Odynorgasmia, or painful ejaculation, also referred to as dysejaculation, dysorgasmia, and orgasmalgia,[1] is a physical syndrome described by pain or burning sensation of the urethra or perineum during or following ejaculation. Causes include: infections associated with urethritis, prostatitis, epididymitis; use of anti-depressants; cancer of the prostate or of other related structures; calculi or cysts obstructing related structures; trauma to the region.[1][2][3]
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Ejaculations that hurt can range in intensity from mild discomfort to unbearable agony. Everywhere in the pudendal territory, including the penis, scrotum, and perineal/perianal area, is susceptible to it.[1] Usually starting right before or during ejaculation, the pain usually lasts for two to twenty-four hours.[4][5] The person may have less sexual desire and self-worth as a result of this issue, which could lead to a lower quality of life.[6]
Ejaculation pain can be caused by a variety of medical conditions, but it can also be an idiopathic issue.[1] Early reports suggested that painful ejaculation may be associated with herniorrhaphy,[7][8][9][10] pelvic radiation,[11] prostate surgery,[12][13] benign prostatic hyperplasia,[14][15][16] prostate cancer,[17][18] inflammation of prostate,[19][20] antidepressants,[21][22] sexually transmitted diseases,[23][24] sexual neurasthenia, and calculi in the seminal vesicles.[1] Somehow in simple terms painful ejaculation may refer to the results of arousing often (Releasing sperms 3 times or more)
The cause of post-orgasmic pain determines the course of treatment. Antibiotics and non-steroidal anti-inflammatory medications are prescribed if infectious or inflammatory processes are thought to be the cause.[25] Transurethral seminal vesiculoscopy is the preferred method for treating pain associated with seminal vesicles.[26] Balloon dilatation or transurethral ejaculatory duct resection are two treatments for ejaculatory duct obstruction.[27] In one study, tamsulosin-treated patients' symptoms significantly improved after four weeks of treatment.[5] This is also helpful for painful ejaculation following radical prostatectomy.[5]
Richard Balon, R. Taylor Segraves, Handbook of sexual dysfunction, Informa Healthcare; 1 edition (April 14, 2005), pg 241
Barnas, Jennifer L.; Pierpaoli, Steven; Ladd, Patricia; Valenzuela, Rolando; Aviv, Nadid; Parker, Marilyn; Waters, W. Bedford; Flanigan, Robert C.; Mulhall, John P. (August 25, 2004). "The prevalence and nature of orgasmic dysfunction after radical prostatectomy". BJU International. 94 (4). Wiley: 603–605. doi:10.1111/j.1464-410x.2004.05009.x. ISSN 1464-4096. PMID 15329121. S2CID 37618215.
Barnas, Jennifer; Parker, Marilyn; Guhring, Patricia; Mulhall, John P. (2005). "The Utility of Tamsulosin in the Management of Orgasm-Associated Pain: A Pilot Analysis". European Urology. 47 (3). Elsevier BV: 361–365. doi:10.1016/j.eururo.2004.10.020. ISSN 0302-2838. PMID 15716202.
VALLANCIEN, GUY; EMBERTON, MARK; HARVING, NIELS; van MOORSELAAR, R. JEROEN A. (2003). "Sexual Dysfunction in 1,274 European Men Suffering from Lower Urinary Tract Symptoms". Journal of Urology. 169 (6). Ovid Technologies (Wolters Kluwer Health): 2257–2261. doi:10.1097/01.ju.0000067940.76090.73. ISSN 0022-5347. PMID 12771764.
Verhagen, T.; Loos, M. J. A.; Scheltinga, M. R. M.; Roumen, R. M. H. (August 11, 2015). "Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation". Hernia. 20 (1). Springer Science and Business Media LLC: 63–68. doi:10.1007/s10029-015-1410-5. ISSN 1265-4906. PMID 26260489. S2CID 31529831.
Merrick, Gregory S.; Wallner, Kent; Butler, Wayne M.; Lief, Jonathan H.; Sutlief, Steven (September 25, 2001). "Short-term sexual function after prostate brachytherapy". International Journal of Cancer. 96 (5). Wiley: 313–319. doi:10.1002/ijc.1028. ISSN 0020-7136. PMID 11582584.
Li, Man-Kay; Garcia, Lester; Patron, Nelson; Moh, Lei Chang; Sundram, Murali; Leungwattanakij, Somboon; Pripatnanont, Choosak; Cheng, Christopher; Chi-Wai, Man; Loi-Cheong, Ngai (November 13, 2007). "An Asian multinational prospective observational registry of patients with benign prostatic hyperplasia, with a focus on comorbidities, lower urinary tract symptoms and sexual function". BJU International. 101 (2). Wiley: 197–202. doi:10.1111/j.1464-410x.2007.07320.x. ISSN 1464-4096. PMID 18005205. S2CID 32972540.
Walz, Jochen; Perrotte, Paul; Gallina, Andrea; Bénard, Francois; Valiquette, Luc; McCormack, Michael; Montorsi, Francesco; Karakiewicz, Pierre I. (2007). "Ejaculatory Disorders May Affect Screening for Prostate Cancer". Journal of Urology. 178 (1). Ovid Technologies (Wolters Kluwer Health): 232–238. doi:10.1016/j.juro.2007.03.037. ISSN 0022-5347. PMID 17499807.
Kleinberg, Lawrence; Wallner, Kent; Roy, Jitendra; Zelefsky, Michael; Arterbery, V.Elayne; Fuks, Zvi; Harrison, Louis (1994). "Treatment-related symptoms during the first year following transperineal 125I prostate implantation". International Journal of Radiation Oncology*Biology*Physics. 28 (4). Elsevier BV: 985–990. doi:10.1016/0360-3016(94)90119-8. ISSN 0360-3016. PMID 8138452.
Wagenlehner, Florian M.E.; van Till, J.W. Olivier; Magri, Vittorio; Perletti, Gianpaolo; Houbiers, Jos G.A.; Weidner, Wolfgang; Nickel, J. Curtis (2013). "National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) Symptom Evaluation in Multinational Cohorts of Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome". European Urology. 63 (5). Elsevier BV: 953–959. doi:10.1016/j.eururo.2012.10.042. ISSN 0302-2838. PMID 23141933.
Kulik, F. A.; Wilbur, R. (1982). "Case report of painful ejaculation as a side effect of amoxapine". American Journal of Psychiatry. 139 (2). American Psychiatric Association Publishing: 234–235. doi:10.1176/ajp.139.2.234. ISSN 0002-953X. PMID 7055299.