Painful ejaculation

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Definition


Ejaculation is the ejection of sperm in response to a contraction of the seminal vesicles as a result of stimulation. Ejaculation is sometimes painful and is a sign, in most cases, of an inflammation of the genital tract. It may be due to urethritis (inflammation of the urethra), a narrowing of the urethra, a prostatitis (inflammation of the prostate), an orchy-orchitis (acute or chronic inflammation of the testis and the channel which follows the epididymis), and in less frequent cases, to psychological causes such as anxiety neurosis.

Symptoms


The symptoms of painful ejaculation are:
  • burning during ejaculation;
  • burning in the lower abdomen;
  • pain in the testicles.

The intensity of the pain varies from one patient to another and it may persist after ejaculation.

Diagnosis


Pain triggered by ejaculation or orgasm, with or without sexual intercourse is usually related to an infection of the genital tract. The doctor will establish a urological assessment and a digital rectal examination to identify the origin of the infection. A urine culture, supplemented by an ultrasound of the urinary tract, is also possible. The doctor will be able to determine the organic abnormalities and infectious causes. A particular PSA assay is indispensable in the case of a suspected prostatitis.

Treatment


There are many treatments for painful ejaculation. If it is an infection, the doctor will prescribe an antibiotic. If it is a narrowing of the urethra, the solution is surgery. If it is a psychological cause, the patient should undergo therapy.

Prevention


Only infectious causes can be prevented. It is therefore necessary in this regard to be vigilant when having sex.

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