Male Sexual Pain Disorders: Etiology and Management

Sexual pain disorders in men, though less frequently discussed than in women, represent a significant component of sexual health. Pain may occur during erection, ejaculation, or post-orgasmic phases.

Common causes include prostatitis, urethral stricture, pelvic floor muscle dysfunction, and Peyronie’s disease. Psychological factors such as anxiety may exacerbate symptom perception.

Clinical evaluation requires careful history-taking, erotic physical examination, urinalysis, and imaging when structural pathology is suspected. Management depends on the underlying condition and may involve antibiotics, anti-inflammatory therapy, pelvic floor rehabilitation, or psychosexual counseling.

Addressing sexual pain improves quality of life and relationship satisfaction.

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