical therapies for prostate pain after ejaculation and other prostate problems. Hospital treatment is often recommended when the symptoms are severe and cause significant discomfort.
If you are looking to try alternative treatments, then acupuncture may help. Studies show that acupuncture can drastically improve pain, urination symptoms, and sexual function in men with prostatitis with a 60.6% effective rate.
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How do you stop prostate pain after ejaculation?
When you address the underlying cause, you can stop the pain after ejaculation. Some of the options include:
- Painkillers, such as ibuprofen
- Switching medicine or lowering the doses
- Surgery to treat prostate problems
- Muscle relaxants
- Psychotherapy if the prostate pain after ejaculation is caused by emotional problems
If treatment doesn’t offer the necessary relief, you can try different diets, pelvic floor exercises, or sex therapy.
Having a balanced diet packed with veggies, healthy fats, and fruits can boost prostate health and decrease the risk of ED.
Pelvic floor exercises can make the muscles stronger. Sex therapy can help you overcome some of the barriers in your relationship that are causing you stress, anxiety, and discomfort.
Options such as these can help you work on your sex life and prostate pain after ejaculation.
Conclusion
Pain after ejaculating can be a big part of your sex life. It can make it difficult for you to enjoy an orgasm or have satisfying intercourse.
To treat the problem, you need to know what’s causing it. If it is a medical condition, then talk to a specialist to receive medicine.
In the meantime, try to work on your diet, physical activity, and overall mental health. Improving your daily routine and eating habits can enhance prostate health and set you on the right track.
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