What causes pain at the urethral opening during ejaculation?

Patient's question:

My partner has been experiencing lower back pain recently, but their sexual life has remained normal. However, they mentioned that there is significant pain at the urethral opening during ejaculation, but no such sensation when urinating. Could you please explain what might be causing this? I am looking forward to your reply urgently.

Doctor's answer:

Ejaculation pain refers to pain in the penis, urethra, perineum, and lower abdomen during ejaculation. The main causes of ejaculation pain include: excessive sexual activity, genital inflammation (such as seminal vesiculitis, prostatitis, posterior urethritis, etc.), urinary system stones, and urinary system tumors. Additionally, overly excited sexual activity or rough and forceful movements can also cause ejaculation pain.
If the pain is caused by excessive sexual activity, simply reducing the frequency of sexual intercourse will eliminate the pain. If it is caused by other diseases, active treatment of the underlying condition is necessary. Once the primary disease is cured, the ejaculation pain will naturally subside.

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