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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Painful Ejaculation?

Hello Doctor,
I'm having painful ejaculation for last 2 months. The pain is in my penis shaft. Sometimes I see orange colored particles in my semen. I consulted an urologist. He did urine test and ultrasound scan of abdomen. The lab report says impression of chronic prostatis. The prostate gland is thicker by 0.4mm.
He advised me to take Dynapres 0.4mg every night. I'm taking it for a month now. I'm still having pain during ejaculation, and I see the orange colored particles in my semen. Can you please advice me? Thanks
Fri, 20 Nov 2015
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Urologist,  's  Response
Hello
Thanks for query .
Painful ejaculation and orange colored particles in semen (Hematospermia ) are strongly suggestive of Prostatitis and needs to be confirmed by following test .
1) Semen examination and semen culture
2) Ultrasound Scanning of abdomen and pelvis
3) Swab test and culture of Urethral discharge obtained after doing Prostatic massage.

Start taking combination of Sulphamethoxazole and Trimethoprim (Bactrim) twice daily along with anti inflammatory medicines like Diclofenac twice daily
later on switch on to appropriate antibiotic as per semen culture report .

Please note that prostatitis takes long time to get cured hence one has to take appropriate antibiotic as per culture report for 4-6 weeks

Dr.Patil.

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What Could Cause Painful Ejaculation?

Hello Thanks for query . Painful ejaculation and orange colored particles in semen (Hematospermia ) are strongly suggestive of Prostatitis and needs to be confirmed by following test . 1) Semen examination and semen culture 2) Ultrasound Scanning of abdomen and pelvis 3) Swab test and culture of Urethral discharge obtained after doing Prostatic massage. Start taking combination of Sulphamethoxazole and Trimethoprim (Bactrim) twice daily along with anti inflammatory medicines like Diclofenac twice daily later on switch on to appropriate antibiotic as per semen culture report . Please note that prostatitis takes long time to get cured hence one has to take appropriate antibiotic as per culture report for 4-6 weeks Dr.Patil.