Pain inside the penis during ejaculation

Patient's question:

All symptoms Pain inside the penis during ejaculation

Doctor's answer:

Hello! Ejaculation pain refers to intermittent pain in the urethra, perineum, or lower abdomen during ejaculation. Ejaculation is the climax stage in sexual activity, achieved through rhythmic contractions of accessory sexual organs, perineal muscle groups, and the penis working together. Under normal circumstances, ejaculation is accompanied by pleasant sensations and does not cause pain.
Medical Advice: Studies in sexual medicine have shown that most cases of ejaculation pain are caused by organic changes in the reproductive organs. The main factors include:
Urinary tract and genital infections
Lower urinary tract infections are the most common cause or etiology of ejaculation pain, including conditions such as cystitis. These infections can lead to local tissue congestion and swelling, lowering the pain threshold. The rhythmic contractions during ejaculation act as a mechanical stimulus to inflamed areas, often causing severe pain during the act. Additionally, inflammation and epididymitis can also cause ejaculation pain. This is because, in addition to the pain caused by the condition itself, the secretion and discharge exacerbate the pain. Some patients may experience painful nocturnal emissions.
Malignant tumors
Malignant tumors in male urinary and genital organs often cause ejaculation pain. For example, when tumors develop in the testicles or epididymis, sexual activity-induced pressure and the movement or elevation of the testicles can cause pain. However, the pain is usually mild, often described as dull or aching. Although tumors in the seminal vesicles or vas deferens are relatively rare, the progression of these conditions is often insidious, and such pain should be taken as a warning sign.
Urinary tract stones
Urinary tract stones are a common condition. Bladder stones in the lower urinary tract and ureteral stones can both lead to ejaculation pain. This is because stones are hard foreign bodies, and the rhythmic contractions and peristalsis of soft tissues during ejaculation can press against them, causing pain. Severe urinary tract stones can lead to secondary infections, intensifying the pain. Additionally, conditions such as tuberculosis of the male urinary and genital system, urethral polyps, and penile plaques can also cause ejaculation pain. Furthermore, overly forceful sexual activity or excessive frequency of intercourse, leading to overwork of the sex glands, may also result in pain.
Lifestyle Management: If you have a normal sex life and suddenly experience ejaculation pain, it may be a sign of the aforementioned conditions. It is important to seek medical attention early. During the illness, sexual activity should generally be avoided to reduce stimulation to the affected tissues. For ejaculation pain with a clear cause, proper treatment of the underlying condition is essential.