Any discomfort or disorder related to sexual life tends to cause a lot of distress in men. The appearance of the semen or penis, sexual potency, or responsiveness at the time of ejaculation are topics that may merit consultation with a specialist. However, when regular ejaculations have occurred and pain appears suddenly, it is essential to pay attention to this symptom and go immediately to a urologist. Mostly this is a sign of infection, so it should be treated as soon as possible. However, other causes can also be responsible for this picture. In this FastlyHealarticle, we explain the causes of painful ejaculation and clarify the importance of visiting a urologist.
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Why is it necessary to visit a urologist?
Any change that we can perceive and related to ejaculation or the state of the semen undoubtedly deserves a medical consultation. In a normal condition, neither intercourse nor ejaculation should be painful, so when this discomfort occurs, it is a clear sign that something is wrong.
Pain during penetration can indicate the presence of conditions such as phimosis, paraphimosis, or balanitis. In contrast, pain when ejaculating can result from inflammation, infection, or various prostate requirements. A doctor’s opinion is always required to identify the cause and offer appropriate treatment.
Infections – a common cause of painful ejaculation
Intimate infections are the most common cause of pain when ejaculating. Some of the most common are:
- Urethritis
This condition occurs when the urethra, the tube that carries urine, becomes inflamed and irritated due to bacteria, such as E. Coli, chlamydia, and gonorrhea, or viruses such as herpes simplex. It is a common condition in men between 20 and 35, although it can occur at any age.
In addition to pain when ejaculating, this condition is characterized by other symptoms such as painful urination, frequent urination, blood in the urine or semen, secretions emanating from the penis, and inflammation, itching, or discomfort in the penis. If bacteria cause the infection, the treatment will consist of administering antibiotics.
- Prostatitis bacteriana
It is characterized by inflammation and irritation of the prostate gland due to bacteria, E. Coli being the most common. However, some infections of a sexual nature, such as chlamydia and gonorrhea, can also cause this condition. This pathology can present with symptoms such as pain and burning when urinating, difficulty urinating, blood in the urine, pain when ejaculating or during bowel movements, fever, chills, and in some cases, foul-smelling urination.
- Cystitis
However, it is a widespread bladder infection in women that can also affect men. Its symptoms are constant urgency to urinate, burning, and discomfort during urination or when ejaculating. It is a common condition in men with an enlarged prostate and also in those with kidney stones.
- Orchitis
It is an inflammation in one or both testicles that the mumps virus, various bacteria can cause, and sexually transmitted infections such as gonorrhea and chlamydia are more common in men between 19 and 35 years old. It also occurs commonly along with other conditions such as prostatitis.
Aside from discomfort when ejaculating, this condition is characterized by pain in the testicles or affected testicles, blood in the semen, discharge from the penis, pain, discomfort when urinating, pain in the groin, swollen scrotum, and fever.
In the presence of any of these symptoms, it is essential to go to the urologist to prevent the infection from progressing significantly.
Other causes of painful ejaculation
Although infections are the most common causes of painful ejaculations, they are not the only reason this condition occurs. In addition, these discomforts may be due to other pathologies such as:
- Bacterial or non-bacterial prostatitis
It appears due to conditions other than the presence of a bacterium. It can arise due to the frequent use of the bicycle, the use of chemicals, various problems with the urinary tract or the muscles of the pelvic floor, or the presence of bacteria. It is usually the most common cause of chronic prostatitis. It has symptoms similar to bacterial prostatitis: pain when ejaculating and during bowel movements, discomfort when urinating, low back pain, and blood in urine and semen.
- Prostate cancer
Prostate cancer may be asymptomatic in its early days. However, once the disease begins to progress may have symptoms such as urinary incontinence, frequent urination, and disruption of the flow of urine during urination. When the condition is already in a more advanced stage, symptoms such as pain when ejaculating, discomfort in the lower back, and blood in the urine appear. Given these signs, it is essential to see a doctor receive a timely diagnosis.
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 Painful ejaculation: causes, we recommend that you enter our category of Male reproductive system.

I am a Surgeon with a diploma in comprehensive ultrasound and surgical care residency, an area I am specializing in. During the exercise of my profession, I have realized the need for patients to know the diseases they suffer, and I can tell you that a large part of their complications is due to a lack of information. Being a health web writer allows me to transmit my experience, without borders, to all those readers eager for knowledge, educate them in the prevention of diseases and promote a healthy lifestyle.