What might cause painful ejaculation?

Painful ejaculation, or painful orgasm, can have a number of causes:

• Inflammation of the testicles, prostate, or urethra (the tube that semen passes through)
• Sexually-transmitted infections
• Nerve damage in the penis
• Chronic pain in the pelvis
• Blockages in the ejaculatory system
• Pelvic radiation
• Prostate cancer
• Psychological issues

If nerve damage is the cause, the situation usually improves over the next two years, as the nerve heals.

Men who have had any kind of lower pelvic surgery, such as a prostatectomy, may experience painful orgasms, too. A prostatectomy is the removal of the prostate gland and is a common treatment for prostate cancer.

Some antidepressants, spermicides, and contraceptive creams have also been linked to painful ejaculation.

Sometimes, the cause of painful ejaculation is unknown.

Treatment of painful ejaculation includes a variety of options.