Overview of Painful ejaculation
Painful ejaculation, also known as dysorgasmia or orgasmalgia, can range from mild discomfort to severe pain during or after ejaculation. The pain can involve the penis, scrotum, and perineal or perianal area.
Home Remedies for Painful ejaculation :
Ayurvedic herbal medicine
Ayurveda is India?s traditional healing system. It relies on thousands of herbs to treat everything from diabetes to inflammation. Certain Ayurvedic medicines, such as kaunch beej, kamini vidrawan ras, and yauvanamrit vati, are thought to treat premature ejaculation when taken in capsule form twice daily with lukewarm water. Ayurvedic medicine has also been used to treat erectile dysfunction.
Avoid sex for a period of time
This may seem counterintuitive, but focusing on other types of sexual activity instead of intercourse may help take the pressure off from your sexual encounters. Penetration isn?t the only way to reach sexual satisfaction, so think about other ways you and your partner can feel pleasure that won?t cause either of you distress or frustration.
Masturbating an hour or two before you have sexual activity may help delay ejaculation during penetration. This sexual release should reduce your need to climax quickly.
Pelvic floor exercises
Strengthening your pelvic floor muscles can have a big impact on how long it takes you to climax. A 2014 Therapeutic Advances in Urology study Trusted Source found that pelvic floor exercises can help men dealing with lifelong premature ejaculation control their ejaculatory reflex, increasing the time it takes for them to climax.
The pause-squeeze technique may help treat premature ejaculation by letting arousal dwindle before climax. When you feel you?re ready to ejaculate, stop and have your partner squeeze the end of your penis where the head joins the shaft. Have them hold the squeeze for several seconds until you no longer want to climax. Repeat this process as much as necessary. Eventually, you may be able to delay ejaculation without help.
When to see doctor for Painful ejaculation :
Though painful ejaculation itself is not dangerous, some of the conditions that cause it are. Lower quality of life should also be taken seriously and warrants medical treatment.
Men who experience painful ejaculation should see a doctor who specializes in genitourinary health or ejaculation dysfunction.
Early treatment can prevent underlying conditions from getting worse. In many cases, the cause is both easily treated and completely reversible.
Treatment for the Painful ejaculation
Treatment for painful ejaculation depends on the cause.
An examination should begin with a complete medical history that includes questions about a man?s mental health "What is mental health?") and relationships. The doctor will ask about medications used currently and in the past, as well as any current or previous history of STIs. Comprehensive testing for STIs can also be helpful.
A pelvic exam, including a prostate exam, can assess for prostatitis, BPH, and injuries. The doctor may also perform blood work to test for prostate-specific antigen (PSA). This substance tends to rise in men with certain prostate conditions, including prostate cancer.
In most cases, treating the underlying cause also fixes symptoms of painful ejaculation. Some treatment options may include:
- antibiotics to treat a prostate infection or STI
- switching medications if the culprit is a drug
- surgery to treat prostate cancer and other prostate problems
- psychotherapy and lifestyle changes to address relationship and emotional problems
Nerve damage may be irreversible, but a doctor will probably still want to treat the underlying cause. Doing so can prevent nerve damage from getting worse.
When treatment fails, or a doctor cannot figure out the cause, a man can try some alternative strategies that may reduce the pain. Some options include:
- sex therapy
- pelvic floor exercises to strengthen the muscles involved in ejaculation
- pain medication
- muscle-relaxant medications
- anticonvulsant medications