Patient's question:
In my room, one of my testicles cannot be lifted, and it is extremely painful during ejaculation. Sometimes I even feel like vomiting. When I touch the testicle, it hurts, and I once noticed that the semen had a faint pinkish color. This condition has been going on for a year.Doctor's answer:
Hello, male lower urinary tract infections and infections of the genitourinary system are the most common causes of painful ejaculation, including urethritis, cystitis, prostatitis, etc. These infections can cause local tissue congestion and swelling, reducing the pain threshold. The rhythmic contractions during ejaculation act as a mechanical stimulus to the inflammatory focus, often accompanied by severe pain during the act. Additionally, seminal vesitis and epididymitis can also cause painful ejaculation, as the pain caused by the lesions themselves is further intensified by the secretion of fluid and sperm into the vas deferens. Some patients may experience painful nocturnal emissions.Malignant tumors Malignant tumors of the male urogenital system often cause painful ejaculation. For example, when tumors occur in the testes or epididymis, the pressure generated during sexual activity, as well as the rotation and elevation of the testes, can cause pain. However, the nature of this pain is usually mild, often or aching pain. Although tumors in the prostate, seminal vesicles, or vas deferens are relatively rare, the progression of these lesions is often insidious, and such pain should be considered an important "warning signal."
Urinary tract stones Urinary tract stones are a common condition. Bladder stones in the lower urinary tract and ureteral stones can both lead to painful ejaculation. This is because stones are hard foreign bodies, and the contraction and peristalsis of local soft tissues during ejaculation can squeeze the stones, causing pain. Severe urinary tract stones can lead to secondary infections, further intensifying the pain. Additionally, conditions such as tuberculosis of the male urogenital system, urethral polyps, and penile plaques can also cause painful ejaculation. Furthermore, overly forceful sexual activity or excessive frequency of intercourse, leading to overwork of the gonads, can also cause pain.
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