There are several diseases and conditions that cause pain in the penis after sex. And there are no universal methods that would help get rid of discomfort, regardless of the cause. Therefore, before thinking about treatment, try to determine what is causing the pain.
Find out what caused the pain
We will list the possible options and tell you what you should prepare for and which doctor to contact for help.
Sexually transmitted diseases
If you have had unprotected sexual intercourse, the cause of discomfort Maybe become a sexually transmitted disease:
- Chlamydia causes pain and burning during urination, leakage of fluid from the penis.
- Gonorrhea may cause discharge from the penis and pain during urination.
- Syphilis causes ulcers to appear on the penis. If left untreated, they can turn into rough red and red-brown spots.
- Herpes looks like blisters on the genitals that burst and hurt.
- Trichomoniasis manifests itself as itching and irritation on the penis, redness, pain and discomfort during urination. A foul-smelling discharge may also appear.
If you notice something like this, make an appointment with a urologist as soon as possible. Depending on the specific disease, the doctor will prescribe antibiotics or antiviral drugs.
Balantitis and balantoposthitis
Balantitis is inflammation of the glans penis, and balantoposthitis is problems with both the glans and foreskin. These diseases can appear due to poor hygiene and infection. Men with diabetes and people with phimosis are at greater risk.
Symptoms include redness of the foreskin, rashes on the head of the penis, thick, foul-smelling discharge, pain in the penis.
Contact a urologist. If the cause of the disease is an infection, the doctor may prescribe local or systemic antibiotics, as well as antifungal drugs. In addition, you will need to maintain hygiene and avoid harsh detergents and spermicidal lubricants.
Phimosis
This is a condition in which the foreskin of the penis does not move away from the head. During erection or sex, it can become damaged, bleed and become inflamed.
Many babies and boys under 5 years of age have a foreskin doesn’t move down. This condition is called physiological phimosis – it is not dangerous and goes away in most people as they grow older.
In adult men Maybe pathological secondary phimosis occurs. For example, due to inflammatory diseases such as balantoposthitis or lichen sclerosis. Risk factors for secondary phimosis also include accumulation of smegma, diabetes, obesity and genetic factors predisposing to inflammatory processes. According to various studies, the prevalence of phimosis in adult men ranges from 0.5 to 13%.
In some cases, for example due to injury or infection, paraphimosis may occur – infringement the head of the penis with tight foreskin. In this condition, a man can not return the foreskin to its place, it pinches the head, after which pain and swelling of the penis occurs. If you notice this condition, consult your doctor immediately. Lack of blood flow can cause damage to the head, leading to gangrene and even amputation.
If you suffer from phimosis, consult a urologist. Treatment depends on what symptoms occur. If inflammation is present, your doctor Maybe prescribe antibiotics; if not, local agents to soften the foreskin. If there are scars on the foreskin, circumcision may be recommended – removal of the foreskin, and if phimosis occurs due to a short frenulum – frenuloplasty.
Penis curve
The penis may be curved from birth due to structural features. Sometimes this condition leads to painful erections and makes sex difficult.
Also penis Maybe become bent in adulthood due to diseases such as Peyronie’s disease – scarring of the membrane surrounding the cavernous bodies of the penis.
This can happen after an injury to the penis and subsequently cause discomfort during erection and sex.
If you suspect that the pain is related to penile curvature, consult a urologist for advice.
Allergy
Local allergy symptoms include itching, swelling and redness of the skin of the penis. This reaction Maybe occur on latex condoms, substances to increase sensitivity, spermicidelubricant ingredients and local anesthetics, nickel in penis rings and genital piercings, perfume and body spray.
If your genitals come into contact with any new products, stop using them and see what happens to your symptoms. If it doesn’t get better, consult a therapist or urologist.
Prostatitis
This is a disease in which inflamed prostate gland located between the penis and bladder.
Prostatitis can cause pain during ejaculation and painful sensations in the pelvis after sex. Symptoms of this disease also include frequent urge to urinate, pain while urinating, blood in the urine, and inability to pee. In acute prostatitis, the temperature may rise.
If you suspect this disease, consult a urologist. Acute prostatitis being treated antibiotics, and for chronic cases, the doctor may prescribe painkillers, antibiotics, and alpha-blockers.
Skin diseases
Pain, itching, redness and blistering can occur with the following skin diseases:
- lichen planus;
- lichen sclerosus;
- genital psoriasis.
For treatment you need to consult a dermatologist.
Excessive sensitivity
This is a condition in which the penis becomes too sensitive after orgasm and ejaculation. If you continue to have sex after this, intercourse may become painful.
In this case, it is better to discuss in advance with your lover that you will not be able to have sex again after orgasm. If this upsets your partner, you can give her pleasure without penetration. For example, order pizza.
Penis injury
When the penis is erect, a sudden movement Maybe damage the tunica albuginea, which surrounds the cavernous bodies of the penis. This is called a penile fracture.
Most often this happens in the doggy position, but it can happen in any other position when the penis comes completely out of the vagina and goes back in at the wrong angle. The penis can also be broken during masturbation or simply by unsuccessfully rolling on the bed during an erection.
During damage Maybe a distinct crunching sound can be heard. Some victims claim that the sound is like breaking glass.
Then the penis quickly loses its hardness, swelling and hematoma appear, and severe pain appears. Due to the swelling and color, the penis may look like an eggplant.
In order not to suffer from the consequences, you need to call an ambulance or go to the urologist yourself. If it is indeed a fracture, the doctor will prescribe surgery to restore the tunica albuginea. Carrying out surgery in the first 24 hours after injury significantly reduce risk of long-term problems such as erectile dysfunction and penis deformation.
Rupture of the frenulum of the penis
Bridle called an elastic strip of skin on the underside of the penis, between the foreskin and the shaft of the penis.
If the frenulum is quite stiff, it may tear during intercourse, especially if the partner does not have enough lubrication.
Typically, this condition does not require treatment. You just need to wait until the tear heals and not have sex until it heals, and then use lubricant to prevent the injury from happening again.
If you often injure the frenulum, you can contact a urologist for frenuloplasty – lengthening the frenulum. This surgery will reduce the risk of future injury.
Taking certain medications
Some antidepressants and muscle relaxants can cause pain during ejaculation. If you take these medications, talk to your doctor about whether they may cause pain and, if so, what alternatives can be used to replace them.
Priapism
This is a rather rare urological disease in which an erection lasts more than four hours and becomes very painful.
Conservative treatment includes taking painkillers, helping with ejaculation, strenuous exercise, and applying ice packs to force the smooth muscles to contract.
For treatment, you need to contact a urologist, and the sooner the better. Priapism can lead to erectile dysfunction, necrosis and gangrene of the penis.
How to alleviate the condition and what to do next
If the discomfort is not severe, you can relieve the condition using cold. Place the ice in a bag, wrap it in a towel, and then attach to the penis.
If you have severe pain, do not postpone your visit to the doctor. Also better sign up See a doctor if the erection does not go away, the pain lasts more than 4 hours and in addition to it there is redness, itching, swelling, bumps or wounds, or discharge.
If you suspect an STD, tell your lover about it. Both partners must undergo treatment.
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