Male pain during sexual intercourse or. Pain during sex are not only extremely uncomfortable, they can severely impair the sexual act or even make it impossible. The pain can be localized in very different ways, for example on the penis, in the region between the anus and scrotum (perineum), on the scrotum (scrotum) or above the pubic bone (os pubis). The reasons can be harmless, but sometimes an underlying disease that requires treatment is also responsible as the cause of pain in men during sexual intercourse.
What is pain during sex (man)?
The man's pain during intercourse or pain during sex either occurs before the actual act or it occurs during it and is sometimes exacerbated as a result. They can either make an erection impossible or prevent an orgasm.
The form of pain in men during sexual intercourse ranges from burning to stinging to dull pulling pains, which can suddenly appear very strong and slowly become stronger or develop over a longer period of time and then become chronic. Reasons for a man's pain during sexual intercourse can be harmless in nature and are then easily treatable.
However, there are more complicated causes of the pain as well. If symptoms occur frequently or persist, an experienced urologist should be consulted, who will clarify the causes and, if necessary, initiate the necessary therapy for the pain in men during sexual intercourse.
causes
A common cause of pain in men during sexual intercourse is narrowing of the foreskin of the penis (phimosis). As a rule, such a narrowing of the foreskin should be remedied by a urologist in childhood. If this does not happen and if it persists until adulthood, the man will experience pain during sex, usually already during the erection, which ultimately makes the sexual act impossible.
And not only that. It also means a hygienic problem, because if the foreskin cannot be pushed back over the glans, thorough penis hygiene cannot take place and this in turn leads to other health impairments, including those of the sexual partner.
In addition to phimosis, injuries to the penis can also cause pain in men during sexual intercourse. Improper manipulation during sexual intercourse, for example, can tear the sensitive foreskin ligament (frenulum praeputii) and lead to bleeding and pain. In the case of induratio penis plastica, a disease of the penis, an erection causes pain and / or an unnatural strong bending of the penis.
Very severe acute pain in men during sexual intercourse is caused by the tearing of a erectile tissue, the so-called penile fracture. Inflammation of the glans penis (balanitis) and foreskin (posthitis), urethra (urethritis), prostate (prostatitis), urinary bladder (cystitis) or large intestine (diverticulitis) lead to pain in men during sexual intercourse.
Diseases of the prostate, such as prostate cancer, cause pain in men during sexual intercourse, especially in the advanced stage, either before and especially when the sexual act is performed. Naturally venereal diseases such as gonorrhea, syphilis, soft chancre (ulcus molle), chlamydial infections, genital herpes, trichomoniasis or fungal diseases also lead to pain in men during sexual intercourse.
There are also cases where the male mucous membrane environment of the sexual organs does not "get along" with the female one, which means that allergic reactions can occur. The trigger are often certain hygiene products or spermicides (sperm-killing agents) that have been used, which then lead to intolerance and thus pain for the man during sexual intercourse.
Diseases with this symptom
- Foreskin constriction
- Penile fracture
- Ulcus molle
- Chlamydia
- Glans inflammation
- Urethritis
- Prostate inflammation
- Genital herpes
- Prostate cancer
- gonorrhea
- syphilis
- Trichomoniasis
Diagnosis & course
If the man experiences pain during sexual intercourse, an experienced urologist should be consulted, who will first conduct a detailed questionnaire on the course of the symptoms. These include questions about the type of pain the man experiences during sexual intercourse, when it occurs, and any accompanying symptoms (for example, painful urination).
This is followed by a thorough physical examination of the external genital organs and the adjacent body areas. The rectal palpation examination by the doctor is uncomfortable but necessary. Furthermore, the blood and urine are examined for any abnormalities as well as pathogens and a smear is taken to check for any pathogens.
Specific examinations of the genital organs and urinary tract using ultrasound and / or computed tomography of the pelvis complete the medical examination result. The further course of the man's pain during sexual intercourse is determined by the subsequent therapy.
Complications
Pain during sexual intercourse in a man can have various causes, which can result in many complications. A narrowing of the foreskin (phimosis) increases the risk of the penis becoming inflamed, which can also be chronic. These can also increase the risk of cancer. In addition, the phimosis makes it difficult to urinate.
This leaves more urine behind, which can lead to urinary tract infections. In the worst cases, the foreskin can no longer be pulled over the glans, the blood supply to the penis is severely restricted and the tissue can die as a result, resulting in necrosis. In addition, the urethritis (urethritis) can spread to the bladder and the kidneys. In the worst case, the inflammation in the bladder can also pass into the blood.
Urosepsis is the result, which must be treated medically immediately. In most cases this ends fatally. In the kidney, the inflammation can progress to kidney weakness (renal insufficiency) or even failure. Similar consequences arise with inflammation of the prostate (prostatitis).
