Odynorgasmia, or painful

ejaculation Ejaculation is the discharge of semen (the ''ejaculate''; normally containing sperm) from the penis through the urethra. It is the final stage and natural objective of male sexual stimulation, and an essential component of natural conception. ...

, also referred to as dysejaculation, dysorgasmia, and orgasmalgia, is a physical syndrome described by pain or burning sensation of the

urethra The urethra (: urethras or urethrae) is the tube that connects the urinary bladder to the urinary meatus, through which Placentalia, placental mammals Urination, urinate and Ejaculation, ejaculate. The external urethral sphincter is a striated ...

perineum The perineum (: perineums or perinea) in placentalia, placental mammals is the space between the anus and the genitals. The human perineum is between the anus and scrotum in the male or between the anus and vulva in the female. The perineum is ...

during or following ejaculation. Causes include: infections associated with urethritis, prostatitis, epididymitis; use of anti-depressants; cancer of the prostate or of other related structures; calculi or

cyst A cyst is a closed sac, having a distinct envelope and division compared with the nearby tissue. Hence, it is a cluster of cells that have grouped together to form a sac (like the manner in which water molecules group together to form a bubb ...

s obstructing related structures; trauma to the region.

Signs and symptoms

Ejaculations that hurt can range in intensity from mild discomfort to unbearable agony. Everywhere in the pudendal territory, including the

penis A penis (; : penises or penes) is a sex organ through which male and hermaphrodite animals expel semen during copulation (zoology), copulation, and through which male placental mammals and marsupials also Urination, urinate. The term ''pen ...

scrotum In most terrestrial mammals, the scrotum (: scrotums or scrota; possibly from Latin ''scortum'', meaning "hide" or "skin") or scrotal sac is a part of the external male genitalia located at the base of the penis. It consists of a sac of skin ...

, and perineal/perianal area, is susceptible to it. Usually starting right before or during

, the pain usually lasts for two to twenty-four hours. 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.

Causes

Ejaculation pain can be caused by a variety of medical conditions, but it can also be an idiopathic issue. Early reports suggested that painful ejaculation may be associated with herniorrhaphy, pelvic

radiation In physics, radiation is the emission or transmission of energy in the form of waves or particles through space or a material medium. This includes: * ''electromagnetic radiation'' consisting of photons, such as radio waves, microwaves, infr ...

prostate The prostate is an male accessory gland, accessory gland of the male reproductive system and a muscle-driven mechanical switch between urination and ejaculation. It is found in all male mammals. It differs between species anatomically, chemica ...

surgery,

benign prostatic hyperplasia Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate gland. Symptoms may include frequent urination, trouble starting to urinate, weak stream, urinary retention, inability t ...

prostate cancer Prostate cancer is the neoplasm, uncontrolled growth of cells in the prostate, a gland in the male reproductive system below the bladder. Abnormal growth of the prostate tissue is usually detected through Screening (medicine), screening tests, ...

, inflammation of prostate,

antidepressant Antidepressants are a class of medications used to treat major depressive disorder, anxiety disorders, chronic pain, and addiction. Common side effects of antidepressants include Xerostomia, dry mouth, weight gain, dizziness, headaches, akathi ...

s, sexually transmitted diseases, sexual neurasthenia, and calculi in the seminal vesicles.

Treatment

The cause of post-orgasmic pain determines the course of treatment.

Antibiotic An antibiotic is a type of antimicrobial substance active against bacteria. It is the most important type of antibacterial agent for fighting pathogenic bacteria, bacterial infections, and antibiotic medications are widely used in the therapy ...

s and non-steroidal anti-inflammatory medications are prescribed if infectious or inflammatory processes are thought to be the cause. Transurethral seminal vesiculoscopy is the preferred method for treating pain associated with seminal vesicles. Balloon dilatation or transurethral ejaculatory duct resection are two treatments for ejaculatory duct obstruction. In one study, tamsulosin-treated patients' symptoms significantly improved after four weeks of treatment. This is also helpful for painful ejaculation following radical

prostatectomy Prostatectomy (from the Ancient Greek language, Greek , "prostate" and , "excision") is the surgical removal of all or part of the prostate gland. This operation is done for benignity, benign conditions that cause urinary retention, as well as ...

References

External links

Medical news today
{{Medical resources , ICD11 = {{ICD11, GB06.Y , ICD10 = {{ICD10, N48.8 , ICD10CM = , ICD9 = {{ICD9, 607.89 , ICDO = , OMIM = , MeshID = , DiseasesDB = , SNOMED CT = 50818007 , Curlie = , MedlinePlus = , eMedicineSubj = , eMedicineTopic = , PatientUK = , NCI = , GeneReviewsNBK = , GeneReviewsName = , NORD = , GARDNum = , GARDName = , RP = , AO = , WO = , OrthoInfo = , Orphanet = , Scholia = Q7078393 , OB = Orgasm

Signs and symptoms

Causes

Treatment

References

Further reading

External links