Why does it hurt when I ejaculate?

Why does it hurt when I ejaculate

Why does it hurt when I ejaculate? Not only you, but countless men sooner or later suffer from painful ejaculation.

At the time of sexual intimacy, you expect to enjoy sexual pleasures. Unfortunately, painful ejaculation does not allow you to enjoy sexual pleasures. Many men around the world experience painful ejaculations.

Many men complain of painful ejaculations. It is important to know that painful ejaculation is a sexual release that is part of human health. At the time of premature ejaculation, we feel good with sexual pleasures.

If you are stressed or anxious upon release, you may avoid sexual intimacy with your partner. Lack of sexual expression leads to complex situations. It is possible to suffer from depression, relationship problems and anxiety if sexual expression is lacking.

Some men fear that they have serious health problems that could lead to painful ejaculation. Some men believe that painful ejaculation is a health problem that, in turn, is bad for their mood. Men are not interested in sex when they have painful ejaculation. If your sexual pleasures turn into pain, you should contact your doctor.

Your doctor will treat painful ejaculation so that you can enjoy sexual intimacy. A Cenforce 200mg pill proves effective in relieving men from erection problems.

Causes of painful ejaculation and their symptoms

1. Prostatitis and other prostate problems

  • Prostatitis, or inflammation of the prostate, can lead to painful ejaculation, as well as frequent and painful urination.
  • The prostate is located between the bladder and the penile region.
  • The most common cause of prostatitis is a bacterial infection, which can be an isolated infection of the prostate or an extensive urinary tract infection involving the prostate.
  • Other rare disorders such as benign prostatic hyperplasia – a noncancerous enlargement of the prostate – also cause painful ejaculation and difficulty urinating, in addition to pain.
  • More severe forms of prostate enlargement due to prostate cancer can also cause painful ejaculation and urinary problems.
  • Pelvic pain, painful urination, erectile dysfunction, and the sensation of frequent urination are associated with painful ejaculation when the cause is prostatitis or other prostate problems.

2. Sexually transmitted infections

  • Several sexually transmitted bacterial and protozoan infections can manifest symptoms such as painful ejaculation.
  • If you’re wondering what can cause painful ejaculation, sexually transmitted diseases are among the most common causes.
  • So, what STD causes painful ejaculation? Bacterial infections such as gonorrhea, syphilis, and chlamydia are known to cause painful ejaculation as a symptom.
  • Burning after ejaculation is another major symptom associated with pain when you have an STI.
  • Protozoan STDs like trichomoniasis also cause burning after ejaculation, in case you’re wondering questions like “Why does it burn when I ejaculate?”
  • In addition to painful ejaculation, people infected with an STI may also experience painful urination; yellow, green, or white discharge from the urethra; sores and blisters in and around the penis and pelvic pain.

3. Cysts and stones

  • The development of cysts and stones (stones) in the ejaculatory duct is not uncommon.
  • Cysts and stones can block the duct, causing severe pain during ejaculation.
  • The blockage of the duct causes an increase in pressure in the area.
  • Sometimes the cysts and stones can also affect a nearby nerve, causing increased and sometimes chronic pain in the penile region.
  • Cysts and stones in the ejaculatory duct can also cause infertility.
  • Painful ejaculation associated with burning, perineal pain, and discomfort is common in cysts and stones in the ejaculatory duct.

4. Complications of surgery

• Complications resulting from pelvic and groin surgery can cause symptoms such as painful ejaculation.

• Postoperative complications are not uncommon, especially during surgical procedures such as partial or complete removal of the prostate. Surgery is performed for prostate cancer. However, postoperative complications include not only erectile dysfunction but also painful ejaculation and penile pain.

• Removal of an inguinal hernia can also lead to complications such as painful ejaculation in the postoperative phase. Potential causes include nerve damage during the procedure, resulting in pain during ejaculation.

• Blockage of the ejaculatory duct after these surgeries is also not uncommon and can even cause painful ejaculation.

Erectile dysfunction and pelvic pain are also known complications, along with painful ejaculation after surgery in this area.

5. Radiotherapy

  • Radiation therapy to the pelvic area can cause complications involving painful ejaculation.
  • Radiation therapy is one of the modalities used by doctors to manage prostate cancer in some cases.
  • However, side effects from the procedures can sometimes cause damage to surrounding structures, leading to complications such as painful ejaculation in some patients.
  • Burning sensations, pelvic pain, and painful urination are seen along with painful ejaculation in complications resulting from radiation therapy for the management of prostate cancer.

