Painful orgasm (painful ejaculation) is commonly described as a pain or burning sensation that happens when a man ejaculates. He may feel pain between his anus and genitals or in his testes. He may also feel it in the urethra, the tube that semen passes through. Pain may be mild or severe.


A man may become so frustrated by this pain that he starts to avoid sex. His relationship with his partner may suffer as a result. Many men with painful ejaculation experience depression and anxiety.

Causes

Inflammation and Infections

Prostatitis – inflammation of the prostate gland, which is involved with semen production

Orchitis – inflammation of one of both testes, the glands that make sperm

Urethritis – inflammation of urethra, the tube that semen passes through when a man ejaculates.

Sexually-transmitted infections – such as trichomoniasis



Pelvic Conditions and Treatments

Prostate cancer

Pelvic radiation

Lower pelvic surgery – such as radical prostatectomy (removal of the prostate)

Nerve damage in the penis – such as from an injury or complications of diabetes.

Chronic pain in the pelvis

Blockages in the ejaculatory system – from cysts or stones

Complications

Painful ejaculation is usually a symptom of a larger problem that needs to be treated. Getting the treatment you need will help you avoid serious complications. Untreated, painful ejaculation can have an adverse effect on your sexual behaviors.

Summary

Your doctor can give you an idea of what to expect based on the cause and treatment.

Sexual problems can affect both you and your partner. If you don’t talk about it, your partner may come to some erroneous conclusions about your relationship. That’s why open communication is crucial.
Make an appointment to see your general physician if you have painful ejaculation. A physical examination and a few tests may be all you need to get to the root of the problem.