Painful Ejaculation: Common Causes and Treatments

Painful Ejaculation Common Causes and Treatments

Do you feel a burning sensation after ejaculating? Is the pain unbearable and affecting your sex life?

Let’s face it, a painful ejaculation (or a painful orgasm) is perhaps one of the worst things a man can face. This feeling, known medically as dysorgasmia or orgasmalgia, can range from slight discomfort to burning pain.

The pain can occur anywhere in the groin region, from the anus and the perineal area to the penis and testicles. Studies cite that anywhere between 1 to 10% of men have faced this symptom before.

While this sensation can be a deep source of embarrassment for many men, this condition is treatable. Oftentimes, painful ejaculations are also a source of a bigger health problem in men, so disclosing your symptoms with a medical professional is ideal.

Find out more about the symptoms of painful ejaculations, what could cause painful ejaculations, and ways you can naturally recover from this ordeal.

What Are the Symptoms of a Painful Ejaculation?

Symptoms of painful ejaculations differ among men. They may also exhibit differently over time.

For instance, some men may feel pain during both masturbation and sex, while others only feel it when they have sex.

These symptoms include:

  • Pain immediately after or during ejaculation
  • Pain in the rectum, penis, or bladder
  • Pain upon urinating after ejaculation
  • Pain that happens shortly before ejaculation

These symptoms may be mild to severe. They may also last for only a few minutes to several hours. If your symptoms concern you, don’t hesitate to contact a doctor for treatment.

What Causes a Painful Ejaculation?

Medical experts have identified various causes of painful ejaculations. Most causes are rooted in health conditions.

In some rare cases, painful ejaculations may arise due to psychological problems or certain types of medications.

The following factors below are some of the most common causes of painful ejaculations.


Prostatitis is a common condition that affects the prostate gland. The prostate is a small, walnut-sized gland located just below the bladder. This condition occurs when your prostate gland gets infected or inflamed.

Prostatitis is easily mistaken for a urinary tract infection as the symptoms appear similar, such as pain when urinating and frequent urination.

Other symptoms of prostatitis include:

  • Nausea and vomiting
  • Chills
  • Fever
  • Wetting the bed


Orchitis is an inflammation of one or both of the testicles. Viral or bacterial infections brought on by sexually transmitted infections may also give rise to this disorder (STIs).

Mumps, in particular, is a type of non-sexually transmitted infection that is most commonly associated with this type of testicular inflammation. About 33% of male teenagers with mump go on to develop orchitis later in life.

Symptoms of orchitis include:

  • Fever
  • Vomiting
  • Malaise
  • Swelling in one or both testicles
  • Mild to severe painful urination


Some surgeries can cause people to feel pain when ejaculating.

For example, radical prostatectomy, a type of surgery to treat prostate cancer, can inadvertently cause symptoms of sexual dysfunction such as penile and testicular pain and erectile dysfunction.

Hernia surgeries may also cause the unwanted side effect of pain during orgasms.

Hormonal and Emotional Problems

Having trouble in the bedroom? Or is the stress from work catching up to you?

In one way or another, relationship problems can manifest physically and cause symptoms of sexual dysfunction to occur. This can happen even without any prior health conditions.

Men with emotional problems such as depression or anxiety may also experience painful ejaculations during sex. Men with lower than normal testosterone levels are at an increased risk for depression and may benefit from a Low-T consultation.

Prostate Cancer

According to, about 1 in 8 men will have a prostate cancer diagnosis in their lifetime.

Among the symptoms of this type of cancer, pain during ejaculation is one of the common manifestations men may face.

Other symptoms include:

  • New erectile dysfunction
  • Urine with blood
  • interrupted or weak urine flow
  • Difficulty urination
  • Painful or frequent urination

Treating prostate cancer through proper and clinically-approved therapies may help alleviate the pain felt during ejaculations.

Sexually Transmitted Infections (STIs)

STIs are sexual health problems that are spread from person to person through sexual contact. This can include anal, oral, and vaginal sex. In some rare cases, these infections may spread through intimate contact as well.

Painful ejaculations are common symptoms of a type of STI known as Trichomoniasis, which currently affects 3.7 million Americans. Gonorrhea is another type of STI that may cause genital and rectal pain.

Treatment for Painful Ejaculations

causes treatments painful ejaculations burning pain after sperm discharge

Some therapies may vary depending on your complete medical history. It’s important to have a diagnosis with a doctor to determine the source of your problem.

Without proper treatment, painful ejaculations may gradually worsen and may negatively affect your sex life.

Below are some therapeutic options according to the cause of your painful ejaculation.

Prostate Cancer Treatment Options

Treatment depends on aggressiveness, stage, and type of cancer.

If the symptoms are mild and the cancer is slow-growing, doctors may prescribe mild forms of treatment and just remain observant. A five-year survival rate for prostate cancer is 99%, so there’s little risk in taking the passive approach.

However, if the patient is experiencing mild to moderate symptoms, more invasive measures may be used. Surgery is often the most common option for these individuals.

Surgeries that can remove prostate cancer include:

  1. Chemotherapy
  2. Radiation therapy
  3. Hormone therapy

Surgery Treatment Options

If painful ejaculation happens after surgery, it’s common to wait a few days to see the pain sort itself out.

If the pain drags on for weeks without any signs of recovery, it may need a medical expert’s attention.

STI Treatment Options

STIs caused by bacterial infection are easier to manage. Depending on the infection, some men’s health treatment options include:

  1. Antibiotics: Can treat trichomoniasis and gonorrhea.
  2. Antiviral drugs: Can treat HIV or herpes.

You may have to get retested by doctors following treatment to ensure that your treatment plan is effective.

Emotional and Relationship Problem Treatment Options

Counseling and couples therapy might help you deal with sexual behavior problems in the bedroom.

A customized lifestyle program that manages stress may also be ideal for men who have difficulties separating their work life and personal life.

Contact Jacksonville’s Leading Men’s Clinic for a Medical Plan to Fight Sexual Dysfunction

Contact Jacksonville’s Leading Men’s Clinic for a Medical Plan to Fight Sexual Dysfunction

No matter how bad it seems at the moment, a painful ejaculation is not the end of the world.

With the right steps to identify, diagnose, and treat the disease causing a painful ejaculation, you may see recovery in months, if not weeks.

If you’re having issues with erectile dysfunction (ED) or premature ejaculation (PE), call the team at Prime Men’s Medical Center in Jacksonville now to schedule an appointment to have a consultation with their experienced and specially trained medical staff. We are Jacksonville’s leading men’s clinic providing ED therapy, Low-T treatment, Acoustic Wave therapy, and much more.

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