Causes of Post-Coital Pain in Men

Pain or a burning sensation in the penis after sexual intercourse in men can arise from various causes. If the condition is fleeting and not accompanied by other symptoms, it may not be a concern. However, persistent discomfort with additional symptoms might indicate underlying health issues that require medical attention.

1. Why Do Men Experience Pain After Intercourse?

Numerous factors can lead to post-coital discomfort in men.

1.1. Friction During Intercourse

Friction during sexual activity can cause pain in the penis, particularly if the intercourse is rough or involves forceful thrusting, as this can lead to excessive friction and overstimulation. Friction may also result in blisters or temporary discoloration of the penis.

The discomfort is exacerbated when there is insufficient lubrication during intercourse. Normally, vaginal secretions provide lubrication, but for various reasons, they may be absent or insufficient, causing discomfort for both partners.

To address this issue, consider using over-the-counter lubricants or other safe alternatives.

1.2. Prolonged or Intense Sexual Activity

Pain after intercourse is common in cases of prolonged sexual activity or overly vigorous movements. Sustained erection and prolonged sexual activity may cause strain on the muscles and tissues of the penis.

Additionally, rough or improper positioning during intercourse can lead to post-coital soreness. The severity and duration of pain depend on individual recovery capabilities and the duration of intercourse.

1.3. Delayed Ejaculation

Delayed ejaculation is a condition where ejaculation takes longer than 30 minutes after intercourse or other sexual activities. Some cases of delayed ejaculation are congenital, but others may stem from:

  • Anxiety or chronic stress;
  • Side effects of medications, such as antidepressants;
  • Urinary tract infections or prostate infections;
  • Hormonal imbalances;
  • Nerve damage in the pelvic or spinal area.

Prolonged ejaculation difficulties can cause a burning sensation or pain in the penis after intercourse. In some cases, this condition may also cause swelling and tenderness in the penis and scrotum, with symptoms lasting for several hours or until the erection subsides.

Burning pain in men after sex may be due to delayed ejaculation
Burning pain in men after sex may be due to delayed ejaculation

1.4. Allergic Reactions

Allergic reactions to products used during intercourse, such as latex condoms, spermicides, or sex toys, can cause pain or irritation around the penis and genital area. Symptoms of an allergic reaction may appear immediately or after some time.

1.5. Prostatitis
 

Prostatitis, or inflammation of the prostate gland, can cause pain or discomfort in the penis, especially after ejaculation. While the exact causes of prostatitis remain unclear, they may include:

  • Bacterial infections;
  • Chemical irritation from urine;
  • Previous urinary tract infections triggering immune responses;
  • Nerve damage in the pelvic region.

1.6. Phimosis (Tight Foreskin)

Phimosis occurs when the foreskin is too tight to retract completely from the penile glans. This condition can cause infections, skin irritation, and other foreskin-related problems.

During intercourse, tight foreskin may lead to pain, skin cracking, or reduced penile sensation. Using lubricants and wearing condoms may help alleviate discomfort in these cases.

1.7. Balanitis (Inflammation of the Glans)

Balanitis refers to inflammation of the penile glans, resulting in swelling, redness, pain, and itching. Symptoms often persist for days after intercourse.

Factors such as poor hygiene, unsafe sexual practices, allergies, or chemical irritants increase the risk of balanitis. Additionally, male partners of women with vaginal yeast infections are more likely to develop balanitis.

Proper hygiene after intercourse, including washing the penis, can help reduce the risk of infection.
 

1.8. Sexually Transmitted Infections (STIs)
 

In some cases, penile pain or irritation after intercourse may indicate a sexually transmitted infection (STI) such as genital herpes, chlamydia, gonorrhea, or syphilis. Other symptoms of STIs in men include:

  • Itching or burning sensation in the penis;
  • Discharge from the penis;
  • Pelvic pain;
  • Sores, blisters, or growths on or around the penis, anus, or mouth;
  • Painful or burning urination;
  • Frequent urination.

1.9. Urinary Tract Infection (UTI)
 

UTIs occur when bacteria invade the urinary tract, leading to irritation and inflammation in the penis. Symptoms of UTIs include:

  • Lower abdominal, pelvic, or back pain;
  • Frequent urination or urgency;
  • Burning or stinging sensation in the penis during urination;
  • Cloudy urine;
  • Foul-smelling urine.

1.10. Peyronie's Disease (Penile Curvature) Peyronie’s Disease and Its Effects

Peyronie’s disease occurs when scar tissue builds up inside the penis, causing it to curve to one side or upwards during an erection. This condition can lead to penile pain during or after sexual intercourse, or even while engaging in sexual activity.

The exact cause of Peyronie’s disease remains unclear. However, most cases are linked to autoimmune disorders or a history of significant trauma to the genital area.

In addition to causing pain and discomfort during or after intercourse, Peyronie’s disease can result in other symptoms, including:

  • Difficulty maintaining or achieving an erection;
  • Pain in the penis even when not erect;
  • Presence of scar tissue within the penis.

Various factors can contribute to penile pain after intercourse. In some cases, the pain may resolve on its own after a certain period, so there is no need for excessive concern. However, in other instances, medical intervention is required to alleviate the pain.

If the pain persists or is accompanied by additional symptoms, it is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment.
 

Peyronie's disease is one of the causes of sharp pain after sex in men
Peyronie's disease is one of the causes of sharp pain after sex in men

2. At-Home Remedies for Post-Coital Pain

Mild penile irritation or pain can often be managed with these at-home remedies:

  • Rinse the penis with warm water after intercourse, including beneath the foreskin.
  • Gently dry the penile glans after urination and bathing.
  • Use saline solution to alleviate itching or discomfort.
  • Over-the-counter pain relievers may also help manage mild symptoms.

3. Preventing Post-Coital Pain

To minimize the risk of penile pain after intercourse, consider the following preventive measures:

  • Avoid rough or vigorous sexual activities.
  • Use non-irritating sexual products.
  • Practice safe sex and communicate openly with your partner about STI prevention.
  • Maintain good genital hygiene by washing hands before and after genital contact, as well as under the foreskin using mild soap and warm water.
  • Use water-based lubricants to minimize friction during intercourse.

For persistent or severe pain accompanied by other symptoms, consult a healthcare provider for proper diagnosis and treatment. Delayed medical attention may impact both overall health and sexual well-being.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

Share
Patients Stories