Ejaculations that hurt can range in intensity from mild discomfort to unbearable agony. Everywhere in the pudendal territory, including the
penis,
scrotum, and perineal/perianal area, is susceptible to it.[1] Usually starting right before or during
ejaculation, the pain usually lasts for two to twenty-four hours.[4][5] The person may have less sexual desire and self-worth as a result of this issue, which could lead to a lower quality of life.[6]
The cause of post-orgasmic pain determines the course of treatment.
Antibiotics and
non-steroidal anti-inflammatory medications are prescribed if infectious or inflammatory processes are thought to be the cause.[25] Transurethral seminal vesiculoscopy is the preferred method for treating pain associated with
seminal vesicles.[26]Balloon dilatation or transurethral ejaculatory duct resection are two treatments for
ejaculatory duct obstruction.[27] In one study,
tamsulosin-treated patients' symptoms significantly improved after four weeks of treatment.[5] This is also helpful for painful ejaculation following radical
prostatectomy.[5]
^Barnas, Jennifer L.; Pierpaoli, Steven; Ladd, Patricia; Valenzuela, Rolando; Aviv, Nadid; Parker, Marilyn; Waters, W. Bedford; Flanigan, Robert C.; Mulhall, John P. (August 25, 2004). "The prevalence and nature of orgasmic dysfunction after radical prostatectomy". BJU International. 94 (4). Wiley: 603–605.
doi:
10.1111/j.1464-410x.2004.05009.x.
ISSN1464-4096.
PMID15329121.
S2CID37618215.
^
abcBarnas, Jennifer; Parker, Marilyn; Guhring, Patricia; Mulhall, John P. (2005). "The Utility of Tamsulosin in the Management of Orgasm-Associated Pain: A Pilot Analysis". European Urology. 47 (3). Elsevier BV: 361–365.
doi:
10.1016/j.eururo.2004.10.020.
ISSN0302-2838.
PMID15716202.
^VALLANCIEN, GUY; EMBERTON, MARK; HARVING, NIELS; van MOORSELAAR, R. JEROEN A. (2003). "Sexual Dysfunction in 1,274 European Men Suffering from Lower Urinary Tract Symptoms". Journal of Urology. 169 (6). Ovid Technologies (Wolters Kluwer Health): 2257–2261.
doi:
10.1097/01.ju.0000067940.76090.73.
ISSN0022-5347.
PMID12771764.
^Aasvang, Eske Kvanner; Møhl, Bo; Bay-Nielsen, Morten; Kehlet, Henrik (2006). "Pain related sexual dysfunction after inguinal herniorrhaphy". Pain. 122 (3). Ovid Technologies (Wolters Kluwer Health): 258–263.
doi:
10.1016/j.pain.2006.01.035.
ISSN0304-3959.
PMID16545910.
S2CID32383060.
^Verhagen, T.; Loos, M. J. A.; Scheltinga, M. R. M.; Roumen, R. M. H. (August 11, 2015). "Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation". Hernia. 20 (1). Springer Science and Business Media LLC: 63–68.
doi:
10.1007/s10029-015-1410-5.
ISSN1265-4906.
PMID26260489.
S2CID31529831.
^Merrick, Gregory S.; Wallner, Kent; Butler, Wayne M.; Lief, Jonathan H.; Sutlief, Steven (September 25, 2001). "Short-term sexual function after prostate brachytherapy". International Journal of Cancer. 96 (5). Wiley: 313–319.
doi:
10.1002/ijc.1028.
ISSN0020-7136.
PMID11582584.
^Matsushita, Kazuhito; Tal, Raanan; Mulhall, John P. (2012). "The Evolution of Orgasmic Pain (Dysorgasmia) Following Radical Prostatectomy". The Journal of Sexual Medicine. 9 (5). Oxford University Press (OUP): 1454–1458.
doi:
10.1111/j.1743-6109.2012.02699.x.
ISSN1743-6095.
PMID22458302.
^Nickel, J. Curtis; Elhilali, Mostafa; Vallancien, Guy (February 10, 2005). "Benign prostatic hyperplasia (BPH) and prostatitis: prevalence of painful ejaculation in men with clinical BPH". BJU International. 95 (4). Wiley: 571–574.
doi:
10.1111/j.1464-410x.2005.05341.x.
ISSN1464-4096.
PMID15705082.
S2CID6048734.
^Li, Man-Kay; Garcia, Lester; Patron, Nelson; Moh, Lei Chang; Sundram, Murali; Leungwattanakij, Somboon; Pripatnanont, Choosak; Cheng, Christopher; Chi-Wai, Man; Loi-Cheong, Ngai (November 13, 2007). "An Asian multinational prospective observational registry of patients with benign prostatic hyperplasia, with a focus on comorbidities, lower urinary tract symptoms and sexual function". BJU International. 101 (2). Wiley: 197–202.
doi:
10.1111/j.1464-410x.2007.07320.x.
ISSN1464-4096.
PMID18005205.
S2CID32972540.
^Rosen, Raymond C.; Fitzpatrick, John M. (September 3, 2009). "Ejaculatory dysfunction in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia". BJU International. 104 (7). Wiley: 974–983.
doi:
10.1111/j.1464-410x.2009.08503.x.
