Why Do Men Feel Pain During Intercourse?

Treatment for men who have pain during intercourse depends on the cause. 

• Infection
  • Antibiotics
  • Antifungals
• Allergic reactions 
  • Avoid the product that is causing the reaction
• A tight foreskin 
  • Stretching exercises
  • Topical steroids
  • Surgery to remove the foreskin
• Small tears in the foreskin that may not be visible
  • Most of the time, it will heal on its own 
  • Clean well, apply moisturizer as directed by a doctor
  • Use lubrication when you have intercourse
• Inflammation of the head of the penis (balanitis)
  • Depending on the cause: 
    • Antifungal cream
    • Antibiotics
    • Topical steroids
• Irritation from previous sexual activity or other non-sexual activities 
  • Avoid sexual activity or any other irritating activity until the pain subsides
  • Use lubrication when you have intercourse
• Inflammation of the prostate gland (prostatitis)
  • If the condition is acute
    • Antibiotics 
    • Pain medications 
    • Drink plenty of fluids
  • If the condition is chronic
    • Medications to reduce pain and inflammation
    • Alpha-blockers such as tamsulosin (Flomax) and silodosin (Rapaflo) to relax the muscles in the prostate and part of the bladder
    • Lifestyle changes
      • Warm baths
      • Relaxation exercises
      • Physical therapy 
    • Surgery
• Testicular pain and swelling 
  • Depends on the cause and may include: 
    • Pain medications
    • Antibiotics
    • Rest
    • Ice
    • Scrotal support
    • Surgery
• Prolonged erection (priapism)
  • At home: 
    • Try to urinate
    • Take a warm bath or shower
    • Drink plenty of water
    • Go for an easy walk
    • Exercise: climb stairs, run in place, squats
    • Use over-the-counter (OTC) pain medications
  • If an erection lasts more than 4 hours, go to a hospital where treatment may include:
    • Drugs injected directly into the penis
    • Draining blood from the penis using a needle 
    • Shunt surgery