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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Penile Pain During Ejaculation?

I have been having trouble urinating and when I ejaculate there is pain . And very little sperms comes out. I feel like I need to sit down when I pee . I feel pain from unset me testicular ask the way up the vein part to the end. I have had all test done. Blood and urinary test. All turn out perfect . I am 45 years old very healthy. But this has been very stressful . Been going on fit almost 3 years. I had a doctor use a scope down through my penis area . All was fine he said . But I m not at all. Please help. Larry r whorrall
Fri, 26 Oct 2018
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General & Family Physician 's  Response
Hello,

Painful ejaculation can be a scary experience but it is a relatively common symptom.

It is also highly treatable and can be the first symptom of another problem, such as swelling in the prostate.

A wide range of conditions can cause painful ejaculation. In most men, pain during ejaculation is due to a medical condition.

A condition called benign prostatic hyperplasia, which causes the prostate to enlarge may also affect ejaculation.

Men with BPH may also experience painful or difficult urination or frequent urges to urinate.

Male doctor speaking to the male patient. An examination may include questions about medications, relationships, and mental health.

Treatment for painful ejaculation depends on the cause. In most cases, treating the underlying cause also fixes symptoms of painful ejaculation. Some treatment options may include:

1. Antibiotics to treat a prostate infection

2. Switching medications if the culprit is a drug

3. Surgery to treat prostate cancer and other prostate problems

4. Psychotherapy and lifestyle changes to address relationship and emotional problems.

When treatment fails, some other strategies may be tried such as pelvic floor exercises to strengthen the muscles involved in ejaculation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Prabhash Verma, General & Family Physician
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What Causes Severe Penile Pain During Ejaculation?

Hello, Painful ejaculation can be a scary experience but it is a relatively common symptom. It is also highly treatable and can be the first symptom of another problem, such as swelling in the prostate. A wide range of conditions can cause painful ejaculation. In most men, pain during ejaculation is due to a medical condition. A condition called benign prostatic hyperplasia, which causes the prostate to enlarge may also affect ejaculation. Men with BPH may also experience painful or difficult urination or frequent urges to urinate. Male doctor speaking to the male patient. An examination may include questions about medications, relationships, and mental health. Treatment for painful ejaculation depends on the cause. In most cases, treating the underlying cause also fixes symptoms of painful ejaculation. Some treatment options may include: 1. Antibiotics to treat a prostate infection 2. Switching medications if the culprit is a drug 3. Surgery to treat prostate cancer and other prostate problems 4. Psychotherapy and lifestyle changes to address relationship and emotional problems. When treatment fails, some other strategies may be tried such as pelvic floor exercises to strengthen the muscles involved in ejaculation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Prabhash Verma, General & Family Physician