Painful Erections After Ejaculation: Is It Normal or a Medical Concern?

Q: Painful Erections After Ejaculation: Is It Normal or a Medical Concern?

Hello： Pain is not normal, please take care when doing DIY activities, and find time to see a doctor. <br>Wishing you good health.

Experiencing pain in the penis after achieving an erection following ejaculation?

Hello doctor, I have been troubled by this issue for a long time.
I usually have normal erections and masturbation, but sometimes after ejaculation, I experience pain in the penis when trying to achieve an erection again.
It's not a sharp pain, and the glans does not hurt.
Sometimes after a nocturnal emission in the morning, I wake up with pain during morning erections.
Is this normal, or should I go to the hospital for a diagnosis? Thank you, doctor.

Guo, 10~19 year old female. Ask Date: 2022/01/05

Dr. Du Shixi reply Urology

Hello: Pain is not normal, please take care when doing DIY activities, and find time to see a doctor.
Wishing you good health.

Reply Date: 2022/01/05

More Info

Experiencing painful erections after ejaculation can be concerning and may indicate an underlying medical issue. While occasional discomfort can happen to some individuals, persistent pain warrants further investigation. Here’s a comprehensive overview of the potential causes, diagnostic considerations, and treatment options.

Understanding Painful Erections
Painful erections, particularly after ejaculation, can arise from various factors. The pain you describe, which occurs during or after an erection, can be attributed to several conditions:
1. Physiological Factors: After ejaculation, the body undergoes a series of physiological changes. The blood vessels in the penis dilate during arousal, and after ejaculation, they constrict. This rapid change can sometimes lead to discomfort or pain, especially if there is residual tension in the penile tissues.

2. Prostatitis: Inflammation of the prostate gland can lead to pain during or after ejaculation. Prostatitis can be acute or chronic and may present with other symptoms such as pelvic pain, urinary issues, or discomfort in the lower abdomen.

3. Peyronie’s Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause painful erections and curvature during erections. It may also lead to discomfort after ejaculation.

4. Infections: Sexually transmitted infections (STIs) or urinary tract infections (UTIs) can cause pain during erections and ejaculation. Symptoms may include burning sensations, unusual discharge, or fever.

5. Nerve Compression or Injury: Sometimes, nerve-related issues can lead to pain during erections. This could be due to previous injuries or conditions affecting the pelvic nerves.

6. Psychological Factors: Anxiety or stress related to sexual performance can also manifest as physical symptoms, including pain during erections.

Diagnostic Considerations
To determine the underlying cause of your symptoms, a thorough evaluation by a healthcare professional is essential. Here are some steps that may be involved in the diagnostic process:
- Medical History: Your doctor will likely ask about your sexual history, any previous medical conditions, and the frequency and intensity of your symptoms.

- Physical Examination: A physical examination, including an assessment of the genital area, may help identify any abnormalities.

- Laboratory Tests: Blood tests, urine tests, or cultures may be conducted to check for infections or other underlying conditions.

- Imaging Studies: In some cases, imaging studies such as an ultrasound may be necessary to assess blood flow and identify any structural issues.

Treatment Options
Treatment will depend on the underlying cause identified during the evaluation. Here are some potential approaches:
1. Medications: If an infection is diagnosed, antibiotics or antiviral medications may be prescribed. For prostatitis, anti-inflammatory medications or alpha-blockers may help alleviate symptoms.

2. Physical Therapy: If nerve compression or pelvic floor dysfunction is suspected, physical therapy may be beneficial.

3. Counseling: If psychological factors are contributing to your symptoms, speaking with a therapist or counselor may help address anxiety or stress related to sexual performance.

4. Surgery: In cases of Peyronie’s disease or severe structural issues, surgical intervention may be necessary.

5. Lifestyle Modifications: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and stress management techniques, can improve overall sexual health.

Conclusion
While occasional pain after ejaculation may not be uncommon, persistent discomfort should not be ignored. It is advisable to consult a healthcare provider for a thorough evaluation and appropriate management. Early intervention can help address any underlying issues and improve your quality of life. Remember, sexual health is an important aspect of overall well-being, and seeking help is a positive step towards resolution.

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