Pain during sexual intercourse, or dyspareunia, can affect men due to a variety of physical and psychological factors. Some men may experience pain in the testicles or glans penis immediately after ejaculation. A strong burning or itching sensation after ejaculation may be caused by infections of the prostate, bladder, or seminal vesicles. In some cases, sharp or burning pain during ejaculation is linked to gonorrheal infections.
Common physical causes include:
Urethritis or prostatitis, which can make the genital area hypersensitive and inflamed
Peyronie’s disease, characterized by fibrous scar tissue that causes curvature of the penis and painful erections or penetration
Tight foreskin (phimosis), which may cause pain during initial or subsequent attempts at intercourse, especially if scarring or inflammation is present
Frenulum tears from vigorous intercourse or masturbation, which can cause sharp pain
Post-ejaculation pain syndrome, a rare condition characterized by persistent and recurring sharp, burning, or stabbing pain during or shortly after ejaculation
Pelvic floor dysfunction, where tense, inflamed, or shortened pelvic muscles compress the pudendal nerve or create discomfort during or after sex
Psychological causes:
Involuntary muscle spasms during orgasm due to psychological tension
Guilt about sexual pleasure or distress over certain fantasies
Suppressed anger or resentment toward one’s partner, whether conscious or unconscious
Painful intercourse in men should not be ignored. It may signal infections, anatomical issues, or unresolved emotional conflict. Consulting a urologist or psychosexual therapist is important for accurate diagnosis and proper treatment.
