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Why Am I Getting Pain At The Base Of The Penis And A Short Sharp Shooting Pain During Ejaculation?

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Posted on Mon, 13 May 2024
Question: Hi, can I answer your health question? Please type your question here...

Noticed over the last 2.5months I’ve had couple episodes of pain on the base of my penis when ejeculating. Sharp shooting pain lasting 2 seconds and then resolving with no other sensation. I’m 34 years, not sexually active. I’ve not experienced any other symptoms such as blood in my urine/semen pain on urinating , back/pelvic pain, increased frequency of urinating.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Need to consult qualified Urolgist

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted painful ejaculation that you have is mostly due to either infection of the prostate (Prostatitis) .

I shall be happy if you can post me more details to help me in making precise comments
1) Are you Diabetic?
2) Are you taking any drug especially anti Psychotic drug for depression ?
3) Are you married ?
4) How much is the frequency of sexual intercourse with your partner ?
5) Is there any stress factor in your life ?

The commonest cause of painful ejaculation in young adult is infection of prostate (Prostatitis)

Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.

Further treatment will depend upon result of these tests and final diagnosis till then you can take antibiotic like Cefexime and anti inflammatory drug like Diclofenac twice daily

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (38 minutes later)
Thank you,

How serious is the condition?
1. I’m not diabetic
2. Not on any medication
3. I’m married and practice safe sex
4. Frequency of sex is twice a month, the pain was noticed at first through masterbation
5. I would not say there is excessive stress, but yes I have stress
doctor
Answered by Dr. Dr. P. T. Patil (12 minutes later)
Brief Answer:
Painful ejaculation could be due to congestion of prostate

Detailed Answer:
Hello
Thanks for follow up and feedback .

The painful ejaculation that you have is mostly due to congestion of prostate resulting from abstinence .

At young adult age It is advisable to discharge the prostate secretions either by sexual intercourse or masturbation at frequent intervals of at least thrice a week .

I would suggest you to ejaculate thrice a week .This would help to reduce dysorgasmia .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (6 minutes later)
Thank you,

Could this also be caused by dehydration?
I’ve been reading and chronic Prostatitis is not uncommon at my age? What is my Likley prognosis if it’s diagnosed at non bacterial chronic Prostatitis?

doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
You are ulikley to have Chronic Prostatitis

Detailed Answer:
Hello
Thanks for follow up .

Since you do not have any of the symptoms like burning urination ,pain in lower abdomen ,perineal pain etc you are unlikely to have chronic non bacterial prostatitis .

Dehydration will also give rise to other urinary symptoms like burning ,urgency etc .

Thanks and Regards.
Dr,Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (7 minutes later)
Thank you,

What are the common causes for Prostatitis, taking into regard my symptoms? I’m also worried about prostate cancer.

And

Most likely treatment?
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
You do not have Cancer of the prostate

Detailed Answer:
Hello
Thank for follow up .
You neither have cancer of prostate nor chronic prostatitis .

Recurrent UTI ,unsafe sex are few of the commonest conditions that lead to prostatitis .

Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10588 Questions

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Why Am I Getting Pain At The Base Of The Penis And A Short Sharp Shooting Pain During Ejaculation?

Brief Answer: Need to consult qualified Urolgist Detailed Answer: Hello Thanks for query . Based on the facts that you have posted painful ejaculation that you have is mostly due to either infection of the prostate (Prostatitis) . I shall be happy if you can post me more details to help me in making precise comments 1) Are you Diabetic? 2) Are you taking any drug especially anti Psychotic drug for depression ? 3) Are you married ? 4) How much is the frequency of sexual intercourse with your partner ? 5) Is there any stress factor in your life ? The commonest cause of painful ejaculation in young adult is infection of prostate (Prostatitis) Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Serum PSA. Further treatment will depend upon result of these tests and final diagnosis till then you can take antibiotic like Cefexime and anti inflammatory drug like Diclofenac twice daily Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you Thanks and Regards. Dr.Patil.