When Intimacy Hurts: Common Causes of Painful Sex in Men
By Dr. David Samadi
Sex is meant to be pleasurable, intimate, and free from discomfort. However, for some men, pain can become an unexpected and unwelcome part of their sexual experiences. While it is often associated with women, men can also encounter significant pain during intercourse. This discomfort can affect sexual performance, lead to anxiety about intimacy, and strain relationships.
If you’re experiencing pain during sex, know that it is not normal and should be addressed. Consulting a healthcare provider is essential to identify the underlying cause and find a solution. Below are seven potential reasons why men may experience pain during sexual activity:
Sexually Transmitted Infections (STIs)
Untreated sexually transmitted infections, such as gonorrhea or herpes, can cause pain during intercourse. Symptoms may include irritation, sores, or burning sensations. To determine if an STI is the culprit, it is vital to get tested at a clinic or doctor’s office. Early diagnosis and treatment can prevent complications and alleviate symptoms.
Peyronie’s Disease
Peyronie’s disease, often seen in men over 50, is characterized by an abnormal curvature of the penis caused by scar tissue formation. This condition can result from injury or repeated trauma to the penis. In severe cases, the curvature may make penetration painful or even impossible.
Treatment options for Peyronie’s disease include:
- Surgical interventions to remove plaque or straighten the curvature.
- Medication, such as Xiaflex, an FDA-approved injectable treatment designed to break down scar tissue.
Penile Deformities and Trauma
Trauma, infections, or conditions like hypospadias (a congenital disability where the urethra opens on the underside of the penis) can lead to painful intercourse. Additionally, growths or urinary tract stones may contribute to discomfort. Men experiencing such symptoms should consult a urologist for evaluation and treatment.
Foreskin Issues
Problems with the foreskin can also cause pain during sex.
- Phimosis: In this condition, the foreskin is too tight to retract over the head of the penis.
- Foreskin injuries: Tearing, friction, or inflammation can also result in discomfort.
Treatment options may involve topical treatments, stretching exercises, or surgical procedures such as circumcision.
Priapism
Priapism refers to a prolonged, often painful erection lasting longer than four hours, typically without sexual arousal. This condition needs immediate medical attention in order to avoid permanent damage to the penis. Left untreated, priapism can lead to long-term erectile dysfunction.
Allergic Reactions
Some men may experience allergic reactions to products like soaps, lubricants, or condoms. Symptoms include inflammation, redness, or itching that can make intercourse uncomfortable. Avoiding irritants and switching to hypoallergenic alternatives can resolve these issues.
Urinary Tract Infections (UTIs)
Although more common in women, men can also develop urinary tract infections. Symptoms include burning during urination, foul-smelling discharge, and pain during ejaculation. UTIs may also lead to yeast infections, causing itching and discomfort during intimacy. Antibiotics and antifungal treatments are effective in managing these conditions.
When to Seek Help
Pain during sex is not something to ignore or endure in silence. Addressing the issue with a healthcare provider, particularly a urologist, can lead to effective solutions that restore comfort and confidence in intimate moments. Remember, you’re not alone, and help is available to get back to enjoying a fulfilling sex life.
Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy. Dr. Samadi is a medical contributor to NewsMax TV and is also the author of two books, Prostate Cancer, Now What? A Practical Guide to Diagnosis, Treatment, and Recovery, and The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911.