Some men experience pain during sexual intercourse, which can affect the pleasure of ejaculation and even lead to a decrease in sexual desire. There are many factors that can cause local pain, such as prostatitis or epididymitis.
Why do men experience pain during sexual intercourse?
1、Abnormal ejaculation mechanism
Some men may experience pain or discomfort during orgasm or ejaculation, which is referred to as dyspareunia, with a noticeable burning or severe pain in the local area. Ejaculation is a delicate and complex process involving multiple nerves. Ejaculation is related to the erection of the penis via the cavernous nerves and the continuous contraction of the prostate and the expulsion of fluids. The nerves from the lower abdomen are mainly involved in the erection of the penis, the function of the seminal vesicles, prostate, vas deferens, and the expulsion of semen. The pudendal nerves are generally related to the contraction of the ischiocavernosus and pelvic muscles and ejaculation. When approaching orgasm and ejaculation, it must be controlled by the ejaculatory nerves, then the prostate, epididymis, and vas deferens continuously contract to expel semen directly into the urethra, and finally, through the continuous contraction of the perineum and penile muscles, the semen is expelled from the body. The nerves that control contraction release norepinephrine, stimulating the continuous contraction of organ muscles. Any abnormality in this process can lead to local pain.
3、Disease of the reproductive organs
When there is inflammation in the male reproductive organs, pain can occur during sexual intercourse, whether during erection, penetration into the vagina, or before and after ejaculation. The pain is mainly concentrated in the glans penis, prostate, and surrounding tissues and organs, and may radiate to the testicles or vas deferens, causing a noticeable pain in the entire lower part of the body. Pain during ejaculation may be due to tuberculosis of the reproductive organs, malignant tumors, phimosis or redundant prepuce, and infections, especially in patients with prostatitis who experience significant pain after intercourse. Therefore, it is necessary to go to the hospital for bacterial culture tests to confirm the diagnosis and to use antibiotics appropriately.
Reminder
If there is significant pain after sexual intercourse, it is necessary to control the frequency of sexual activity and avoid excessive force during intercourse. Pain can be relieved by taking a hot sitz bath, and regular massage of the testicular area can promote local blood circulation. If there is a trichomonas infection or chlamydia infection, it must be completely cured before engaging in sexual intercourse, otherwise, it can infect the other party and lead to cross-infection. Do not blindly use painkillers, as they may mask the condition.
