Penis Pain during Sex â 5 Possible Causes
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- Urethritis: Urethritis is a painful condition that affects the urethra (the little tube that passes urine and semen from the body). When an infection takes place in the urethra, usually from the presence of bacteria, it becomes inflamed and irritated, creating a painful, burning sensation upon urination or ejaculation. Urethritis is easily diagnosed by a doctor and is generally treated with antibiotics.
- Prostatitis: Prostatitis is characterized by inflammation and swelling of the prostate gland and is caused by infection. Prostatitis may also occur when a man is exposed to a partner’s bacterial infection, or when small stones form within the prostate itself. Other causes include: poor hygiene, surgery, or swimming in polluted water. Patients may experience pain while urinating, pain in the penis, testicular pain, lower abdomen or back pain, and perineum pain. Prostatitis may also cause blood in the urine or semen and may cause painful and premature ejaculation.
- Orchitis: Orchitis occurs when a bacterial or viral infection causes inflammation and swelling of one or both testicles. The most common cause is exposure to the mumps virus, though bacterial infections, urinary tract infections and sexually transmitted infections such as gonorrhea and chlamydia can also be to blame. Men who engage in high-risk or unprotected sex are at higher risk. Along with painful ejaculation, common symptoms include tenderness and swelling of the scrotum, painful urination, blood in the semen, penis discharge, enlarged prostate, swollen lymph nodes and fever. Bacterial orchitis can be treated with antibiotics, while viral orchitis needs to run its course and cannot be medically treated.
- Epididymitis: Epididymitis is a condition in which the epididymis, or tube at the back of the testicles which stores and transports sperm, becomes inflamed. This inflammation is caused by bacteria or sexually transmitted infections, most commonly gonorrhea and chlamydia. It can also originate from urinary tract or prostate infections. Men who have unprotected sex, are uncircumcised, have structural issues in the urinary tract, or have an enlarged bladder are at higher risk for the condition. In addition to painful ejaculation, symptoms include tenderness and swelling of the area, discharge, low-grade fever, chills, enlarged lymph nodes, and blood in the semen. Treatments include antibiotics, elevating the scrotum, and -- in severe cases -- surgery to remove all or part of the epididymis.
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