Odynorgasmia or painful ejaculation, also called dysejaculation, dysorgasmia, and orgasmalgia, is a physical condition that involves mild discomfort to severe pain, and can occur during or after ejaculation.
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The usual sites of pain or a burning sensation are the penis (along the shaft or at the tip), the urethra, the scrotum, testes, and/or the perineum. The pain can last anywhere from a few minutes up to a day.
If odynorgasmia is not treated, the affliction can lead to secondary sexual problems in men such as low sex drive (low libido) or Erectile Dysfunction (ED) due to the fear or anxiety to experiencing pain during or after ejaculation.
Causes of odynorgasmia can be rather diverse and, for instance, include infections associated with the urethra, prostatitis, sexually transmitted infections, epididymitis, the use of anti-depressants, prostate cancer, psychological issues, cysts, or injuries and trauma to the region. Sometimes the cause cannot be identified.
The type of treatment typically depends on the underlying cause, if there is one. This may include antibiotics, urological procedures, changing medication, pelvic floor exercises, genital massage therapies, muscle relaxants, antidepressants, psychotherapy, or relationship counseling, among others.
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