Andrology

Common causes of testicular pain?

  • Diabetic neuropathy (nerve damage caused by diabetes)
  • Epididymitis (testicle inflammation)
  • Hydrocele (fluid buildup that causes swelling of the scrotum)
  • Idiopathic testicular pain (unknown cause)
  • Inguinal hernia
  • Kidney stones
  • Mumps
  • Orchitis (inflamed testicle)
  • Prostatitis (infection or inflammation of the prostate)
  • Scrotal masses
  • Spermatocele (fluid buildup in the testicle)
  • Testicle injury or hard hit to the testicles
  • Testicular torsion (twisted testicle)
  • Urinary tract infection (UTI)
  • Varicocele (enlarged veins in the scrotum)

What is painful Ejaculation?

Painful ejaculation, (other name- 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.

Painful ejaculation can have a serious impact on your sex life.

What causes painful ejaculation?

The following are common causes for painful ejaculation:

1. Prostatitis

It is the term for inflammation or infection of the prostate gland. It’s the most common urologic problem in men under 50 years old.

It can cause painful or frequent urination, so it’s easy to mistake for a urinary tract infection. Other symptoms include lower abdominal pain and difficulty getting an erection.

2. Surgery (ExamplePost TURP, Post Hernia Surgery)

3. Cysts or stones

It’s possible to develop cysts or stones in the ejaculatory duct. They can block ejaculate, causing infertility and painful ejaculation.

4. Antidepressant drugs

Antidepressant drugs can cause sexual dysfunction, including painful ejaculation. The types that are most likely to cause sexual side effects are:

• ( SSRI-selective serotonin reuptake inhibitors)

• ( SNRI-serotonin and norepinephrine reuptake inhibitors

• ( TCS- tricyclics and tetracyclics)

• ( MOA- monoamine oxidase inhibitors)

5. Pudendal neuropathy

In this condition there’s some damage to a nerve in the pelvis. That can lead to genital and rectal pain. Some things that can affect the pudendal nerve are injury, diabetes, and multiple sclerosis (MS).

6. Prostate cancer

Though often asymptomatic, prostate cancer can cause painful ejaculation.

7. Trichomoniasis( type of STD)

8. Radiation therapy

Radiation therapy to the pelvis can result in erectile dysfunction, including pain on ejaculation. These side effects are usually temporary.

9. Psychological issues