An acute inflammation can easily turn into a chronic one. As a result, those affected often have to take long-term medication. In addition, the quality of life is severely restricted, and those affected usually also have psychological problems that can go as far as depression.
When should you go to the doctor?
People should see a doctor about painful intercourse if the pain recurs. In the case of recurring pain, this cannot be explained by a single muscular tension, feeling of dryness or the like. On the other hand, the doctor should be consulted if the pain increases in intensity. Pain that gets worse always indicates a process that is intensifying. In the case of genital pain, this should be clarified promptly by the specialist in order to be able to quickly rule out serious causes.
Pain during sexual intercourse should also be discussed with a doctor if this type of pain appears completely unfamiliar to the person concerned and he cannot classify it. After all, a visit to the doctor is always indicated if the pain during sex becomes an emotional burden. Pain during intercourse is a sensitive topic and not every man can talk about it openly with his partner. In this case, a specialist is a good point of contact to classify the complaints and have them clarified.
Doctors & therapists in your area
Treatment & Therapy
The therapy for pain in men during sexual intercourse is always based on the causes of the disorder in question. It is therefore determined individually and therefore differs from man to man.
In any case, embarrassing genital hygiene for both the man and the sexual partner is important. Hygiene products must be checked for compatibility and replaced with other more suitable ones if necessary. Any spermicides used by the sexual partner are to be replaced by other contraceptives in the event of intolerance and the resulting pain in the man during sexual intercourse.
In the case of existing bacterial infections, the doctor will first recommend disinfecting antiseptic therapy. Stubborn infections or even the presence of a sexually transmitted disease require the prescription of special antibiotics. In these cases, the sexual partner must also be treated. It makes sense to refrain from sexual intercourse during this time or to use a condom to protect the sexual partners from one another.
If the man has pain during sexual intercourse with the presence of a phimosis, a small surgical incision (circumcision) is usually necessary to remove the non-movable foreskin. In childhood, if necessary, the foreskin could have been loosened under local anesthesia without subsequent circumcision. Parents should therefore already pay attention to the presence of phimosis when their son is a child and, if in doubt, ask a doctor who will arrange the necessary treatment. In adulthood, pain in men during sexual intercourse can be avoided.
A rupture of the penis requires immediate surgical intervention. If the man's pain during sexual intercourse is an accompanying symptom of another condition, such as prostate cancer, targeted treatment for that underlying condition is required to relieve the pain.
Outlook & forecast
The pain during sexual intercourse in men can occur for different reasons and requires different treatments. In many cases they occur as a result of a narrowing of the foreskin and can be remedied by a doctor at a young age through surgery. This also prevents pain during an erection. The pain can also be caused by poor hygiene if the penis has become inflamed.
The pain during sexual intercourse in the man can also indicate an injury. In this case, the foreskin ligament can tear, causing bleeding and severe pain. In many cases, the cavalier pains also come when the man tries to delay orgasm for a long time. However, this pain disappears on its own after sexual intercourse.
If the pain occurs long-term during sexual intercourse and does not go away by itself, a urologist must be consulted. Treatment is usually done with medication. The pain can lead to restrictions in love life and sometimes to problems with the partner.
prevention
Preventing pain in men during sexual intercourse always depends on the cause of the discomfort. If there are anatomical changes or a disease of the male's sexual or other organs, these must be treated causally by a specialist in urology.
For example, circumcision (circumcision) should be carried out as early as possible in childhood in order to ensure adequate hygiene of the sexual organs and to prevent later pain in the man during sexual intercourse. Sensible sexual hygiene for both partners as well as a careful approach to sexual intercourse, for example with regard to sexual practices, should be a matter of course.
You can do that yourself
Regular pain during sexual intercourse can indicate a very serious underlying disease and must be examined by a doctor. In men with a sensitive glans, a dry vagina of the woman can lead to pain during sexual intercourse. A lack of vaginal secretions is normal in older women going through menopause or menopause. Lubricants from the pharmacy can help here. In younger women, a lack of sexual stimulation is often the cause of vaginal dryness.
In addition, incorrect or excessive movements or touches are often the trigger for pain in the penis or testicles in men. Accidental bruises can cause extreme pain, but usually have no serious consequences. In addition, small injuries to the penis, glans or foreskin can cause pain during intercourse. Here self-help measures should be refrained from and a doctor should be consulted.
Immediate medical help is also required if paraphimosis occurs, i.e. the glans penis is pinched off from the retracted foreskin. A penile fracture is also a reason for an immediate doctor's visit.
The cases in which condoms are the reason for the pain during sexual intercourse are more harmless. Men and women can have an allergic reaction to the material, usually latex. In these cases, allergy-free condoms from the pharmacy can help.
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