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Pain and sexual intercourse are two things that should not go hand-in-hand but a number of potentially dangerous conditions could present with this cascade of symptoms. If you have pain after ejaculation, find out what could be a cause of your discomfort.

Sexual intercourse is a time where endorphin levels are at some of the highest during our lives, and ejaculation is a manifestation of this high [1]. Unfortunately, even during times of immense pleasure, patients may notice the excruciating pain, which can be quite alarming and can make a patient more hesitant to engage in sexual activity in the future. Here, we will explore 10 causes of pain after ejaculation

Chronic Prostatitis 

One of the potential causes of pain after ejaculation that you need to be aware of if you are over the age of 50 is the possibility of having chronic prostatitis. Bacterial infections can lead to inflammation of the prostate and it could be a cause of pain after ejaculation that you need to watch out for. Men should routinely go for prostate examinations in order to make sure they are not at risk for signs of benign prostatitis hypertrophy (BPH). [1]


Another possible reason that someone could notice pain after ejaculation could be after some type of medical procedure. Radical prostatectomies are one of these types of operations where the prostate will be removed when it is suspected that a patient has prostate cancer. This type of surgery can lead to erectile dysfunction in some cases but also 14 percent of patients having radical prostatectomies report pain following ejaculation. When looking at the subset of patients who reported pain symptoms during ejaculation, 33 percent reported to have ejaculation pain every time, 35 percent occasionally and only 19 percent reported rare events of pain. As you can see, operations are a potential cause of pain after ejaculation. [2]

Peyronie's Disease 

Organic causes of pain after ejaculation could be from diseases like Peyronie's Disease. This is a disease without a known mechanism of pathology but patients often report palpable plaques that are often painful on the surface of the penis. These plaques can not only lead to erectile dysfunction, but patients will also routinely report severe pain during and after sexual intercourse. The only way this condition can be managed is by surgically removing the plaques. [3]

Sexually Transmitted Disease 

Numerous sexually transmitted diseases (STDs) are capable of producing plaques, ulcers or sores that can greatly influence the quality of your sex life. Prevalence rates of STDs are becoming more common so patients need to be aware of safe sex practices to reduce their risk. Some of the more common types of STDs include syphilis, gonorrhea, chlamydia, and trichomoniasis. This is a highly likely cause of pain after ejaculation if you are a young male who is currently sexually active. [4]

Interstitial Cystitis 

Interstitial cystitis, or bladder pain syndrome, is another one of the potential causes of pain after ejaculation. This is a condition similar to chronic prostatitis can involve chronic inflammation of the bladder due to some type of bacteria. The etiology and bacteria causing the sicknesses are both hard to define so treatment options can be quite frustrating for patients with this condition. You are at risk if you are an older male with a history of diabetes. [5]

Anxiety Disorders 

Numerous anxiety disorders have been linked with sexual dysfunction and even pain after ejaculation. Some of the population suffer from genito-pelvic pain or penetration disorders that can manifest during times of sexual arousal. In some cases, the patient will have pain during penetration or if muscles tense up during sex, there could be substantial pain during ejaculations. The best way to manage these types of conditions would be through behavioral therapy and to use anti-anxiety medications in order to help a patient relax during sexual intercourse. [6]

Mechanical Injuries 

Soft tissue damage is another possible vector of having pain after ejaculation. Patients who partake in vigorous sexual activity or who masturbate at a high frequency are at risk for damaging the soft tissue surrounding the shaft of the penis which can make further sexual intercourse quite painful. The use of lubricants and decreasing the frequency of sexual activity to allow these fragile tissue a chance to heal are recommendations to alleviate this type of pain. [7]


Cancers are another of the many causes of pain after ejaculation. Testicular, ovarian and uterine cancers can lead to surges of sex hormones like testosterone and estrogen which can manifest as dull pain during and after sex. Patients who are in a high-risk category must routinely check to make sure they are controlled to catch tumors before they become too aggressive. These tumors are found to worsen when sex hormones become elevated so make sure you seek medical attention as soon as possible. [8]

Uterine Fibroids 

Like sex organ tumors dependent on hormones, uterine fibroids are a potential reason for pain after ejaculation in the female population. Fibroids are benign growths of uterine muscle that grow naturally as a woman ages. They are dependent on estrogen and are generally asymptomatic. At times, they can manifest as bleeding or severe pain and can worsen so patients suffering from this type of pain during intercourse should go their gynecologists to discuss options. Women in their 40s are more likely to have fibroids. [9]


The last topic worth discussing that could be likely is the presence of endometriosis. This is the condition where estrogen-dependent tissue that normally grows in the uterus is located in other areas around the body. Tissue is typically found in the intestines, around the kidneys and even the lungs. Patients will notice pain during periods or sexual intercourse, and they need to take over the counter medications to reduce the symptoms of this disease. [10]

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