6. Cystitis

  • Although cystitis is a more common infection in women, it can also occur in men, causing symptoms such as painful ejaculation.
  • Cystitis is a bladder infection that mainly causes impaired and painful urination. However, pain felt in the pelvic region can also cause painful ejaculation in men.
  • Bladder inflammation can also lead to lower abdominal pain, fever, malaise, and severe pelvic discomfort.
  • In addition to painful urination and ejaculation, symptoms include cloudy, cloudy urine, foul-smelling urine, blood in the urine, and a frequent need to urinate.

7. Orchitis

  • Orchitis is the infection and subsequent inflammation of the testicles.
  • The testicles become enlarged and painful, causing widespread pain in the groin and pelvis.
  • The most common causes of orchitis involve bacterial and viral infections. These also include sexually transmitted infections.
  • Because of the similarity of symptoms to a serious injury called testicular torsion, you may need immediate medical attention if you notice swelling and pain in your testicles.
  • Sometimes the infection can also affect the epididymis, a tubular organ that transports sperm and stores it in the testicles.
  • Depending on the cause of orchitis, treatment methods vary, from antibiotic therapy to surgery.
  • Symptoms of orchitis, in addition to testicular pain and painful ejaculation, include nausea, vomiting, lower abdominal and pelvic pain, fever, malaise, and painful urination.

8. Side effects of drugs

  • Medications used to treat depression and other mental health problems can sometimes cause side effects such as painful ejaculation and general sexual dysfunction.
  • Painful ejaculation, loss of libido, and erectile dysfunction are among the most commonly reported side effects involving the urinary and sexual organs from antidepressants.
  • People who regularly take SSRIs, monoamine oxidase inhibitors, and tri- and tetracyclic antidepressants may experience these side effects, depending on both the dosage and individual body characteristics.
  • Painful ejaculation and erectile dysfunction are the most commonly reported side effects during regular consumption of these drugs.

9. Pudendal neuropathy

  • Injury or damage to the pudendal nerve can cause pelvic and perineal pain.
  • Sometimes damage to this nerve also manifests as pain during ejaculation.
  • Pudendal neuropathy can occur for several reasons. Some of these include injuries during surgical procedures, multiple sclerosis, and even diabetic neuropathy affecting the nerve.
  • The lesion also causes pain and burning sensation during or after ejaculation.
  • This condition can also lead to pelvic pain, pain during urination and defecation, and discomfort, in addition to painful ejaculation.

10. Urethral stricture

• Urethral stricture is a condition in which scar tissue causes obstruction of the urethra.

• Scar tissue can develop as a result of injury or ongoing irritation or inflammation.

• A blockage in the urethra also affects the evacuation of sperm into the penis, so strictures can cause painful urination and painful ejaculation.

• Scarring can also occur from surgical procedures involving the penis or urethra, a history of sexually transmitted infections, or multiple catheters.

• Obstruction due to stricture can be partial or total and causes pressure and pain during orgasm and ejaculation.

11. Psychological problems

  • In addition to the physical factors that lead to painful ejaculation, several psychological and mental disorders can also lead to these symptoms.
  • Psychological problems such as stress, anxiety and depression can lead to symptoms such as decreased libido, erectile dysfunction and in some cases even painful ejaculation.
  • The doctor will look into any underlying mental problems in case the physical reasons for painful ejaculation are absent.
  • Serious mental health conditions, such as post-traumatic stress disorder (PTSD) and a history of major depressive disorder, can also lead to obstacles to libido and health, one of which is painful ejaculation, among other physical symptoms.

12. Prostate cancer

Although often asymptomatic, prostate cancer can cause painful ejaculation. Other symptoms may include problems urinating, erectile dysfunction, or blood in the urine or semen.

When to call the doctor

Painful ejaculation can affect your quality of life and may be a sign of a more serious medical problem. Consult your doctor if you have:

  • Pain when you ejaculate
  • Pain when you urinate
  • Discharge from your penis
  • Blood in semen or urine
  • Abdominal pain
  • Difficulty controlling urine flow
  • Difficulty ejaculating


  • Lifestyle changes
  • Pelvic floor physiotherapy
  • Prescription drugs to treat underlying infections
  • Surgery