What is the reason for pain during ejaculation

Patient's question:

I want to ask, why does it hurt when I orgasm? It's like a sharp pain!

Doctor's answer:

Although the origin of the pain is in the prostate, the pain and discomfort can be located in or radiated to the urethra and glans. Inflammatory changes are the most common cause of abnormal or painful conditions, such as posterior urethritis, prostatitis, seminal vesiculitis, epididymitis, and vasitis, which cause local congestion and edema. The rhythmic muscle contractions during ejaculation can lead to a sharp pain. Infection can also cause urethral stricture, resulting in difficulty in semen discharge and pain during ejaculation. Allergic reactions to condoms or spermicides can cause allergic dermatitis and lead to sexual intercourse pain, which can be avoided by discontinuing or switching to other contraceptive methods.

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