My husband said he experienced pain in his penis when he ejaculated the other night during sex. What are some possible explanations? When should he go see a doctor about it?
Scott W. Asroff MD, FACS, is an urologist at Lourdes Medical Center of Burlington County.
The prostate gland and seminal vesicles are involved with the production of semen, the fluid which helps to transport sperm. Ejaculation is the result of muscular contractions which sends the sperm from the testicles to the urethra where it is eliminated from the body via the penis.
Therefore, any condition that causes inflammation or an infection of these structures may result in painful ejaculation. The causes of painful ejaculation may be in the testicles, prostate or the urethra - the tubular structure which urine and semen travel through exiting the penis. There are various types of inflammation and bacterial or viral infections that can occur and treatment typically includes a trial of antibiotics, fluids, and rest.
Another potential cause of ejaculation pain is prostate cancer, which also usually accompanied by difficult urination, painful urination, blood or painful ejaculation, or pelvic and back pain. Prostate-specific antigen (PSA) blood testing and regular annual digital rectal examination has resulted in early detection and improved treatment success for patients with prostate cancer.
Finally, inflammation of the urethra often results in painful ejaculation. Other symptoms with this condition include burning with urination, penile discharge, and frequency of urination. Treatment is typically a course of antibiotics and analgesics.
If a man experiences pain in the penis with ejaculation, he should seek evaluation and treatment from his medical provider promptly. Most of the causes of painful ejaculation are easy to diagnose and treat. In some instances, quick attention may result in early diagnosis of potentially serious urological conditions and lead to a life saving treatment.