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What Causes Sperm Cramps?

Pain during or after ejaculation may be a sign of an underlying health problem. A healthcare professional should be consulted to make an accurate diagnosis and determine the best treatment plan.

Medications, including over-the-counter pain relievers and antidepressants, can help to alleviate symptoms. Pelvic floor physical therapy and behavioural techniques to relax pelvic muscles may also be beneficial.


Men who experience painful ejaculation should visit a doctor for an examination. This will help doctors find the cause and treat it accordingly. A physician will ask a patient for details about the pain, including the location, duration and type of the pain. The doctor will also take a medical history and perform a physical exam. The doctor may order an X-ray, 10-panel STD test or other tests to arrive at the root cause of the pain.

A bacterial infection called prostatitis is the most common reason for painful ejaculation. It is an inflammation of the prostate gland, which is the walnut-sized gland that sits below the bladder in males and makes fluid that mixes with sperm to form semen. The infection can affect up to 15 percent of men in the United States. It is usually caused by bacteria entering the prostate through urine flowing backwards from the urethra. Urinary tract infections and sexually transmitted diseases can also carry bacteria to the prostate.

Other causes of painful ejaculation include viral epididymo-orchitis, benign prostate hyperplasia (BPH) and urethral stricture. The condition is caused by scarring in the urethra, which decreases the flow of semen and increases pain. Symptoms of the condition include swelling and redness of the testicles and the area around the penis. Treatment options for the condition include taking antibiotics or using over-the-counter pain medication. The doctor might suggest behavioural techniques, such as pelvic floor exercises or relaxation techniques, to help ease the pain.

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Painful ejaculation is not only embarrassing, but it can also be a symptom of a serious health condition. It is important to consult a healthcare professional for an accurate diagnosis and treatment plan if a man experiences sperm cramps on a regular basis. Treatment options may include medication, pain relief, pelvic floor physical therapy, relaxation techniques, and lifestyle changes.

The ejaculatory ducts, which transport sperm from the testicles to the penis, can become blocked by an infection or obstruction, such as an enlarged prostate or a swollen epididymitis. When the ejaculatory ducts are blocked, it causes pain during ejaculation because the semen cannot exit the body. The ejaculatory pain can be intense and may feel like a burning sensation. It can also be accompanied by sores and blisters in the groin, perineum, or lower abdomen. Cysts and calculi in the ejaculatory duct can also lead to painful ejaculation, as well as scrotal swelling, perineal pressure, and pain during urination.

Infections such as gonorrhea, syphilis, and chlamydia are known to cause painful ejaculation. Other symptoms associated with these infections include painful urination; yellow, green, or white discharge from the penis; pain in the back, groin, and testicles; pelvic, scrotal, or rectal pain; sores and blisters in and around the groin, penis, and testicles; and a foul smell from the genital area.

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Pelvic inflammatory disease (PID)

PID is an infection in the female reproductive organs, including the uterus, fallopian tubes, and ovaries. It is usually caused by the same bacteria that cause sexually transmitted infections (STIs) like gonorrhea and chlamydia, but women can also get it from unprotected sex, having a hysterectomy, or using an intrauterine device. PID can cause scar tissue to form in the fallopian tubes and around the ovaries, leading to ongoing pelvic pain. It can also lead to ectopic pregnancy, in which the fertilized egg grows outside the uterus.

For a diagnosis, your doctor will ask about your symptoms and do a pelvic exam. They may swab your cervix and urethra, the tube from the bladder through which urine flows, to check for signs of infection. They might also take a blood sample and an ultrasound to see how the fallopian tubes and ovaries are working.

Treatment for PID includes a course of antibiotics, usually for 14 days. Your doctor will give you a combination of different antibiotics that can treat many types of bacteria. You should finish the entire course of medicine, even if your symptoms go away, so you don’t reinfect yourself. If you have recent sex while on antibiotics, your partner should also be tested and treated for the same bacteria to prevent spreading the infection to them.

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Sexually transmitted diseases (STDs)

Painful ejaculation is sometimes caused by sexually transmitted diseases (STIs). If you experience painful orgasm with red blisters around the genitals or a thick discharge from the penis, your doctor may recommend a rapid STI test. Getting tested early for STIs can help you get the treatment you need before they cause serious problems.

A common cause of sperm pains is chlamydia, which can cause the epididymis to enlarge and become tender or painful. Other symptoms of chlamydia include painful or difficult urination and a red or pink bump on the penis. A health care provider can diagnose chlamydia with a physical exam, history of STIs or other infections, urine sample, and blood tests.

Another condition that causes sperm pains is urethral stricture, which occurs when there is scarring in the urethra, which passes from the penis to the bladder. Scarring decreases the flow of urine and increases pressure on the bladder and urethra. This can block some or all of the semen that is released during orgasm and can lead to painful ejaculation. A doctor can diagnose urethral stricture with a physical exam, a urine sample, and a CT scan or ultrasound. A urologist can treat urethral stricture with medication, a procedure to stretch the sides of the urethra, or surgery.