Published on: 5/6/2025
Discomfort in the urethra after ejaculation can happen due to inflammation or irritation from infections, narrow passages, or flow changes in the urethra.
There are several reasons you might feel discomfort in your urethra after ejaculating. One common cause is urethritis, which means the tube that carries urine and semen is inflamed, usually because of an infection or irritation. This inflammation can cause pain during and after ejaculation. Another possibility is retrograde ejaculation, where some of the semen goes backward into the bladder instead of out through the tip of the penis, leading to pain as the body reacts to this unusual flow. Additionally, a narrowing of the urethra, known as a urethral stricture, can cause discomfort because the passage for semen is tighter than normal. Sometimes, bleeding in the semen (hematosepermia) can also cause pain and discomfort if there is irritation. These ideas come from research that looks at how the health of the urethra can affect ejaculation and why pain might occur afterward. If someone experiences this discomfort frequently, it is a sign to speak with a doctor for proper evaluation and care.
(References)
Parnham A, Serefoglu EC. Retrograde ejaculation, painful ejaculation and hematospermia. Transl Androl Urol. 2016 Aug;5(4):592-601. doi: 10.21037/tau.2016.06.05. PMID: 27652230; PMCID: PMC5002007.
Waqar M, Omar K, Moubasher A, Brunckhorst O, Ahmed K. Painful Ejaculation - An Ignored Symptom. Cureus. 2020 Oct 30;12(10):e11253. doi: 10.7759/cureus.11253. PMID: 33269171; PMCID: PMC7707127.
Abdeen BM, Leslie SW, Badreldin AM. Urethral Strictures. [Updated 2024 Oct 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK564297/
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