Common Reasons for Painful Ejaculations (2018)

Orgasms are meant to be the most pleasurable sexual experience but for some men, orgasms are anything but amazing; instead, they can be quite painful.

What is painful ejaculations?

The ejaculation process works like this: muscles contract, sending semen from the testicles into the urethra, where it exits at the opening of the penis.

This process can become painful if any of the body parts involved become inflamed, infected, or otherwise injured.

Causes of painful ejaculation

Prostate cancer

Prostate cancer is the most common cancer in men, regardless of race or ethnicity.

Other symptoms include painful urination, bloody urine and semen, back and pelvis pain, difficulty urinating, and, of course, painful ejaculation.

Prostate cancer is treatable, but if anyone has these symptoms, they are urged to see a doctor as quickly as possible.


Orchitis is inflammation of one or both testicles, which is usually a consequence of inflammation of the epididymitis—a tube that connects the testicles to the vas deferens.

Epididymitis is typically caused by a viral or bacterial infection.

Treatment for orchitis includes bed rest, anti-inflammatory agents, and a combination of antibiotics.


This disease of the prostate gland includes pain and various urinary issues as its symptoms.

There are three types—bacterial, chronic, and asymptomatic. Bacterial is caused by bacteria that flow into the prostate from the urethra, but chronic and asymptomatic have no known cause.

Bacterial prostatitis can be cured with antibiotics, but getting rid of the other two is extremely difficult because their cause is unknown.


Painful ejaculation has been cited as a side effect of a number of antidepressants, including TCAs, MAOIs, and SSRIs.

This can be remedied by changing the medication or lowering the dosage.


Urethritis is painful inflammation of the urethra and is usually caused by viral or bacterial infections.

Some STDs, like gonorrhea and chlamydia, can cause urethritis, as can the bacteria that causes UTIs (urinary tract infections).

Nerve damage in the penis

This can also cause erectile dysfunction.

Blockage in the ejaculatory system

Ejaculatory duct obstruction can be either congenital or acquired and it is characterized by the obstruction of the ejaculatory ducts, which restricts the flow of semen.

Not only can ejaculatory duct obstruction cause painful ejaculation, but it can also cause infertility and pelvic pain.

Prior surgery

Men who have had surgery on their lower pelvic region may experience painful ejaculation as a result.

Substance sensitivity

A sensitivity to lubricant, contraceptive creams, and spermicides can cause painful ejaculations. Switching  brands or types may alleviate this problem.

Final word

Men experiencing painful ejaculation should see a doctor to determine its cause, as it can be a sign of serious medical conditions.


Berman, Laura PhD. (2014) Understanding Painful Ejaculation. Available from: (2015) What might cause painful ejaculation? Available from:

About John Andrews

I am interested in all aspects related to mens's health, in particular sexual health as we age. In my spare time I like to train with weights since that's a great way to boost your testosterone levels and feel overall happy. It is never too late to change your lifestyle into something better. Small positive changes will accumulate over time and bring you happiness in life. You can find my opinions on supplements and devices for men on this website, and also from users such as yourself. Remember to do your research before buying anything.

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