Painful ejaculation

Definition

In addition to premature ejaculation, the perception of pain during the ejaculatory act is a common ailment that afflicts and torments many sexually active men. Some patients turn to the andrologist only after having overcome completely unfounded anxiety and shame. It is estimated that men tend to refer their problems to the doctor much later than women: painful ejaculation should therefore not be a cause for embarrassment. quite the opposite, since the faster you run for cover, the faster the problem will be solved.

Causes

Many patients complain of a "painful or annoying ejaculation, often accompanied by pain on urination; some of them state that the painful perception sometimes lasts for a few hours after intercourse. In the vast majority of subjects, the cause lies in the contraction. spasmodic prostate during ejaculation, caused, in turn, by chronic prostatitis, whether bacterial or not. It should be remembered that the prostate also retains the function of producing part of the seminal fluid expelled during the ejaculatory act.
However, painful ejaculation could also conceal urethritis (infections in the urethra), ailments that fall within the scope of STDs.
Inflammation of the urethra and inflammation of the prostate are the two most common causative factors responsible for painful ejaculation; however, infections affecting the sperm - mainly caused by chlamydia - and the narrowing of the urethral canal . [taken from the site: http://www.androweb.it/]

Orgasm or painful ejaculation?

Many patients tend to confuse these two problematic conditions, typical of the sexual sphere: if on the one hand the painful ejaculation is mainly linked to infections or inflammation, on the other the painful sensations perceived during orgasm not attributable to the ejaculatory act, are the result of pelvic or spinal injuries. Often the patient is unable to distinguish the two conditions: for this reason the consultation of the doctor is absolutely ineluctable. [taken from Clinical Andrology, by Wolf-Bernhard Schill, Frank H. Comhaire, Timothy B. Hargreave].

Diagnosis

The medical interview represents the first step towards the treatment of painful ejaculation: patients generally complain of acute, throbbing pains a few moments before ejaculation. The spasms can subside in a short time but, in other cases, they can last a few hours.
After a direct interview with the specialist, useful for drawing an initial clinical picture, the patient generally undergoes bacteriological tests of the urine and sperm. Eventually, in order to diagnose the causes responsible for the painful ejaculation, the doctor may recommend to the patient an "intra-rectal ultrasound of the prostate [taken from the site: http://www.androweb.it/]

Cures and treatments

After having isolated the main triggering factor, guilty of painful ejaculation, the doctor prescribes some suitable pharmacological specialties, aimed at eliminating the infection and / or inflammation, when present. It is also advisable to have regular sexual activity, avoiding long periods of time. periods of stasis; in addition to what has been stated, it is necessary to follow a balanced diet, limiting the excessive intake of chocolate, coffee, wine, alcoholic and carbonated drinks. Body weight should also be monitored, since excess fat could worsen the patient's clinical picture: in overweight and obese subjects, in fact, a greater propensity to painful ejaculation was recorded, since the excess adipose layer tends to compress the urinary tract, therefore the perception of pain is favored both during urination and during intercourse.
These last tips should always be followed, not only in the presence of painful ejaculation. Only rarely, anxiolytic drugs are prescribed, since stress does not heavily affect the appearance of painful ejaculation.

Summary

Painful ejaculation: in short

I disturb Painful ejaculation Description During orgasm, ejaculation is somewhat painful or uncomfortable, often accompanied by painful urination Etiological research

• Spasmodic contraction of the prostate during ejaculation
• Chronic prostatitis
• Urethritis
• Inflammation of the urethra and inflammation of the prostate
• Infections affecting the sperm
• Narrowing of the urethral canal

Painful orgasm and painful ejaculation Painful ejaculation: mainly linked to infections or inflammation
Painful orgasm: consequence, above all, of pelvic or spinal injuries Diagnostic profile of painful ejaculation

• Medical interview
• Bacteriological tests of urine and sperm
• End-rectal ultrasound of the prostate

Therapies against painful ejaculation

• Body weight monitoring
• Regular sexual activity (avoid long periods of stasis)
• Follow a balanced diet
• Pharmacological specialties aimed at eliminating the infection and / or inflammation