Pain during sexual intercourse or pain during sex are not only extremely unpleasant, they can severely impair the sexual act or even make it impossible. The pain can occur quite differently localized, for example on the penis, in the region between the anus and scrotum (perineum), on the scrotum (scrotum) or also above the pubic bone (os pubis). The reasons may be harmless, but sometimes also a basic illness requiring treatment is responsible as the cause of pain in the male during sexual intercourse.

What are pain during sex (man)?

The form of the pain of the man during intercourse ranges from burning to stinging to dull drawing pain.

To pain of the man during sexual intercourse or pain during sex, it comes either before the actual act or they occur during and are sometimes amplified thereby. They can either make an erection impossible or prevent an orgasm.

The form of the man's pain during sexual intercourse ranges from burning to stinging to dull, painful pains, which can suddenly become very strong and slowly become stronger or develop over a longer period of time and then become chronic. Reasons for the pain of the man during sexual intercourse may be harmless and are then easily treatable.

However, there are also more complicated causes of the pain. For frequently occurring or prolonged symptoms, therefore, an experienced urologist should be consulted, who will clarify the causes and if necessary initiate a necessary therapy for the pain of the man during sexual intercourse.

causes

A common cause of male pain during intercourse is a narrowing of the foreskin of the penis (phimosis). As a rule, such a foreskin narrowing should be corrected in childhood by a specialist in urology. If this does not happen and persists until adulthood, it causes pain in the man during sex, usually already during the erection, whereby the sexual act is ultimately impossible.

And not only that. It also means a hygienic problem, because if the foreskin can not push back over the glans, a thorough hygiene of the penis can not take place and this in turn lead to other health impairments, including the sexual partner.

In addition to the phimosis, injuries to the penis can also be considered as pain during sexual intercourse. For example, improper manipulation during sexual intercourse may tear the delicate foreskin ligament (frenulum praeputii) causing bleeding and pain. Induratio penile plastica, a disease of the penis, causes an erection to cause pain and / or non-natural severe bending of the penis.

Very strong acute pain of the man during intercourse is caused by the tearing of a cavernous body, the so-called penile fracture. Inflammations of the glans (balanitis) and the foreskin (posthitis), the urethra (urethritis), the prostate (prostatitis), the bladder (cystitis) or the large intestine (diverticulitis) lead to pain of the man during intercourse.

Diseases of the prostate, such as prostate cancer, cause pain especially during the advanced stage of the male during intercourse, either before and especially in the performance of the sexual act. Naturally, sexually transmitted diseases such as gonorrhea, syphilis, soft chancre (ulcus molle), chlamydial infections, genital herpes, trichomoniasis or fungal diseases also cause male pain during intercourse.

There are also cases where the male mucous membrane milieu of the sexual organs is "incompatible" with the female, that is, it can lead to allergic reactions. Triggers are often certain hygiene products or spermicides (spermicides), which were used, which then lead to intolerance and thus pain in the man during sexual intercourse.

Diseases with this symptom

  • Vorhautverengung
  • penis fracture
  • Ulcer molle
  • chlamydia
  • balanitis
  • urethritis
  • prostatitis
  • genital herpes
  • Prostate Cancer
  • gonorrhea
  • syphilis
  • Trichomoniasis

Diagnosis & History

In case of pain of the male during sexual intercourse, an experienced urologist should be consulted, who will first conduct a detailed survey on the course of the complaints. These include questions on the nature of the pain of the male during sexual intercourse, such as the time of onset and the concomitant symptoms (for example, pain when urinating).

This is followed by a thorough physical examination of the external genitalia and the adjacent body areas. Unpleasant, but necessary is the rectal palpation by the doctor. Furthermore, blood and urine are examined for any abnormalities and pathogens, and a smear is made for examination for any pathogens.

Specific examinations by means of ultrasound of the genital organs and the urinary tract and / or a computed tomography of the pelvis will complete the medical examination result. The further course of the pain of the male during intercourse is determined by the subsequent therapy.

complications

Pain during sexual intercourse of the man can have various causes, which can result in many complications. A narrowing of the foreskin (phimosis) increases the risk that the penis becomes inflamed, which can also be chronic. These can also increase the risk of cancer. In addition, phimosis makes urination difficult.

As a result, more urine remains, which can lead to urinary tract infections. In the worst cases, the foreskin can no longer be pulled over the glans penis, the blood supply to the penis is severely restricted and the tissue can die off, resulting in necrosis. In addition, the urethritis (urethritis) can spread to the bladder and the kidney. In the bladder, the inflammation can in the worst case also pass into the blood.

Urosepsis is the result, which must be treated immediately. This usually ends in death. In the kidney, the inflammation can lead to a renal failure (renal insufficiency) or even a failure. Similar consequences occur in the inflammation of the prostate (prostatitis).

