Feeling pain – burning or some other discomfort – when ejaculating is a problem that afflicts more people than many can imagine. It is estimated that up to 10% of men suffer it at some point in your life, which affects your sexual activity and, therefore, your quality of life.
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Studies indicate that pain when ejaculating is the most common of the dyspareunias masculine, a term that encompasses the problems associated with the sensation of pain during sexual intercourse. These problems often lead to inhibition of desire and even anorgasmia, the inability to reach orgasm due to pain.
The prevalence of dyspareunias is much higher in women (8–22%, according to the World Health Organization, WHO) than in men, although the registry may indicate lower-than-actual figures. And it is that sexual problems are still a taboo subject for many males, which leads many of them not to go to a specialist even when they think they should.
But the WHO itself defines sexual health as a basic human right, and a poor quality (or an absence) of sexual relations can generate a series of negative consequences, ranging from conflict in the couple to increased stress and anxiety and a weakening of the immune system.
In addition, pain when ejaculating can be a symptom of an even deeper problem, which should be addressed as soon as possible. For all these reasons, it is essential to try to know, first of all, the causes of this pain. The most common are listed below.
1. Inflammation of the prostate
Inflammation of the prostate is one of the most common causes of pain when ejaculating, as well as other problems, such as having to urinate a lot –Even during the night– and suffer a certain sting when doing it. Prostate problems are quite common in men, especially after 45 years of age.
It is not to be alarmed. In most cases, the problem is the call benign prostatic hyperplasia, an abnormal increase in the size of that organ, which can be treated and, as it is benign, does not have serious consequences.
It can also be an infection, prostatitis, especially if the sperm is yellow, red or green. Prostate surgery, as well as an injury or trauma to the area, can also cause inflammation of that organ and, therefore, pain when ejaculating. And the possibility of cancer should not be ruled out.
In any case, there are ways to prevent inflammation and other problems related to the prostate: in particular, avoid some bad habits and watch out for possible symptoms. Pain when ejaculating is one of them.
2. Sexually transmitted diseases
There are several sexually transmitted diseases (STDs) that can be the source of pain when ejaculating. Among the most common are gonorrhea (caused by the bacteria Neisseria gonorrhoeae), the Genital herpes (produced by the herpes simplex virus) and acuminate condyloma (product of the human papillomavirus, HPV).
Also the chlamydia (caused mainly by the bacteria Chlamydia trachomatis) and the tricomoniasis (caused by a parasite called Trichomonas vaginalis) may be the reason for the pain. In general, all of them are cured by antibiotics, except in the case of HPV, whose treatments are still not entirely effective.
3. Problems in the seminal vesicle or other organs
The seminal vesicles are the glands responsible for producing most of the semen. They can cause pain during ejaculation for two reasons. The first, when they are inflamed due to an infection. The second, when there are calcifications or stones.
Also infections in other organs in the region, such as the bladder, urethra and epididymis – a tube that is part of the reproductive system – cause inflammation and, as a result, usually cause pain, especially at the time of ejaculation.
One of the possible negative consequences of suffering from diabetes is the emergence of nerve complications, known as diabetic neuropathies. This is because high blood sugar levels damage the blood vessels and peripheral nerves where those vessels lead.
The symptoms of this neuropathy are varied, and among them is pain when ejaculating, as well as other possible sexual dysfunctions and difficulties emptying the bladder when urinating. Therefore, it is advisable to pay attention to whether the pain could not be a sign of diabetes. And in the case of diabetic patients, they should attend to this possible symptom.
5. Medicine intake
The intake of some drugs can cause pain during ejaculation. In particular, certain antidepressants and antipsychotics. Several studies have identified this side effect of antidepressants tricyclics (such as clomipramine, imipramine, desipramine, and amoxapine) and others such as fluoxetine and venlafaxine.
Otherwise, these drugs can also cause other problems related to sexual activity, such as changes in libido, suppressed desire, and erectile dysfunction.
6. Emotional and relationship problems
In certain cases, dyspareunias do not have a physical but a psychological or emotional origin. One of the most frequent reasons is couple difficulties, which can lead to pain appearing when the man ejaculates when having sex with his partner but not, for example, if he does it with another person or when he masturbates.
And, in other cases, the factors can be very diverse: from low self-esteem and problems with self-image (as in cases of body dysmorphic disorder) to conflicts – often unconscious – related to child abuse cases or other traumatic situations. In these cases, seeking professional help is essential.
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