ISSN1464-4096.
PMID19426189.
S2CID37298480.
^Walz, Jochen; Perrotte, Paul; Gallina, Andrea; Bénard, Francois; Valiquette, Luc; McCormack, Michael; Montorsi, Francesco; Karakiewicz, Pierre I. (2007). "Ejaculatory Disorders May Affect Screening for Prostate Cancer". Journal of Urology. 178 (1). Ovid Technologies (Wolters Kluwer Health): 232–238.
doi:
10.1016/j.juro.2007.03.037.
ISSN0022-5347.
PMID17499807.
^Kleinberg, Lawrence; Wallner, Kent; Roy, Jitendra; Zelefsky, Michael; Arterbery, V.Elayne; Fuks, Zvi; Harrison, Louis (1994). "Treatment-related symptoms during the first year following transperineal 125I prostate implantation". International Journal of Radiation Oncology*Biology*Physics. 28 (4). Elsevier BV: 985–990.
doi:
10.1016/0360-3016(94)90119-8.
ISSN0360-3016.
PMID8138452.
^Wagenlehner, Florian M.E.; van Till, J.W. Olivier; Magri, Vittorio; Perletti, Gianpaolo; Houbiers, Jos G.A.; Weidner, Wolfgang; Nickel, J. Curtis (2013). "National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) Symptom Evaluation in Multinational Cohorts of Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome". European Urology. 63 (5). Elsevier BV: 953–959.
doi:
10.1016/j.eururo.2012.10.042.
ISSN0302-2838.
PMID23141933.
^Tran, Christine N.; Shoskes, Daniel A. (April 12, 2013). "Sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome". World Journal of Urology. 31 (4). Springer Science and Business Media LLC: 741–746.
doi:
10.1007/s00345-013-1076-5.
ISSN0724-4983.
PMID23579441.
S2CID6525027.
^Kulik, F. A.; Wilbur, R. (1982). "Case report of painful ejaculation as a side effect of amoxapine". American Journal of Psychiatry. 139 (2). American Psychiatric Association Publishing: 234–235.
doi:
10.1176/ajp.139.2.234.
ISSN0002-953X.
PMID7055299.
^Johnson, Christopher W.; Bingham, Jonathan B.; Goluboff, Erik T.; Fisch, Harry (December 20, 2004). "Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms". BJU International. 95 (1). Wiley: 117–119.
doi:
10.1111/j.1464-410x.2004.05261.x.
ISSN1464-4096.
PMID15638907.
S2CID26723583.
Ejaculations that hurt can range in intensity from mild discomfort to unbearable agony. Everywhere in the pudendal territory, including the
penis,
scrotum, and perineal/perianal area, is susceptible to it.[1] Usually starting right before or during
ejaculation, the pain usually lasts for two to twenty-four hours.[4][5] The person may have less sexual desire and self-worth as a result of this issue, which could lead to a lower quality of life.[6]
The cause of post-orgasmic pain determines the course of treatment.
Antibiotics and
non-steroidal anti-inflammatory medications are prescribed if infectious or inflammatory processes are thought to be the cause.[25] Transurethral seminal vesiculoscopy is the preferred method for treating pain associated with
seminal vesicles.[26]Balloon dilatation or transurethral ejaculatory duct resection are two treatments for
ejaculatory duct obstruction.[27] In one study,
tamsulosin-treated patients' symptoms significantly improved after four weeks of treatment.[5] This is also helpful for painful ejaculation following radical
prostatectomy.[5]
^Barnas, Jennifer L.; Pierpaoli, Steven; Ladd, Patricia; Valenzuela, Rolando; Aviv, Nadid; Parker, Marilyn; Waters, W. Bedford; Flanigan, Robert C.; Mulhall, John P. (August 25, 2004). "The prevalence and nature of orgasmic dysfunction after radical prostatectomy". BJU International. 94 (4). Wiley: 603–605.
doi:
10.1111/j.1464-410x.2004.05009.x.
ISSN1464-4096.
PMID15329121.
S2CID37618215.
^
abcBarnas, Jennifer; Parker, Marilyn; Guhring, Patricia; Mulhall, John P. (2005). "The Utility of Tamsulosin in the Management of Orgasm-Associated Pain: A Pilot Analysis". European Urology. 47 (3). Elsevier BV: 361–365.
doi:
10.1016/j.eururo.2004.10.020.
ISSN0302-2838.
PMID15716202.
^VALLANCIEN, GUY; EMBERTON, MARK; HARVING, NIELS; van MOORSELAAR, R. JEROEN A. (2003). "Sexual Dysfunction in 1,274 European Men Suffering from Lower Urinary Tract Symptoms". Journal of Urology. 169 (6). Ovid Technologies (Wolters Kluwer Health): 2257–2261.
doi:
10.1097/01.ju.0000067940.76090.73.
ISSN0022-5347.
PMID12771764.
^Aasvang, Eske Kvanner; Møhl, Bo; Bay-Nielsen, Morten; Kehlet, Henrik (2006). "Pain related sexual dysfunction after inguinal herniorrhaphy". Pain. 122 (3). Ovid Technologies (Wolters Kluwer Health): 258–263.
doi:
10.1016/j.pain.2006.01.035.
