Painful Ejaculation Symptoms, Causes & Treatments

Painful ejaculation

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Most men like sex, they want it every time. Because sex is sweet, it is enjoyable. It is the most intimate thing that could happen in a romantic relationship. And the climax of sex is ejaculation. This is when a man releases sperm through his penis. It is the ultimate feeling during copulation. But I know there is a substantial percentage of men who don’t enjoy sex at all for many reasons one of them being the pain while releasing sperm.

Painful sperm release is a distressful condition that leads to strained relationships. It may reduce self-esteem and impairs the general quality of life due to a reduced sexual desire. Whether you feel pain during ejaculation or post ejaculation pain, the condition is one of the things that can be experienced by any man.

Symptoms of pain while releasing sperm

Painful ejaculation

Why does it hurt while releasing sperm?

A painful ejaculation is a form of ejaculatory dysfunction for men. The pain can occur anywhere in your genitals when having sex. Here are some signs that you could be having trouble when releasing sperms.

  • A general burning sensation
  • A burning sensation in the lower abdomen when ejaculating
  • Pain the testicles when ejaculating
  • Burning sensation on your urethra
  • Perineal pain (pain in the area between anus and genitals) during the release of sperm.

Causes and treatments for painful ejaculation

First, we should understand that ejaculation is the result of muscular contractions which sends sperms from the testicles to the urethra, where it is released from the body through the penis. Therefore, any condition that causes inflammation or an infection of these structures may mean trouble while you are emitting sperms. There are several reasons that can lead to the above.

Since each cause requires unique treatment, we will mention each cause as well as treatment options you can go for.

Urethritis, STDs and painful ejaculation

Urethritis refers to the inflammation of the urethra. It is caused by mainly sexually transmitted diseases (STDs) or Sexually Transmitted Infections (STIs). Using spermicides and physically tampering with the urethra can lead to Urethritis. Experiencing pain while urinating or ejaculating can be a sign that you are suffering from Urethritis.


  • If the patient has a bacterial infection then antibiotics like Doxycycline, Erythromycin or Metronidazole can be used to cure the disease and get rid of painful ejaculations.
  • Using protection during sex reduces the chances of contracting urethritis
  • Staying hydrated by drinking six to eight glasses of water can help deal with this condition.
  • Avoid chemicals that can irritate the urethra such as detergents and practice good hygiene.

Penile injury and nerve damage

This might sound weird but there are a few people out there who like playing with their penises. Slapping, pulling, wiggling, bending or twirling a flaccid penis is okay. But trying to do the same on an erect penis will result in an injury. Excessive masturbating, using dangerous sex toys can also cause injury to your penile nerves. The injury comes inhibited ejaculation and sometimes delayed orgasm. Could this be the reason why it hurts while you release your sperms?

Treatment options

  • A surgery can be performed to treat the damaged nerves and help you overcome this problem
  • Avoid playing with your penis or using dangerous sex toys.


Prostatitis refers to the inflammation of the prostate gland. The prostate gland is part of the male reproductive system whose function is to produce seminal fluid which is responsible for transporting sperms through the urethra.

Men of all ages can get prostatitis, but it is more prevalent in people who had a prior history of the same disease. Other factors like having an enlarged prostate gland, recent use of a urinary catheter and engaging in rectal intercourse can also cause prostatitis.  Cyclists and horseback riders are also at a greater risk of getting prostatitis due to pelvic trauma.

If you are suffering from prostatitis, then you are likely to have trouble when ejaculating.

Treatment and prevention of prostatitis

The treatment of prostatitis depends on the underlying cause;

  • If the cause is a bacterial infection, then your doctor will decide on the specific antibiotic and the duration of medication.
  • You can also use anti-inflammatory medications to manage the pain
  • Prostate massage decreases some discomfort in patients with acute non-bacterial prostatitis
  • If you cycle or ride horses, then it is advised that you suspend the activities until you improve
  • Avoid alcohol, caffeine, and spicy foods
  • You can also use anti-inflammatory medication to manage the pain
  • Too much sex or masturbation can cause Prostatitis, therefore, avoiding them is a step in the right direction.
  • Warm sitz baths are also known to help.


Antidepressant drugs can cause a variety of sexual side effects including a discomfort during ejaculation. Using Venlafaxine to treat depressions is good but it is known to cause a sharp and burning pain during ejaculation. The pain which is felt deep in the shaft of the penis. It will often begin just before ejaculation and last until your penis becomes flaccid. Other cancer drugs can also cause discomfort while releasing your sperms.

Dealing with medication side effects

  • Some side effects are temporary and improve slowly on their own
  • If antidepressant drugs are causing difficulty ejaculating, then discuss with your doctor to change medication.

Prostate cancer

The pain you are experiencing during ejaculation could be an alarming sign of a scarier disease like prostate cancer. However small a tumor maybe, it will put pressure on the urethra leading to painful urination and sperm releasing. Another sign of prostate cancer is having blood in your urine. Prostate cancer is caused by genetic factors and other lifestyle habits.

Prostate cancer treatment

Treatment options for Prostate cancer depend on type, stage, and aggressiveness.

  1. Radical prostatectomy which is a surgical removal of the prostate, brachytherapy and conformal radiation therapy are some of the ways a small and localized Prostate cancer is managed
  2. Chemotherapy is often used to treat advanced cancer.

All these medications have serious side effects which include the inability to sire children. You may get rid of your painful ejaculations problems but prepare yourself psychologically for any other problem that will arise as a side effect of cancer treatment.

Benign prostatic hyperplasia (BPH)

This is also referred to as Prostate enlargement and is a non-cancerous increase in the size of the prostate. One of its symptoms is ejaculating pain due to the pressure exerted by the prostate on the urethra. Other symptoms include painful urination frequent urination and trouble starting to urinate


A wide variety of treatments are available for enlarged prostate. These treatments include invasive therapies and surgery. The best treatment depends on the size of the prostate, age of the patient and overall health.

Blockage of the ejaculatory duct

You could be experiencing ejaculation discomfort because of the presence of cysts or stones in your ejaculatory duct. These stones block your ejaculatory duct and can also cause infertility. Another condition called seminal vesicle calculi is also responsible for blocking the ejaculatory duct thus causing painful ejaculation.


A surgery can be performed to remove the stones and cysts blocking your ejaculatory duct.

Radiation therapy

Erectile dysfunctions and painful ejaculations are some of the side effects of radiotherapy. The good thing is that such side effects are always short lived.

Psychological and emotional effects

When you experience painful ejaculations during sexual intercourse but there is no pain when you masturbate then you could be having psychological issues. Anxiety, distress, and fear can lead to you feeling pain when ejaculating but not urinating. Therapy sessions can help if you have this problem.

If you have any psychological problems, then therapy sessions with a psychologist can help you overcome this problem.


Painful ejaculations can be very stressful, may reduce your self-esteem, damage your relationships and lower the general quality of your life. Most men with this problem always suffer in silence because of the fear of being stigmatized. But as I have pointed out, the problem can be cured.

Painful ejaculations can make some people lower their sexual desires, but I would advise against that because the effects of not ejaculating are far worse than painful ejaculations. Just seek medical attention.

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