
Why Am I Getting Pain At The Base Of The Penis And A Short Sharp Shooting Pain During Ejaculation?

Noticed over the last 2.5months I’ve had couple episodes of pain on the base of my penis when ejeculating. Sharp shooting pain lasting 2 seconds and then resolving with no other sensation. I’m 34 years, not sexually active. I’ve not experienced any other symptoms such as blood in my urine/semen pain on urinating , back/pelvic pain, increased frequency of urinating.
Need to consult qualified Urolgist
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted painful ejaculation that you have is mostly due to either infection of the prostate (Prostatitis) .
I shall be happy if you can post me more details to help me in making precise comments
1) Are you Diabetic?
2) Are you taking any drug especially anti Psychotic drug for depression ?
3) Are you married ?
4) How much is the frequency of sexual intercourse with your partner ?
5) Is there any stress factor in your life ?
The commonest cause of painful ejaculation in young adult is infection of prostate (Prostatitis)
Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
Further treatment will depend upon result of these tests and final diagnosis till then you can take antibiotic like Cefexime and anti inflammatory drug like Diclofenac twice daily
Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.


How serious is the condition?
1. I’m not diabetic
2. Not on any medication
3. I’m married and practice safe sex
4. Frequency of sex is twice a month, the pain was noticed at first through masterbation
5. I would not say there is excessive stress, but yes I have stress
Painful ejaculation could be due to congestion of prostate
Detailed Answer:
Hello
Thanks for follow up and feedback .
The painful ejaculation that you have is mostly due to congestion of prostate resulting from abstinence .
At young adult age It is advisable to discharge the prostate secretions either by sexual intercourse or masturbation at frequent intervals of at least thrice a week .
I would suggest you to ejaculate thrice a week .This would help to reduce dysorgasmia .
Thanks and Regards.
Dr.Patil.


Could this also be caused by dehydration?
I’ve been reading and chronic Prostatitis is not uncommon at my age? What is my Likley prognosis if it’s diagnosed at non bacterial chronic Prostatitis?
You are ulikley to have Chronic Prostatitis
Detailed Answer:
Hello
Thanks for follow up .
Since you do not have any of the symptoms like burning urination ,pain in lower abdomen ,perineal pain etc you are unlikely to have chronic non bacterial prostatitis .
Dehydration will also give rise to other urinary symptoms like burning ,urgency etc .
Thanks and Regards.
Dr,Patil.


What are the common causes for Prostatitis, taking into regard my symptoms? I’m also worried about prostate cancer.
And
Most likely treatment?
You do not have Cancer of the prostate
Detailed Answer:
Hello
Thank for follow up .
You neither have cancer of prostate nor chronic prostatitis .
Recurrent UTI ,unsafe sex are few of the commonest conditions that lead to prostatitis .
Thanks and Regards.
Dr.Patil.

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