Painful Ejaculation: Causes and Treatment

Ejaculation is normally a pleasurable experience for most men. But some may experience painful ejaculation. Find out what causes it and how to treat it.

The Promescent Team
Hands on, practical experience – this is our expertise
by The Promescent Team Last updated 05/30/2023

What causes painful ejaculation

Painful ejaculation, also known as dysorgasmia, can be a distressing and uncomfortable experience. It can negatively impact relationships and cause men to experience low self-esteem.

The pain usually occurs after during or immediately after ejaculation. Given the intimate nature of the subject, it can be embarrassing for some men to discuss.

Quick FAQs

Some of the causes of painful ejaculation include prostatitis, urethritis, and seminal vesicle issues.

Treatment for painful ejaculation will depend on the cause of it. A few treatment options a doctor may suggest are physical therapy, antibiotics, and anti-inflammatory medications.

If the pain is persistent and severe during and after ejaculation, consult with a healthcare professional to avoid complications and improve sexual health.

Fortunately, the issue is treatable. Our comprehensive guide will provide a thorough understanding of the condition, its causes, symptoms, and effective treatment options.

Overview of Painful Ejaculation

Painful ejaculation occurs when an individual experiences pain or discomfort during or after ejaculation. This pain can be mild or severe. Some of the following areas the pain can be felt include:

  • Penis
  • Prostate
  • Testicles 

Painful ejaculation can negatively impact one's sexual health, relationships, and overall quality of life.

Symptoms and Diagnosis

The primary symptom of painful ejaculation is pain or discomfort during or after ejaculation. Other symptoms that may occur are:

  • Painful urination after ejaculation
  • Pain beginning before ejaculation
  • Pain in or around the rectum

To diagnose the cause of painful ejaculation, a healthcare professional may conduct a physical examination and run some tests. If a more specialized evaluation is needed, you may be referred to a fertility specialist or urologist.

Causes of Painful Ejaculation

There are several factors that may contribute to painful ejaculation. Some common causes include:

1. Prostatitis

Prostatitis is an inflammation of the prostate gland, which can cause pain during or after ejaculation. There are different types of prostatitis, including acute bacterial prostatitis, chronic bacterial prostatitis, and chronic pelvic pain syndrome.

While research has found that 1-10% of the general population suffered from painful ejaculation, for those with chronic prostatitis, it may be up to 30-75%.

2. Urethritis

Urethritis is an inflammation of the urethra, the tube that carries urine and semen out of the body. This condition can result in painful ejaculation, as well as discomfort during urination.

3. Seminal Vesicle Issues

The seminal vesicles are responsible for producing semen. If there are any problems with this gland, such as hard deposits known as calculi, it may make ejaculation painful.

4. Ejaculatory Duct Obstruction

An obstruction in the ejaculatory ducts can cause painful ejaculation, as well as reduced semen volume and infertility. This condition may be congenital or acquired.

5. Antidepressants

A variety of antidepressants have been reported as a potential cause of painful ejaculation. Some of those antidepressants include:

  • Clomipramine
  • Imipramine
  • Desipramine
  • Protriptyline
  • Amoxapine
  • SSRIs

Treatment Options

The treatment for painful ejaculation depends on the underlying cause. Some potential treatment options include:

1. Antibiotics

For bacterial infections, such as prostatitis or seminal vesicle infections, antibiotics may be prescribed to clear the infection and alleviate symptoms.

2. Anti-inflammatory Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to reduce inflammation and pain associated with conditions like prostatitis and urethritis.

3. Alpha-blockers

These medications can help relax the muscles in the prostate and bladder neck, easing the flow of semen and reducing pain during ejaculation.

4. Surgical Intervention

In some cases, surgical intervention may be necessary to address the underlying cause of painful ejaculation. For example, a transurethral resection of the ejaculatory ducts (TURED) may be performed to remove obstructions and restore normal ejaculation.

5. Physical Therapy

Pelvic floor physical therapy can help strengthen the muscles and alleviate pain associated with chronic pelvic pain syndrome, which is a common cause of painful ejaculation.

6. Lifestyle Modifications

Implementing lifestyle changes, such as maintaining a healthy diet, exercising regularly, and managing stress, can help improve overall sexual health and may reduce the occurrence of painful ejaculation.

7. Adjusting antidepressant medications

If antidepressants are the cause of painful ejaculation, reducing the dosage or changing the medication may help. Be sure to consult with your psychiatrist before making any changes.

Beyond these treatment options, other alternatives that can be considered include sex therapy and pain medication.

When to See a Doctor

It is crucial to consult a healthcare professional if you experience persistent or severe pain during or after ejaculation. Early diagnosis and treatment can help prevent complications and improve your sexual health.

Prevention and Tips for Reducing Pain

While it may not be possible to completely prevent painful ejaculation, there are steps you can take to minimize discomfort and improve your sexual health:

  1. Practice good hygiene to reduce the risk of infection.
  2. Use a condom during sexual activity to protect against sexually transmitted infections.
  3. Communicate openly with your partner about your pain and explore alternative methods of intimacy.
  4. Engage in regular exercise to promote healthy blood flow and maintain a healthy weight.
  5. Manage stress through relaxation techniques, such as deep breathing exercises, meditation, or yoga.


Painful ejaculation is a complex condition that can have a significant impact on a person's sexual health and well-being. Understanding the potential causes, recognizing the symptoms, and seeking appropriate treatment are critical steps in managing this condition.

As mentioned earlier, potential causes of painful ejaculation include prostatitis, urethritis, and seminal vesicle issues. Treatments that may help with painful ejaculation include antibiotics, anti-inflammatory medications, and alpha blockers.

By following the recommendations outlined in this comprehensive guide, individuals experiencing painful ejaculation can take proactive measures to improve their sexual health and overall quality of life.

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The Promescent Team

The Promescent Team

Our team has over a decade of experience in the sexual wellness field and are experts in sexual dysfunctions, like premature ejaculation. We help couples and individuals better understand treatment options available for different types of sexual needs and educate the public on all things related to intimacy. All of our authored content is medically reviewed for accuracy and reliability.


Absorption Pharmaceuticals LLC (Promescent) has strict informational citing guidelines and relies on peer-reviewed studies, academic or research institutions, medical associations, and medical experts. We attempt to use primary sources and refrain from using tertiary references and only citing trustworthy sources. Each article is reviewed, written, and updated by Medical Professionals or authoritative Experts in a specific, related field of practice. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

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The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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