ISSN0304-3959.
PMID16545910.
S2CID32383060.
^Verhagen, T.; Loos, M. J. A.; Scheltinga, M. R. M.; Roumen, R. M. H. (August 11, 2015). "Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation". Hernia. 20 (1). Springer Science and Business Media LLC: 63–68.
doi:
10.1007/s10029-015-1410-5.
ISSN1265-4906.
PMID26260489.
S2CID31529831.
^Merrick, Gregory S.; Wallner, Kent; Butler, Wayne M.; Lief, Jonathan H.; Sutlief, Steven (September 25, 2001). "Short-term sexual function after prostate brachytherapy". International Journal of Cancer. 96 (5). Wiley: 313–319.
doi:
10.1002/ijc.1028.
ISSN0020-7136.
PMID11582584.
^Matsushita, Kazuhito; Tal, Raanan; Mulhall, John P. (2012). "The Evolution of Orgasmic Pain (Dysorgasmia) Following Radical Prostatectomy". The Journal of Sexual Medicine. 9 (5). Oxford University Press (OUP): 1454–1458.
doi:
10.1111/j.1743-6109.2012.02699.x.
ISSN1743-6095.
PMID22458302.
^Nickel, J. Curtis; Elhilali, Mostafa; Vallancien, Guy (February 10, 2005). "Benign prostatic hyperplasia (BPH) and prostatitis: prevalence of painful ejaculation in men with clinical BPH". BJU International. 95 (4). Wiley: 571–574.
doi:
10.1111/j.1464-410x.2005.05341.x.
ISSN1464-4096.
PMID15705082.
S2CID6048734.
^Li, Man-Kay; Garcia, Lester; Patron, Nelson; Moh, Lei Chang; Sundram, Murali; Leungwattanakij, Somboon; Pripatnanont, Choosak; Cheng, Christopher; Chi-Wai, Man; Loi-Cheong, Ngai (November 13, 2007). "An Asian multinational prospective observational registry of patients with benign prostatic hyperplasia, with a focus on comorbidities, lower urinary tract symptoms and sexual function". BJU International. 101 (2). Wiley: 197–202.
doi:
10.1111/j.1464-410x.2007.07320.x.
ISSN1464-4096.
PMID18005205.
S2CID32972540.
^Rosen, Raymond C.; Fitzpatrick, John M. (September 3, 2009). "Ejaculatory dysfunction in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia". BJU International. 104 (7). Wiley: 974–983.
doi:
10.1111/j.1464-410x.2009.08503.x.
ISSN1464-4096.
PMID19426189.
S2CID37298480.
^Walz, Jochen; Perrotte, Paul; Gallina, Andrea; Bénard, Francois; Valiquette, Luc; McCormack, Michael; Montorsi, Francesco; Karakiewicz, Pierre I. (2007). "Ejaculatory Disorders May Affect Screening for Prostate Cancer". Journal of Urology. 178 (1). Ovid Technologies (Wolters Kluwer Health): 232–238.
doi:
10.1016/j.juro.2007.03.037.
ISSN0022-5347.
PMID17499807.
^Kleinberg, Lawrence; Wallner, Kent; Roy, Jitendra; Zelefsky, Michael; Arterbery, V.Elayne; Fuks, Zvi; Harrison, Louis (1994). "Treatment-related symptoms during the first year following transperineal 125I prostate implantation". International Journal of Radiation Oncology*Biology*Physics. 28 (4). Elsevier BV: 985–990.
doi:
10.1016/0360-3016(94)90119-8.
ISSN0360-3016.
PMID8138452.
^Wagenlehner, Florian M.E.; van Till, J.W. Olivier; Magri, Vittorio; Perletti, Gianpaolo; Houbiers, Jos G.A.; Weidner, Wolfgang; Nickel, J. Curtis (2013). "National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) Symptom Evaluation in Multinational Cohorts of Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome". European Urology. 63 (5). Elsevier BV: 953–959.
doi:
10.1016/j.eururo.2012.10.042.
ISSN0302-2838.
PMID23141933.
^Tran, Christine N.; Shoskes, Daniel A. (April 12, 2013). "Sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome". World Journal of Urology. 31 (4). Springer Science and Business Media LLC: 741–746.
doi:
10.1007/s00345-013-1076-5.
ISSN0724-4983.
PMID23579441.
S2CID6525027.
^Kulik, F. A.; Wilbur, R. (1982). "Case report of painful ejaculation as a side effect of amoxapine". American Journal of Psychiatry. 139 (2). American Psychiatric Association Publishing: 234–235.
doi:
10.1176/ajp.139.2.234.
ISSN0002-953X.
PMID7055299.
^Johnson, Christopher W.; Bingham, Jonathan B.; Goluboff, Erik T.; Fisch, Harry (December 20, 2004). "Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms". BJU International. 95 (1). Wiley: 117–119.
doi:
10.1111/j.1464-410x.2004.05261.x.
ISSN1464-4096.
PMID15638907.
S2CID26723583.