Causes of Burning Sensation while Ejaculation

If you suffer from an inflammatory or infectious condition, you may experience a burning sensation after ejaculation. Ejaculation is a contraction of muscles in the penis that help to release the semen and squeeze it from the testicles. The muscle contractions move it through the urethra and out of the body.

What Is Ejaculation?

Ejaculation is the release of semen from the penis at orgasm (sexual climax). When a man is sexually stimulated, the brains end signals to the genital area through nerves in the spinal cord to make the pelvic muscles contract. At orgasm, waves of muscle contractions transport the sperm, with a small amount of fluid, from the testes through the vas deferens. The seminal vesicles and prostate contribute extra fluid to protect the sperm. This mixture of sperm and fluid (semen) travels along the urethra to the tip of the penis where it is ejaculated (released).

What Are Ejaculation Problems?

Men can experience different kinds of ejaculation problems, including;

• Premature ejaculation
• Retrograde ejaculation
• Delayed ejaculation (or no ejaculation)
• Painful ejaculation

Burning after ejaculate comes out of the urethra can also be felt as pain, pain in the testicles, or even an achiness in the lower pelvis. It can happen when you first pee after ejaculation and can be worsened if you have multiple orgasms during sex. This is usually because of urethral irritation. Often, the burning sensation leaves you with a feeling of needing to use the bathroom urgently.
It is important to understand that if it does burn when you urinate more than once, you may need to be checked by your doctor for prostate conditions or a urinary tract infection.

How Common Are Ejaculation Problems?

Premature ejaculation is the most common male sexual problem and affects men of all ages. Premature ejaculation happens when a man is unable to control the timing of ejaculation and ejaculates before he and/or his partner feels ready for this to happen, and this causes distress. The other ejaculation problems are less common than premature ejaculation but can also cause distress for the man and his partner.

What Causes Ejaculation Problems?

Ejaculation problems can have a variety of causes, both physical and psychological. Physical causes include some illnesses such as diabetes, some types of surgery or trauma, some types of inflammation or infection, and certain medicines. Psychological causes include stress, anxiety (such as anxiety about ‘sexual performance’), relationship difficulties and depression. For each type of ejaculation problem and for each individual man there may be one or more causes of an ejaculation problem.

What Should I do If I Have An Ejaculation Problem?

If you have an ejaculation problem that is bothering you, then it is better to discuss this problem with the best doctor who can identify the right cause of ejaculation and treat your problem well.

What Is Retrograde Ejaculation?

In men with retrograde ejaculation, the muscle at the opening of the bladder, which usually stops semen from entering the bladder during orgasm, does not close normally. When the muscle does not close properly semen flows back into the bladder.
Therefore, little or no semen is discharged from the penis during ejaculation, and the first urination after sex looks cloudy as the semen mixes with the urine. Retrograde ejaculation is uncommon and usually harmless.

What Causes Retrograde Ejaculation?

Retrograde ejaculation can happen after surgery to the prostate or the neck of the bladder. Diabetes, multiple sclerosis, spinal cord injury, and some medications, in particular medicines for high blood pressure, can also cause retrograde ejaculation. Depending on the cause, retrograde ejaculation may be a temporary or permanent condition.

How Is Retrograde Ejaculation Treated?

Most men with retrograde ejaculation do not need treatment. The important message is that it does not cause serious problems. However, it is difficult for men with retrograde ejaculation to have a baby naturally.
For men wishing to have a family, sperm may need to be collected in other ways for use in assisted reproduction procedures such as in vitro fertilization (IVF).
A fertility specialist can take sperm from the urine, or take sperm directly from the testes by doing a small operation called a biopsy.

What Is Delayed Ejaculation?

Delayed ejaculation and anorgasmia describe the inability to ejaculate or which takes longer time than desired, or does not happen at all. This might happen only with intercourse, or in all situations including masturbation(self-stimulation).
The term anejaculation describes when a man does not ejaculate after orgasm.“Orgasm” and “ejaculation” are often thought to be the same, but some men can experience orgasm even though they don’t ejaculate.

