Ejaculation Issues: Pain, Discomfort, and Early Climax

Q: Ejaculation Issues: Pain, Discomfort, and Early Climax

Hello： After ejaculation, a slight erection can cause a stinging sensation in the urethra (especially at the outlet and base), and it may take 1-2 days to recover. <br>It may be necessary to see a doctor for an examination. <br>Generally, people do not hold their urine for such l

Ejaculation issues

1.
After ejaculation, I often experience a sharp pain in the urethra (especially at the exit and base) whenever I have even a slight erection.
It usually takes one to two days to recover, but I can still achieve normal erections and ejaculations.
Is this a normal phenomenon? This makes it quite painful to engage in sexual activity twice in a row.
2.
When I hold my urine, there is a chance I experience intense testicular pain that lasts about five seconds.
After the pain subsides, everything returns to normal.
How can I address this symptom?
3.
During sexual intercourse, if I thrust too quickly after penetration, I feel an urge to ejaculate almost immediately.
Does this qualify as premature ejaculation?
P.S.
My penis curves downward when erect.

A De, 10~19 year old female. Ask Date: 2017/02/03

Dr. Du Shixi reply Urology

Hello: After ejaculation, a slight erection can cause a stinging sensation in the urethra (especially at the outlet and base), and it may take 1-2 days to recover.
It may be necessary to see a doctor for an examination.
Generally, people do not hold their urine for such long periods; sometimes there is severe twisting pain in the testicles.
It is advisable to exercise more and avoid holding urine for too long (within 1 hour is acceptable).
Drink plenty of fluids.
A study surveyed 2,709 individuals, including 470 young adults and 2,239 older adults, and found that the majority reported coital durations of approximately 5-6 minutes, 3-4 minutes, 7-8 minutes, and 10 minutes, each accounting for about 20%.
Currently, there are out-of-pocket medications available at the outpatient clinic, and you can consult a urologist at the hospital.

Reply Date: 2017/02/03

More Info

Ejaculation issues, including pain, discomfort, and early climax, can be complex and multifaceted. Let's address your concerns one by one, providing a comprehensive understanding of each issue based on medical knowledge.

1. Post-Ejaculation Pain: Experiencing pain or discomfort in the urethra after ejaculation is not uncommon, but it is not considered a normal phenomenon. This pain, particularly if it is sharp or stabbing, could be indicative of several underlying conditions. Possible causes include urethritis (inflammation of the urethra), prostatitis (inflammation of the prostate), or even pelvic floor dysfunction. The fact that you require one to two days for recovery suggests that this is not just a minor irritation. It is advisable to consult a urologist who can perform a thorough examination, possibly including urine tests or imaging studies, to rule out infections or other medical conditions.
2. Testicular Pain During Urination: The sharp pain in the testicles when you hold your urine could be related to a few factors. One possibility is that the bladder is overdistended, which can lead to referred pain in the testicles due to shared nerve pathways. Another possibility is that you might be experiencing a condition known as testicular torsion, which is a medical emergency, although it typically presents with more persistent pain. If this pain occurs frequently, it is crucial to seek medical advice to determine the exact cause and to prevent any potential complications.

3. Early Climax: The experience of wanting to ejaculate quickly during sexual activity can indeed be classified as premature ejaculation (PE) if it occurs consistently. PE is defined as ejaculation that occurs with minimal sexual stimulation before, during, or shortly after penetration, leading to distress or interpersonal difficulty. This condition can be influenced by psychological factors such as anxiety or stress, as well as physiological factors. Techniques such as the "stop-start" method or the "squeeze" technique can be beneficial in managing this issue. Additionally, there are topical anesthetics and medications that can help delay ejaculation. Consulting with a healthcare provider specializing in sexual health can provide you with tailored strategies and treatments.

Additional Considerations: Your mention of a downward curvature of the penis during erection is also worth noting. While this can be a normal anatomical variation, if it is accompanied by pain or discomfort, it may warrant further evaluation for conditions such as Peyronie's disease.

In summary, while some of the symptoms you are experiencing can be common, they can also indicate underlying health issues that should not be ignored. It is essential to seek medical advice from a urologist or a healthcare provider specializing in sexual health. They can provide a comprehensive evaluation and recommend appropriate treatments or interventions tailored to your specific needs. Remember, open communication with your healthcare provider is key to addressing these concerns effectively and improving your sexual health and overall well-being.

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