Some pains occur independently of sex, others are chronic and others a man may only feel during sexual intercourse. However, men are reluctant to seek medical advice. This is often due to the fear that something really bad could come of it. Then having to talk about sex is embarrassing for many. So they prefer to hold out. But no matter what kind of pain you are experiencing, you should see a doctor. In most cases, it is easy to find a remedy. Also dangerous: the pain affects your sexual experience and can even lead to depression. In contrast, a medical consultation is almost harmless.
Narrowing of the foreskin (phimosis)
During sexual intercourse or masturbation, the foreskin, if it is still present, is repeatedly pulled back and forth over the glans. If the foreskin is constricted, this can be painful or even impossible. 95 percent of all boys are born with natural phimosis (primary phimosis). So this is nothing unusual. The constriction even has a purpose, as it protects the glans and urethra from pathogens. By the age of three, the skin has widened on its own in four fifths of all boys and can then be retracted without any problems. It is important to wait for this process and not to stretch the foreskin forcibly. This could lead to injuries and scarring. However, this and inflammation can lead to a narrowing of the foreskin developing much later (secondary phimosis). The constriction and impaired hygiene can cause the glans to become inflamed. And this can then become really painful! In the worst case, the glans can even die. Many people shy away from going to the doctor for fear of losing their foreskin. However, circumcision is not absolutely necessary. It is possible to simply incise the foreskin or treat it with ointments containing cortisone.
Urethritis
We are probably all familiar with bladder infections. An unpleasant story. It can be caused by a weakened immune system, hypothermia or wet swimwear. In the case of urethritis, however, as the name suggests, the urethra is inflamed. More precisely, the mucous membrane of the urethra. This becomes noticeable through a burning sensation when urinating and discharge. And this can be the result of too much sex. Oh no! Oh yes! Unprotected anal intercourse is right at the top of the list. This is because bacteria from your partner's intestines enter the urethra. What can help? Condoms! The inflammation can also be the result of an infection with a sexually transmitted infection(STI) such as gonorrhea or chlamydia. A catheter that has been in place for a long time to empty the bladder can also be the cause. Speaking of catheters: All objects inserted into the urethra can irritate the mucous membrane.... Drinking plenty of fluids, warm feet and fruit juices are known home remedies. Or an antibiotic if you are infected with an STI.
Penis fracture (penile fracture, penile rapture)
Every man's horror. You're having a good time and suddenly it cracks and a sharp pain runs through the man. Of course, no bone breaks. But the tearing of the erectile tissue probably feels similar. This is caused by kinking or compression during sexual intercourse or masturbation. The erection is over and the penis immediately turns blue-red. And must be treated urgently so that there are no long-term consequences. A broken penis doesn't happen very often, but when it does, it's off to the emergency room!
Permanent erection (priapism)
Just as legendary as penile rupture is permanent erection. PDE-5 inhibitors such as Cialis or Viagra can amaze some men with the duration of their effect. But on the one hand, the reason for a longer-lasting erection is known in this case and on the other hand, it disappears again without arousal. This is not the case with a permanent erection, as the cause is unclear. Anyone whose penis is erect for longer than two hours and then without arousal should urgently consult a urologist. Regardless of the underlying cause, this constant stress can damage the tissue. And what is behind this? Tumors, the aforementioned PDE-5 inhibitors, blood clots, pelvic injuries or the intake of certain medications such as blood pressure medication or antidepressants. Blood is taken from the erectile tissue to clarify the exact cause. Yes, the idea is scary. But still much better than a permanent problem afterwards!
Curvature of the penis (penile deviation)
Every penis has its own shape and its own individual appearance. And some penises have a slight natural congenital curvature, which is sometimes even experienced by the partner as particularly pleasurable during sex. Pain is rarely the case. Rather, it is the self-esteem that suffers here. There is something else behind a condition known as penile curvature. In the case of congenital curvature, the connective tissue sheath of the erectile tissue appears to grow differently. In most cases, the penis then curves downwards. In this context, there are sometimes other disorders such as a urethral opening on the lower side of the penis. The cause of this appears to be a lack of androgens during embryonic development. The exact cause is not yet known. Scientists are also still in the dark about the causes of acquired curvature, which usually only sets in between the ages of 45 and 65. The fact is that nodular hardenings form on the upper side of the penis shaft. These can spread over the entire tissue over a period of months and force the penis into a curved shape. Causes discussed include accidents during sexual intercourse, heredity, diabetes mellitus or metabolic disorders. Since the exact causes are not known, treatment is also difficult. As soon as pain, a curvature or nodules become noticeable, a urologist should be consulted urgently. An exact diagnosis and treatment options can be discussed there.
Inflammation of the prostate (prostatitis)
Phew, inflammation of the prostate can really hurt. Not only during sex, but also when urinating and in the entire perineal, anal and pelvic area. Yet this disease is not so rare: It is estimated that 15 percent of all men suffer from it at some point in their lives. And the older a man gets, the more susceptible he is to it. Acute prostatitis can be caused by bacteria and can also be characterized by fever and chills. Infection with an STI should also be clarified. If this inflammation persists for more than three months, it can develop into a chronic disease. Although this is not quite as painful, it is permanent. It manifests itself through a feeling of pressure in the perineal area or lower abdomen and possibly dark-colored urine that contains blood. Depending on the cause, medication, hot water bottles or home remedies such as a rye cure or eating soft-shelled pumpkin seeds can help. Of course, a patient does not decide this on their own, but always in consultation with their doctor. And this discussion should be sought as soon as possible. The fear of pain, especially in connection with ejaculation, can lead to a man no longer having erections at all. The body and psyche interact on several levels here. This should also be taken into account during therapy.