What Are the Causes of Painful Ejaculation?

The prostate gland aids in the production of semen, the fluid that carries sperm. When a male ejaculates, his muscles suddenly contract and send semen from the testicles to the urethra, where it is eliminated from the body through the opening of the penis. Any condition that causes inflammation or an infection of the structures that contribute to ejaculation or surrounding structures may result in painful ejaculation.

Is This an Emergency?

If you are experiencing serious medical symptoms, seek emergency treatment immediately.


Orchitis is the inflammation of one or both of the testicles. The condition usually occurs as a result of inflammation of the epididymitis, a tube that connects the testicles to another structure called the vas deferens. E pididymitis also commonly occurs as a result of a bacterial or viral infection. Symptoms of orchitis include blood in the semen, abnormal discharge, fever, pain in the groin, swelling of the scrotum, testicle pain, pain during intercourse and pain during ejaculation, according to MedlinePlus 2. Treatment for orchitis consists of a combination of antibiotics, anti-inflammatory medications, pain medications and bed rest. MedlinePlus notes that if the infection is caused by a virus or bacteria associated with a sexually transmitted disease, all sexual partners should be treated as well 2.


Prostatitis is a disease of the prostate gland, characterized by pain and various urinary symptoms. There are different types of prostatitis--bacterial, chronic and asymptomatic. Bacterial prostatitis occurs as a result of bacteria that travel into the prostate from the urethra. Chronic prostatitis and asymptomatic prostatitis have no known cause, according to MayoClinic.com 3. In general, symptoms of prostatitis include pain during urination, frequent urination, difficulty urinating, pain the abdomen and penis and painful ejaculations. Bacterial prostatitis can usually be effectively treated with oral antibiotics. In severe cases, intravenous antibiotics may be necessary. Chronic prostatitis is difficult to treat, since the cause is unknown. MayoClinic.com notes that treatment usually consists of a variety of medications and prostatic massage 3.

Prostate Cancer

According to the Centers for Disease Control and Prevention, prostate cancer is the most common cancer among men of all races and ethnicities 4. Symptoms of prostate cancer differ between individuals, but generally include difficulty urinating, interrupted urine flow, difficulty emptying the bladder, pain during urination, blood in the urine and semen, pain in the back and pelvis and painful ejaculation. Treatment options are available for prostate cancer, and it is up to the individual to decide which treatment option to undergo. Available treatments include removal of the prostate, radiation therapy and hormone therapy.