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Odynorgasmia

Pain during or following ejaculation


Summary

Pain during or following ejaculation

FieldValue
synonymsPainful ejaculation, dysejaculation, dysorgasmia, and orgasmalgia.
specialtyUrology

Odynorgasmia, or painful ejaculation, also referred to as dysejaculation, dysorgasmia, and orgasmalgia, 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.

Signs and symptoms

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. Usually starting right before or during ejaculation, the pain usually lasts for two to twenty-four hours. 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.

Causes

Ejaculation pain can be caused by a variety of medical conditions, but it can also be an idiopathic issue. Early reports suggested that painful ejaculation may be associated with herniorrhaphy, pelvic radiation, prostate surgery, benign prostatic hyperplasia, prostate cancer, inflammation of prostate, antidepressants, sexually transmitted diseases, sexual neurasthenia, and calculi in the seminal vesicles.

Treatment

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. Transurethral seminal vesiculoscopy is the preferred method for treating pain associated with seminal vesicles. Balloon dilatation or transurethral ejaculatory duct resection are two treatments for ejaculatory duct obstruction. In one study, tamsulosin-treated patients' symptoms significantly improved after four weeks of treatment. This is also helpful for painful ejaculation following radical prostatectomy.

References

References

  1. "Retrograde ejaculation, painful ejaculation and hematospermia". Translational Andrology and Urology.
  2. Richard Balon, R. Taylor Segraves, ''Handbook of sexual dysfunction'', Informa Healthcare; 1 edition (April 14, 2005), pg 241
  3. (April 2001). "Odynorgasmia". Scandinavian Journal of Urology and Nephrology.
  4. (August 25, 2004). "The prevalence and nature of orgasmic dysfunction after radical prostatectomy". Wiley.
  5. (2005). "The Utility of Tamsulosin in the Management of Orgasm-Associated Pain: A Pilot Analysis". Elsevier BV.
  6. (2003). "Sexual Dysfunction in 1,274 European Men Suffering from Lower Urinary Tract Symptoms". Ovid Technologies (Wolters Kluwer Health).
  7. (1998). "Painful ejaculation after inguinal hernia repair". SAGE Publications.
  8. (August 1, 2007). "Ejaculatory Pain". Ovid Technologies (Wolters Kluwer Health).
  9. (2006). "Pain related sexual dysfunction after inguinal herniorrhaphy". Ovid Technologies (Wolters Kluwer Health).
  10. (August 11, 2015). "Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation". Springer Science and Business Media LLC.
  11. (September 25, 2001). "Short-term sexual function after prostate brachytherapy". Wiley.
  12. (2012). "The Evolution of Orgasmic Pain (Dysorgasmia) Following Radical Prostatectomy". Oxford University Press (OUP).
  13. (1996). "Orgasm after radical prostatectomy". Wiley.
  14. (February 10, 2005). "Benign prostatic hyperplasia (BPH) and prostatitis: prevalence of painful ejaculation in men with clinical BPH". Wiley.
  15. (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". Wiley.
  16. (September 3, 2009). "Ejaculatory dysfunction in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia". Wiley.
  17. (2007). "Ejaculatory Disorders May Affect Screening for Prostate Cancer". Ovid Technologies (Wolters Kluwer Health).
  18. (1994). "Treatment-related symptoms during the first year following transperineal 125I prostate implantation". Elsevier BV.
  19. (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". Elsevier BV.
  20. (April 12, 2013). "Sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome". Springer Science and Business Media LLC.
  21. Michael, A.. (2000). "Venlafaxine-induced painful ejaculation". Royal College of Psychiatrists.
  22. (1982). "Case report of painful ejaculation as a side effect of amoxapine". American Psychiatric Association Publishing.
  23. Grosse, A. B.. (1911). "Remarks on Impotentia Cocundi and Sexual Neurasthenia and Their Treatment". BMJ Publishing Group.
  24. Edwards, A.. (December 11, 1909). "Chronic Disease of the Colliculus Seminalis". BMJ.
  25. (October 30, 2020). "Painful Ejaculation — An Ignored Symptom". Cureus, Inc..
  26. (December 20, 2004). "Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms". Wiley.
  27. (2019). "Etiology, Diagnosis, and Management of Seminal Vesicle Stones". Ovid Technologies (Wolters Kluwer Health).
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