Painful ejaculation
Introduction
Introduction Ejaculation pain refers to the burst of pain in the urethra, perineum, or lower abdomen that occurs during ejaculation. Ejaculation is the climax stage of the man in sexual life. The process is coordinated by the accessory organs, the perineal muscles and the penis body. Under normal circumstances, the action of ejaculation is accompanied by a pleasant feeling, and no pain occurs.
Cause
Cause
When a male orgasm comes and ejaculates, the muscles of the epididymis, vas deferens, seminal vesicles, and prostate are contracted under the ejaculation center of the lumbosacral spinal cord. The fluid in each organ is discharged to the posterior urethra, the bladder neck is closed, and the perineum is closed. Muscle ball corpus cavernosum and ischial corpus cavernosum muscles contract the semen out of the urethra.
Under normal circumstances, ejaculation is not only painless, but also makes people feel a sense of sexual pleasure, which is one of the pursuits that men pursue in sexual intercourse. If any of the above organs have an obstacle, it will cause ejaculation pain.
The causes of ejaculation pain are mainly two aspects: organic and functional:
1) Organic: The most common is inflammation of the spermatic tract, such as epididymitis, prostatitis, seminal vesiculitis, sputum inflammation, posterior urethritis, etc., muscle contraction during ejaculation causes pain. Respiratory urethral stones and urethral stricture can also cause pain.
2) Functionality: excessive frequency of sexual intercourse, excessive appetite for new marriage, especially after sexual intercourse during the day, soreness in the perineum or scrotum.
3) Inflammation of the reproductive organs: Male lower urinary tract infections are the most common cause of ejaculation pain. When suffering from cystitis, urethritis, prostatitis, and ejaculation, the muscles of these organs undergo rhythmic contraction, which is a mechanical stimulus to inflammatory lesions, causing severe pain. Some patients also have painful nocturnal emission.
Examine
an examination
Related inspection
After sexual intercourse, penile ultrasound examination, scrotal ultrasound examination, bacterial and protozoal ureter ultrasonography in prostatic fluid
If it is ejaculation pain caused by seminal vesiculitis, there may be blood scurvy. If caused by urethritis, urine can be found in pus cells. This is due to ejaculation pain caused by genital or urinary tract infections. Antibiotics can be used for anti-inflammatory treatment. If you can't find the above reasons, you should take X-ray film to exclude the possibility of urethral stones, penis or other reproductive organs. If you have a rectal examination due to prostatitis, you can touch the enlarged prostate, or take a prostate fluid test to confirm the diagnosis.
Diagnosis
Differential diagnosis
Differential diagnosis of ejaculation pain symptoms:
Sexual medical research has shown that ejaculation pain is mostly caused by changes in the organs of the reproductive organs. There are mainly the following aspects:
Urinary tract and sexually transmitted infections Men's lower urinary tract sensation is the most common cause of ejaculation pain, including cystitis. These infections can cause local tissue congestion and swelling, and the pain threshold is reduced. A series of rhythmic contractions during ejaculation is a mechanical stimulus to inflammatory lesions, often accompanied by severe pain in ejaculation. In addition, inflammation and epididymitis can also cause ejaculation pain, which is due to the pain caused by their own lesions, combined with secretions and discharge, which will increase the pain. Some patients develop painful nocturnal emission.
Malignant tumors Male genitourinary malignant tumors often cause ejaculation pain. Such as testicular, epididymis tumors, the pressure of sexual activity and the rotation and elevation of the testicles can cause pain, but the pain is more moderate, more pain or soreness. Although there are not many opportunities for tumors in the seminal vesicles and vas deferens, the progression of the lesions is mostly occult, and such pain should be an alarm signal that attracts attention.
Urinary calculi Male urinary calculi are common diseases, and bladder stones in the lower urinary tract and ureteral stones can cause ejaculation pain. This is because the stone is a hard foreign body, and the local soft tissue shrinks and squirms during ejaculation, and the stone is squeezed to cause pain. Severe urinary tract stones can be secondary to infection, making the pain more severe.
In addition, male genitourinary tuberculosis, urethral polyps, penile sclerosis and other diseases can also cause ejaculation pain; sexual intercourse is too violent, sexual life is too frequent and the gonads work too much, it can also cause pain.
Sexual medicine believes that if normal life is normal and sudden ejaculation pain occurs, it may be a signal of the above-mentioned diseases. It is necessary to go to the hospital as soon as possible for treatment. During the illness, in principle, restraint should be exercised on sexual life to reduce the locality. Stimulation of diseased tissue; for the ejaculation pain with clear cause, the primary disease should be properly treated. From an anatomical point of view, if there is no problem with the ejaculatory duct or the urethra, there is no feeling of ejaculation pain. If it is in a narrow place, because the urethra has three narrow points, one is at the exit of the prostate, and the other is at the glans. If there is a trauma, causing a nodule of the penis, it will oppress the ejaculatory duct, and it will also cause painful stimulation when the sperm is discharged. It is not directly related to the amount of sperm. In fact, if the ejaculation pain is on the glans, it is a local problem. If it is a reflective pain, it is nothing more than a few organs, one is the prostate, one It is the seminal vesicle, one is the testis and the other is the epididymis.
After the accumulation threshold of human beings accumulates to a certain time, there is a kind of ejaculation reaction, which causes blood vessels, which causes smooth muscles and high sputum. Like this state, the pressure of the prostate is particularly large, and the pressure of the seminal vesicles is particularly large. And the testicle's cremaster muscle is also in a state of tension. When the seminal vesicles ejaculate, the pressure at that time may be more than 13 o'clock, and the pressure is particularly large. In this case, if there is inflammation in itself, it will definitely cause pain. It may even cause phobias of sexual life.
In addition, the disease of urinary tract infection, because of the lack of treatment time, delays the opportunity of treatment, resulting in chronic urinary tract or ejaculatory tube scars, the formation of chronic inflammation, when this happens, during ejaculation It can also cause pain.
Women have vaginitis or cervical erosion, whether the external genitalia has inflammation, if there is inflammation, it will also cause male cross infection, which may cause balanitis, or dermatitis. Chronic inflammation of the glans, mild redness, hyperemia of epithelial cells, phobia of lesbians is 5.2, is acidic, this acidity will also cause pain in the glans during ejaculation.
