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Male dyspareunia: causes and treatment

by Alivia Nyhan
Published: Last Updated on

Dyspareunia is pain that may occur during intercourse in both men and women, being more common in the latter. It can be a big problem when having sex on time or having a stable partner. This type of ailment is not considered a disease but rather a symptom related to physical damage that affects the male reproductive organ and, to a lesser extent, psychological problems. Consequently, the treatment carried out will depend on the cause generating the pain during sexual intercourse. To learn more about this condition, continue reading this FastlyHealarticle, where we explain the reasons and treatment of male dyspareunia.

Male and female dyspareunia

Dyspareunia or pain during intercourse can occur in both men and women, although it is more common in the latter due to the anatomy of the female sexual organ. Pain can range from mild to severe and can be caused by poor lubrication, inflammation or infection of the urinary tract, allergies to latex in condoms, or after vaginal surgery. In addition, other causes involve more intense pain and are usually more severe. In the case of men, dyspareunia involves pain in the penis during penetration that can even lead to anorgasmia, that is, the inability to reach orgasm during intercourse. The causes in the case of man can be anatomical, inflammatory, or psychological, which we will develop in the next point.

Causes of male dyspareunia

Why do I feel pain during intercourse? If you are reading this article, you have likely asked yourself this. Well, first of all, different types of dyspareunia can be distinguished by taking into account the time of the onset of pain:

  • Primary. It occurs when intercourse is always painful.
  • Secondary. The pain occurs after you have had painless sex.
  • Situational. The pain only manifests itself on a few occasions.

Before getting alarmed, you have to think if the conditions with which intercourse is being practiced may be causing damage:

  • Lack of lubrication.
  • Problems derived from the vagina, such as female genital tract abnormalities.
  • Contact with any object that is in the vagina.
  • Pain can be caused by vaginismus, causing brutal penetration.
  • The use of spermicides.

Anatomical causes

They are the conditions that occur in the penis and generate pain during intercourse.

  • Phimosis. The narrowing of the foreskin makes it difficult to slide, causing pain. This problem can occur when the penis is erect and flaccid. The treatment of this problem consists of a surgical intervention by which circumcision is performed, removing the foreskin.
  • Short frenulum. It can be confused with phimosis, although in this case, the pain occurs in the frenulum since it stretches during erection and may partially or entirely break, generating bleeding.
  • Peyronie’s disease. Disease in which the penis has a curvature that causes pain during penetration. In this article, you can find out more about the curved penis.

Inflammatory causes

They are all conditions that involve inflammation in the male sexual organ.

  • Epididymitis. The pain is caused by inflammation of the epididymis, an organ found in the upper part of the testicle. Infection of this small structure responsible for maturing sperm can cause pain during ejaculation. Treatment consists of taking antibiotics depending on the type of infection.
  • Prostatitis. Inflammation in the prostate, the gland responsible for secreting seminal fluid. The pain appears at the time of ejaculation intensely. Treatment for prostatitis from an infection is based on antibiotics.
  • Urethritis. Inflammation of the tube that carries urine caused by a virus or bacteria leads to blood in the urine or semen, pain when urinating, and during sex or ejaculation. The treatment for bacterial urethritis is taking antibiotics.
  • Urinary tract infection. Although less common in men, kidney infection causes severe pain when urinating and can cause pain during intercourse.

In all cases, treatment will vary depending on the cause of the inflammation and irritation.

Psychological causes

It is possible that pain during intercourse is not caused by physical damage but is due to psychological factors. Most of the causes are explained by the existence of fears acquired during childhood. Some of these fears stem from taboos and prejudices that have been instilled through repressive education. Also another cause that is related to pain during intercourse is a history of sexual abuse or rape, causing a denial of pleasure that can affect adulthood. This type of cause of dyspareunia has greater complexity and requires treatment from a psychologist to a sexologist.

When to go to the doctor

It is essential to detect other symptoms that may accompany pain during intercourse to know more precisely the cause behind it. However, when the pain persists for a few days or is very intense, going to the doctor acquires particular relevance to avoid further damage. In addition, we cannot rule out the possibility that it is a sexually transmitted disease, with the risk of infecting the sexual partner.

This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor if you present any condition or discomfort.

If you want to read more articles similar to Male Dyspareunia: causes and treatment, we recommend that you enter our Male Reproductive System category.

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