the Painful Sensation During Ejaculation Control in Men

Bird problem

The reason you experience a cramping or aching sensation in your penis when you try to hold back ejaculation during masturbation is due to the contraction of the pelvic floor muscles and the muscles surrounding the urethra.
When you are close to ejaculation, these muscles contract to help expel semen.
If you consciously try to stop the process, these muscles may still contract, leading to discomfort or a cramping sensation.
This is a normal physiological response, but if the pain persists or is severe, it may be a good idea to consult a healthcare professional.

Xiao Liang, 10~19 year old female. Ask Date: 2005/07/08

Dr. Xu Weikai reply Urology

Hello, basically, erection and ejaculation are managed by two different sets of nerves.
When you want to ejaculate but hold back, you are using willpower to control it, which can interfere with nerve excitation.
This does not cause significant harm to the body.
The cramping sensation is a normal response.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology, addressing your concerns at Taitung Hospital under the Ministry of Health and Welfare.

Reply Date: 2005/07/08

More Info

Experiencing painful sensations during ejaculation can be a distressing issue for many men. This discomfort can manifest as a sharp or throbbing pain, often described as a cramping or pulling sensation in the genital area. Understanding the underlying causes of this pain and how to manage it is essential for maintaining sexual health and overall well-being.

Possible Causes of Pain During Ejaculation
1. Prostatitis: Inflammation of the prostate gland, known as prostatitis, can lead to painful ejaculation. This condition may be acute or chronic and can cause a range of symptoms, including pelvic pain, urinary issues, and discomfort during ejaculation. If prostatitis is suspected, a healthcare provider may recommend tests to confirm the diagnosis and suggest appropriate treatment options.

2. Pelvic Floor Tension: The pelvic floor muscles play a crucial role in sexual function. If these muscles are overly tense or in spasm, it can lead to discomfort during ejaculation. Techniques such as pelvic floor physical therapy can help relax these muscles and alleviate pain.

3. Nerve Sensitivity: Some men may experience heightened sensitivity in the genital area due to nerve irritation or inflammation. This can lead to painful sensations during ejaculation, especially if there is a history of trauma or injury to the pelvic region.

4. Infections: Sexually transmitted infections (STIs) or urinary tract infections (UTIs) can cause inflammation and pain during ejaculation. If there are accompanying symptoms such as unusual discharge, burning during urination, or fever, it is crucial to seek medical attention.

5. Psychological Factors: Anxiety and stress can also contribute to physical symptoms, including pain during ejaculation. Psychological factors can heighten sensitivity and lead to a cycle of discomfort and anxiety surrounding sexual activity.

Managing Pain During Ejaculation
1. Consult a Healthcare Provider: If you experience persistent pain during ejaculation, it is essential to consult a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly laboratory tests, to determine the underlying cause of your discomfort.

2. Pelvic Floor Exercises: Engaging in pelvic floor exercises, commonly known as Kegel exercises, can help strengthen and relax the pelvic muscles. This may alleviate tension and reduce pain during ejaculation.

3. Warm Baths and Heat Therapy: Applying heat to the pelvic area can help relax tense muscles and alleviate discomfort. Taking warm baths or using a heating pad may provide relief.

4. Avoiding Overstimulation: If you notice that certain activities or levels of arousal lead to pain, consider adjusting your approach to sexual activity. This may include taking breaks, changing positions, or practicing mindfulness techniques to reduce anxiety.

5. Medication: In some cases, medications may be prescribed to manage pain or inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce discomfort, but it is essential to discuss this with a healthcare provider.

6. Psychological Support: If anxiety or stress is contributing to your symptoms, consider seeking support from a mental health professional. Therapy can help address underlying issues and improve your overall sexual health.

Conclusion
Pain during ejaculation is a complex issue that can arise from various physical and psychological factors. Understanding the potential causes and seeking appropriate treatment is crucial for managing this discomfort. If you find that your symptoms persist or worsen, do not hesitate to reach out to a healthcare provider for further evaluation and support. Taking proactive steps to address this issue can lead to improved sexual health and a more satisfying intimate life.

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