Painful Erections: Causes and When to Seek Help - Urology

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Understanding painful erections, also known as penile pain during erection, can be concerning for both the individual experiencing it and their partner. In your boyfriend's case, the pain occurring only during erections and subsiding afterward suggests that it may be related to the mechanics of the erection itself rather than a systemic issue. However, it is essential to consider several potential causes and when to seek medical help.


Possible Causes of Painful Erections
1. Trauma or Injury: If your boyfriend experienced any trauma during sexual activity, such as bending or striking the penis, it could lead to pain. The tunica albuginea, a fibrous sheath surrounding the erectile tissue, can be injured, leading to conditions like penile fracture, which is a medical emergency.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, causing curved, painful erections. It can develop after trauma or occur without any identifiable cause.

3. Infection or Inflammation: Conditions such as sexually transmitted infections (STIs) or prostatitis (inflammation of the prostate) can cause pain during erections. Symptoms may include swelling, redness, or discharge.

4. Nerve Issues: Sometimes, nerve damage or irritation can lead to pain during erections. This could be due to previous injuries, surgeries, or underlying health conditions.

5. Psychological Factors: Anxiety or stress related to sexual performance can also manifest as physical pain. If your boyfriend is anxious about the pain, it could exacerbate the issue.


When to Seek Medical Help
It is crucial to encourage your boyfriend to seek medical attention if:
- The pain persists for more than a few days.

- He experiences swelling, bruising, or any visible deformity of the penis.

- There are accompanying symptoms such as fever, discharge, or painful urination.

- The pain worsens or changes in nature.

- He has difficulty achieving or maintaining an erection.


What to Expect at the Doctor's Office
If he decides to see a healthcare provider, the doctor will likely perform a physical examination and may ask about his sexual history, any recent injuries, and other symptoms. Depending on the findings, the doctor may recommend:
- Imaging Tests: Ultrasound or other imaging techniques to assess blood flow and identify any structural issues.

- Blood Tests: To check for infections or hormonal imbalances.

- Referral to a Specialist: If necessary, he may be referred to a urologist for further evaluation.


Treatment Options
Treatment will depend on the underlying cause. Options may include:
- Medication: Antibiotics for infections, anti-inflammatory drugs, or medications to improve blood flow.

- Physical Therapy: In cases of Peyronie's disease, certain therapies may help.

- Surgery: If there is significant injury or structural issues, surgical intervention may be required.


Conclusion
While it is understandable that your boyfriend may feel apprehensive about seeking medical help, it is essential to address any persistent pain to prevent potential complications. Encourage him to consult a healthcare professional, as early intervention can lead to better outcomes. You can offer to accompany him to the appointment for support, which may help alleviate some of his anxiety about the situation. Remember, prioritizing health and well-being is crucial, and addressing these concerns openly can strengthen your relationship.