&lt;div class=&quot;av-special-heading av-special-heading-h2  blockquote modern-quote  avia-builder-el-4  el_after_av_image  el_before_av_hr  &quot;&gt;
&lt;h1 class=&quot;av-special-heading-tag &quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Pain when you cum (Painful Ejaculation)&lt;/span&gt;&lt;/strong&gt;&lt;/h1&gt;
&lt;hr /&gt;&lt;/div&gt;
&lt;div class=&quot;hr hr-invisible   avia-builder-el-5  el_after_av_heading  el_before_av_textblock &quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Painful intercourse or painful ejaculation is the simplest way to describe this issue. While there are other terms like dysejaculation, odynorgasmia, post-orgasmic pain, dysorgasmia, and orgasmalgia, &quot;painful ejaculation&quot; remains the most straightforward term.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It&#39;s a relatively common but poorly understood phenomenon associated with sexual dysfunction. The prevalence is estimated to be between 1&amp;ndash;10% in the general population, but it rises to 30&amp;ndash;75% among men with chronic prostatitis or chronic pelvic pain syndrome.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The severity of painful ejaculation can range from mild discomfort to severe pain. This pain typically begins just before or during ejaculation and can last anywhere from 2 to 24 hours. It can be so intense that it leads to a loss of interest in sexual activity, leaving both you and your partner feeling dissatisfied and concerned.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Causes: why is it happening?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;1. Infections and sexually transmitted infections.&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Another common feature among all men, aside from our anatomy, is the prostate.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The prostate functions like a major hub through which semen flows, contributing to its movement. Now, imagine if this hub were congested due to inflammation and foreign bacteria invading; the thought alone is uncomfortable. &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/chlamydia&quot;&gt;Chlamydia&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt; is one &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/sexually-transmitted-diseases-stds-in-thailand&quot;&gt;STD/STI&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt; that can lead to prostatitis.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;2. Stones&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Stones that become lodged in the seminal vesicles, which are similar to the canals in our prostate town, can lead to severe pain and inflammation.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;3. Nerve causes&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Sexual neurasthenia is a complex term that simply refers to overly sensitive nerves that keep firing, leading to pain and fatigue.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;4. Drugs&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;There is a slight risk associated with all antidepressants, including tricyclic antidepressants (TCAs, such as clomipramine, imipramine, desipramine, protriptyline, and amoxapine), selective serotonin reuptake inhibitors (SSRIs, like fluoxetine), venlafaxine, and monoamine oxidase inhibitors (MAOIs).&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;5. Prostate issues&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The prostate can experience problems with its cells, including inflammation, &lt;/span&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/prostate-cancer-screening&quot;&gt;prostate cancer&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;, and benign prostatic hyperplasia.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;6. Post operation&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Prostate surgery, pelvic radiation, and hernia repair, among other procedures.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;7. Psychiatric&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Psychological factors can also contribute to painful ejaculations, particularly if the individual does not experience this issue during masturbation.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Idiopathic cases occur when there is no specific trigger for the condition.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What can doctors do for us?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;A thorough medical and sexual history is crucial, along with a chronological account of events, to determine the cause of painful ejaculation. The type and location of the pain are also important; simply telling the doctor &quot;it hurts&quot; is insufficient.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The doctor will conduct a focused physical examination, which may reveal scars from previous surgeries or radiation in the groin area. Skin lumps and penile discharge could indicate sexually transmitted infections.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;During a digital rectal examination, palpating a swollen and painful prostate may indicate acute prostatitis, while the presence of a nodule could suggest prostate cancer.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;A urine test can confirm the location of a urinary infection and screen for Chlamydia and gonorrhea, helping to diagnose prostatitis. Additionally, a blood test measuring prostate-specific antigen (PSA) levels may indicate prostate issues if elevated.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Abdominal CT scans are rarely necessary, but MRI studies can be helpful in investigating pudendal neuropathy. However, in many cases of painful ejaculation, no obvious cause is found despite extensive investigation, placing them in the idiopathic category.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Treatment for painful ejaculation should be tailored to the underlying cause if identified. It&amp;rsquo;s important to remember that painful ejaculation should never be mistaken for a pleasurable experience with your partner.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/booking&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Booking%20an%20appointment%20at%20PULSE%20CLINIC.png&quot; width=&quot;300&quot; height=&quot;37&quot; /&gt;&lt;/a&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Contact us at&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;info.bkk@pulse-clinic.com&lt;/span&gt;&lt;/a&gt; &lt;span style=&quot;color: #99ccff;&quot;&gt;or chat on your preferred platform:&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;+66 65 237 1936&lt;/a&gt;&amp;nbsp;&lt;/span&gt;&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;line://ti/p/@946svqfh&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PULSEClinic&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp; &lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;/div&gt;

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