An acute inflammation can easily turn into a chronic one. As a result, sufferers often need to take long medications. In addition, the quality of life is severely limited, sufferers usually also have mental health problems that can lead to depression.

When should you go to the doctor?

A doctor should be consulted for pain during intercourse, if the pain occurs repeatedly. Repeated pain should not be explained by a single muscular tension, dryness or similar. On the other hand, the doctor should then be consulted as the pain increases in intensity. Pain that gets stronger always points to a process that intensifies. This should be clarified promptly by the specialist in the case of genital pain in order to quickly rule out serious causes.

Pain during sexual intercourse should also be discussed with a doctor, if this type of pain the person affected completely unfamiliar and he can not classify. Finally, a visit to the doctor is also always indicated when the pain during sex to mental stress. Pain in traffic is a sensitive topic and not every man can talk about it openly with his partner. In this case, a specialist is a good contact person to arrange complaints and to have them clarified.

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Treatment & Therapy

The treatment of male pain during sexual intercourse always depends on the causes of the disorder. It will therefore be determined individually and therefore different from man to man.

Important in any case is an embarrassing genital hygiene of the man as well as the sexual partner of the sexual partner. Hygiene products should be checked for compatibility and replaced if necessary by other more suitable ones. Spermicides of the sexual partner, if used, should be replaced by other contraceptives in case of intolerance and thereby caused pain in the male during intercourse.

For existing bacterial infections, the doctor will first recommend a disinfectant antiseptic therapy. Persistent infections or even the presence of a venereal disease require the prescription of special antibiotics. The sexual partner is to be treated in these cases. It makes sense to abstain from intercourse during this time or to use a condom for the mutual protection of the sexual partners.

In case of pain of the male during intercourse under the presence of a phimosis, a small surgical incision (circumcision) is usually required to remove the non-displaceable foreskin. In infancy, a solution of the foreskin may have already been possible under local anesthesia without subsequent circumcision. Parents should therefore pay attention to their son's childhood, if there is a phimosis and in case of doubt, ask a doctor who will arrange the necessary treatment. Thus, in adulthood, the pain of the male during sexual intercourse can be avoided.

A penile rupture requires immediate surgery. When the pain of the male occurs during sexual intercourse as concomitant symptoms of another disease, such as prostate cancer, a targeted treatment of this underlying disease is required to relieve the pain.

Outlook & Forecast

The pain during sexual intercourse of the man can occur for different reasons and also require different treatments. In many cases, they occur due to a narrowing of the foreskin and can be corrected at a young age by a doctor through surgery. This also prevents pain during an erection. The pain can also be caused by a lack of hygiene, if the penis has developed inflammation.

The pain during sexual intercourse of the man may also indicate an injury. In this case, the foreskin band may tear, resulting in bleeding and severe pain. In many cases, the galling pain occurs when the man tries to delay the orgasm for a long time. However, this pain disappears on its own after intercourse.

If the pain during intercourse of the man occur in the long term and do not disappear on their own, then a urologist must be visited. Treatment is usually with medication. The pain can lead to restrictions in the love life and thus partly to problems with the partner.

prevention

Preventing pain in sexual intercourse always depends on the causes of the symptoms. If there are anatomical changes or a disease of the sexual or other organs of the man, they should be treated by a specialist in urology.

For example, a circumcision (circumcision) should be made as early as possible in childhood, in order to ensure sufficient hygiene of the sexual organs and to prevent later pain of the man during sexual intercourse. A sensible sexual hygiene of both partners and a careful approach to sexual intercourse, for example with regard to sexual practices, should be self-evident.

You can do that yourself

Regular pain during intercourse can indicate a very serious underlying disease and must be clarified by a doctor. In men with sensitive glans, a dry vagina of the woman can also lead to pain during sexual intercourse with him. In older menopausal or menopausal women, a lack of vaginal discharge is normal. Lubricants from the pharmacy can provide a remedy. In younger women, lack of sexual stimulation is often the cause of vaginal dryness.

In addition, in men often wrong or too violent movements or touching the trigger for pain on the penis or the testicles. Accidental bruising can cause extreme pain here, but usually without serious consequences. In addition, minor injuries to the penis, glans or foreskin may be the cause of pain during intercourse. Here you should refrain from self-help measures and consult a doctor.

Immediate medical attention is required even when it comes to paraphimosis, so the glans is pinched off the stripped foreskin. A penile fracture is also a reason for an immediate visit to a doctor.

More harmless are the cases in which condoms are the reason for the pain during intercourse. Men and women may be allergic to the material, usually latex. In these cases, allergy condoms from the pharmacy help.

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