A wide range of conditions can cause
painful ejaculation. In most men, pain during ejaculation is due to a medical condition. Occasionally, doctors cannot determine the medical cause. In this case, some men may need psychotherapeutic support to manage their condition.
Most of the medical literature on painful ejaculation focuses on prostate problems. Prostatitis is a common cause.
Men with prostatitis experience swelling and inflammation of the prostate. This swelling is usually due to a prostate infection. Prostatitis can also be caused by other problems, such as nerve damage or a urinary tract infection (UTI) that damages the prostate.
Men with diabetes are more likely to experience nerve damage that causes prostatitis.
A condition called benign prostatic hyperplasia (BPH), which causes an enlarged prostate, can also affect ejaculation. Men with BPH may also experience pain, difficulty urinating, or frequent urges to urinate.
Other prostate problems, such as prostate surgery and prostate cancer, can also cause painful ejaculation.
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