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Suggest Treatment For Painful Ejaculation

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Posted on Mon, 16 Mar 2015
Question: I have been having this happen for probab ly the last 6 years. I am a diabetic for 49 yrs and am now 59. when I ejaculate it is so painful as it feels as if someone is stabbing me with a knife in both my sides and back and front.Is there anything I can take to correct? Will see uroligist on the #rd of March, but he didn't seem to have any idea what was causing this pain. Any advice?
doctor
Answered by Dr. Dr. P. T. Patil (59 minutes later)
Brief Answer:
It could be due to infection of Prostate (Prostatitis)

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have painful ejaculation .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you diabetic?
2) Do you have any urinary symptoms like frequency.poor stream,urgency etc suggestive of Enlarged Prostate .

Painful ejaculation is mostly due to Prostatitis

Please revisit your Urologist and discuss with him regarding doing following basic test .
1) Semen Examination and Culture .
2) Ultrasound Scanning of abdomen and Pelvis
3) Serum PSA.
4)Trans Rectal Ultrasound Scanning (TRUS)

In the mean while start taking broad spectrum antibiotics like Doxicycline along with anti inflammatory drug like Diclofenac twice daily .

Further treatment will depend upon results of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10586 Questions

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Suggest Treatment For Painful Ejaculation

Brief Answer: It could be due to infection of Prostate (Prostatitis) Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have painful ejaculation . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) Are you diabetic? 2) Do you have any urinary symptoms like frequency.poor stream,urgency etc suggestive of Enlarged Prostate . Painful ejaculation is mostly due to Prostatitis Please revisit your Urologist and discuss with him regarding doing following basic test . 1) Semen Examination and Culture . 2) Ultrasound Scanning of abdomen and Pelvis 3) Serum PSA. 4)Trans Rectal Ultrasound Scanning (TRUS) In the mean while start taking broad spectrum antibiotics like Doxicycline along with anti inflammatory drug like Diclofenac twice daily . Further treatment will depend upon results of these tests and final diagnosis. Hope I have answered your query ,please feel free to ask if you have more questions I shall be happy to help you Thanks and Regards. Dr.Patil.