Pain During Erection: Possible Causes and Concerns - Urology

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Experiencing pain during erection can be concerning, and it's important to understand the potential causes and when to seek medical advice. While you mentioned that the pain occurs only during the process of achieving an erection and subsides once fully erect, it is still a symptom that warrants attention.

There are several possible causes for pain during erection:
1. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can lead to painful erections and curvature. It typically presents with a noticeable bend in the penis during erection, but pain can also occur without significant deformity.

2. Infections: Infections of the penis, urethra, or surrounding structures can cause pain during erection. Conditions like urethritis (inflammation of the urethra) or sexually transmitted infections (STIs) can lead to discomfort.

3. Prostatitis: Inflammation of the prostate gland can cause pain during erection or ejaculation. This condition can be acute or chronic and may be accompanied by other symptoms like pelvic pain or urinary issues.

4. Nerve Issues: Nerve damage or irritation, possibly from previous injuries or conditions like diabetes, can lead to abnormal sensations during erection, including pain.

5. Vascular Issues: Problems with blood flow to the penis, such as those caused by vascular diseases, can lead to discomfort during erection. This is often associated with other symptoms, such as erectile dysfunction.

6. Psychological Factors: Anxiety, stress, or psychological conditions can manifest physically, leading to discomfort during sexual arousal or erection.

7. Hormonal Imbalances: Low testosterone levels or other hormonal issues can affect sexual function and may contribute to discomfort during erections.

Given that you have been experiencing this pain for several months, it is advisable to consult a healthcare professional, preferably a urologist. They can perform a thorough evaluation, which may include a physical examination, blood tests, and possibly imaging studies, to determine the underlying cause of your symptoms.

It's also important to note that while you may not experience any visible changes or other symptoms like pain during urination or ejaculation, the persistence of pain during erection is significant. Early intervention can help address any underlying issues before they progress or lead to more serious complications.

In the meantime, consider keeping a record of when the pain occurs, its intensity, and any associated activities or factors. This information can be helpful for your healthcare provider in diagnosing the issue.

Lastly, remember that sexual health is an important aspect of overall well-being, and seeking help is a positive step toward addressing your concerns. Don't hesitate to reach out for support, as many men experience similar issues, and there are effective treatments available.