What Causes Delayed Ejaculation?

Physical causes include spinal cord injury, major lymph node surgery, diabetes, multiple sclerosis and traumatic injury to the pelvic region when the nerve supply is affected. Delayed ejaculation is a well-documented side-effect of some antidepressants (specifically SSRIs). While delayed ejaculation can be caused by relationship difficulties, persistent anorgasmia with no medical cause is very uncommon.

How Is Delayed Ejaculation Treated?

A change of antidepressant medication may be needed for men who are concerned about this side-effect. Vibrator stimulation and electrical stimulation of the penis can be used to promote reflex ejaculation in men who can’t ejaculate, but want to father a baby. Men who are concerned about being unable to ejaculate when there is no medical reason for this difficulty may need long-term individual counseling or therapy.

What Is Painful Ejaculation?

Painful ejaculation is when painful, burning sensations are felt during or following ejaculation.

Causes Of Burning Sensation After Ejaculation

There are a few different things that can cause penis pain after ejaculation. These include;

1. Urethritis

Infections can cause the urethra to become inflamed. This is usually caused by sexually transmitted diseases like chlamydia, gonorrhea, or the herpes virus.

2. Orchitis

This is when the testicles become inflamed due to infection. This needs to be treated with antibiotics, anti-inflammatories, and rest.

3. Prostatitis

This is inflammation of the prostate gland due to a few different causes including infection, chronic inflammation of the prostate due to prostate disease, and asymptomatic or silent prostatitis. Bacterial infections of the prostate can be treated with antibiotics, but other causes need further evaluation and medications to attempt to shrink the prostate gland. In severe cases, prostate surgery may be needed.

4. Prostate cancer

Prostate cancer can cause painful intercourse and urination. It can also cause dribbling of urine and blood in the urine. Some men even experience pain in their back and lower pelvic region. This can be treated with prostate surgery, radiation, and hormones.

5. Medications

If you take antidepressant medications, you may be at risk for a burning sensation after ejaculation. The medications that most often cause this side-effect to include MAOIs, tricyclic antidepressants, and SSRIs. There is no known way to avoid this side-effect, but doctors may choose to keep you on a lower dosage if it is still effective for your depression or anxiety.

6. Injury

If you have had an injury to the penis or near the penis you may notice penis pain after ejaculation. This usually happens with the trauma of being hit in the genitals, sports injuries, or the penis being bent too far to the side.

7. Allergic Reaction

Burning sensation after ejaculation can be caused by an allergic reaction to different things used near the penis. These include allergy to latex, topical contraceptive medications, or spermicidal jelly. If this happens, discontinue use and talk to your partner about other methods of birth control.

How Is Painful Ejaculation Treated?

The treating doctor should assess the cause of the pain and treat as appropriate. The treatment might be a course of antibiotics for the infection, or it might need a referral to a specialist (urologist) for more complex investigations.

When To Ask Urologist

It is best to see your family Urologist when you notice a burning ejaculation and have associated symptoms. The Urologist will observe for any signs of burning ejaculation or other problems, and he may carry out a clinical examination.

When To Ask Doctor Online

If you notice a burning ejaculation and have any other associated symptoms you may consult the best online doctor through the various health websites available online, which allows you to approach a particular specialist and chat with him about any health condition. These websites allow patients to post pictures of the areas of trouble, so it may help the doctors to examine and assess your condition and guide you on the best treatment options available. Also, if you have already consulted a doctor and still face doubts regarding your condition, you can always seek an online medical second opinion through a renowned health website.

[cl-review quote=”Medically Reviewed By” author=”Dr. Kaushal M. Bhavsar (MBBS, MD)” occupation=”Assistant Professor in Pulmonary Medicine, GMERS Medical College, Ahmedabad” avatar_image=”1325″ source=”url:https%3A%2F%2Fwww.linkedin.com%2Fin%2Fdr-kaushal-bhavsar-a8137355%2F|target:_blank”]

Sushma Hegde