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How to deal with Male Dyspareunia: Best Sexologist in Patna Bihar India Dr. Sunil Dubey

Are you having difficulty ejaculating during or immediately after sexual activity? In fact, about one to three percent of men in India complain of difficulty in ejaculating and feeling pain during or immediately after ejaculation. This pain can persist in their penile, pelvic region, lower abdomen, testicles, lower back, and perineum. Unfortunately, this pain can persist for a few days in their lives, affecting their quality of life as well.

World-renowned Ayurvedacharya Dr. Sunil Dubey, who is a specialist in male and female sexual problems and provides his treatment and medical services at Dubey Clinic, says that in the language of sexology, this painful ejaculation in men is also called dyspareunia or orgasmalgia. It is the pain, discomfort or burning sensation during or immediately after ejaculation. This pain can range from mild to severe and that can be short-term or long-term. He has been the best sexologist in Patna, Bihar and provides his unique clinically proven Ayurvedic treatment to people of different age groups in India. He further adds that this type of painful condition in a person can affect the quality of life and relationship of the married couple. A person suffering from dyspareunia can also struggle with a decrease in his libido due to this painful condition.

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Common symptoms of Painful Ejaculation in men:

Based on his daily practice, treatments and studies, he says that some common symptoms can be observed in a person suffering from this painful ejaculation. These are following-

·         A sharp, aching, burning, or throbbing pain during or after a man ejaculates.

·         The pain may radiate to the penile, testicles, perineum, groin, lower abdomen, or even the lower back.

·         The pain may last from a few seconds to several hours, or even several days in some long-term cases.

·         It may also be accompanied by other urinary symptoms (e.g., painful urination, frequent urination) or sexual symptoms (e.g., erectile dysfunction, decreased libido).

·         It may lead to performance anxiety, avoidance of sexual activity, and psychological distress.

Causes of Painful Ejaculation:

Our Ayurvedacharya Dr. Sunil Dubey says that every person should know the causes of this painful sexual problem. Generally, this is not a common sexual disease in men, but occurs due to many reasons and affects both the quality of life and mental health of the person. Its causes are varied and may include physical (biological), psychological or lifestyle factors. Identifying the underlying cause is important for effective and safe treatment. Let us know the possible reasons.

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Dr. Sunil Dubey, Senior Sexologist of India

Inflammatory or infectious conditions:

·         Prostatitis: Inflammation of the prostate gland is one of the most common causes for this painful ejaculation problem. It can be bacterial (acute or long-term) or non-bacterial (chronic pelvic pain syndrome). Symptoms often include pelvic pain, urinary problems and painful ejaculation.

·         Epididymitis: Inflammation of the epididymis (the coiled tube located behind the testicle that stores and transports sperm). It is often caused by bacterial infection, including sexually transmitted diseases.

·         Orchitis: Inflammation of one or both testicles, often associated with infections such as mumps, urethral infections or sexually transmitted diseases.

·         Urethritis: Inflammation of the urethra (the tube that carries urine and semen out of the body), which may be caused by sexually transmitted diseases (e.g., chlamydia, gonorrhoea, trichomoniasis), urethral infections or irritation.

·         Seminal vasculitis: Inflammation of the seminal vesicles, which produce a significant portion of semen.

·         Urinary tract infection (UTI): It can cause pain and burning during urination and ejaculation.

Obstructive conditions:

·         Ejaculatory duct obstruction (EDO): A blockage in the ejaculatory ducts that prevents semen from being released freely during ejaculation time. This may be caused by stones (calculi), cysts or scar tissue.

·         Seminal vesicle stones/cysts: Hard growths or fluid-filled sacs in the seminal vesicles.

·         Urethral stricture: Narrowing of the urethra.

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Prostate disorders (non-infectious):

·         Benign prostatic hyperplasia (BPH): An enlarged prostate can cause pressure on the urethra and ejaculatory ducts, causing discomfort and pain during ejaculation in men.

·         Prostate cancer: Although often symptomless in the early stages, prostate cancer can sometimes cause painful ejaculation in a person.

Nerve damage or neurological problems:

·         Diabetic neuropathy: Nerve damage caused by long-term diabetes. This is also a cause of painful ejaculation in a person.

·         Pudendal neuralgia/entrapment: Compression or damage to the pudendal nerve, which supplies sensation to the genital area. It is responsible element for pain during ejaculation.

·         Spinal cord injuries can cause of dyspareunia in men.

·         Other neurological disorders: such as multiple sclerosis.

Post-surgery or radiation effects:

·         Prostate surgery: Procedures such as radical prostatectomy for cancer for BPH can sometimes cause painful ejaculation due to nerve damage, scar tissue or changes in anatomy.

·         Pelvic radiation therapy: It can cause inflammation and scarring in the pelvic area that makes difficulties in ejaculation.

·         Hernia repair surgery: Inguinal hernia repair can sometimes cause nerve irritation.

·         Vasectomy: Although it is rare, some men experience pain syndromes after vasectomy, which may include ejaculatory pain.

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Side effects of medications:

·         Antidepressants: Particularly selective serotonin reuptake inhibitors (SSRIs) are known to cause sexual side effects, including delayed and sometimes painful ejaculation in a person.

·         Certain blood pressure medications or muscle relaxants can affect the sexual health in a person.

Pelvic floor muscles problems:

Dysfunction of the pelvic floor muscles: Overly tight, tense or spasmodic pelvic floor muscles can cause pain during the rhythmic contractions of ejaculation. This may also be a component of chronic pelvic pain syndrome. It creates a person's sexual life painful and irritating.

Psychological factors:

·         Stress, anxiety, depression: These can manifest as physical symptoms, including pain during ejaculation, often caused by increased muscle tension and pressure.

·         Performance anxiety: Anxiety about sexual performance can cause muscle stiffness and discomfort.

·         Relationship problems: Unresolved issues or a lack of intimacy can contribute to sexual problems.

Dr. Sunil Dubey, Gold Medalist and Bharat Gaurav Awardee
35 Years of Experience in this Ayurveda and Sexology Profession

Diagnosis of painful ejaculation:

Dr. Sunil Dubey, who is also the best sexologist in Bihar, India, says that looking at all the above reasons, it turns out that this painful condition is a series of many factors. Therefore, it is necessary to follow several steps to diagnose this sexual problem. A reputed and experienced sexologist diagnoses this sexual problem through various methods.

·         Detailed medical history: A qualified sexologist doctor asks for a detailed medical history related to this sexual problem. Questions are asked about the nature, location and duration of the pain, other symptoms, sexual history, medications and any recent surgeries.

·         Physical examination: This includes a genital examination and often a digital rectal examination (DRE) to check the prostate.

·         Urine test: To check for infection (UTI, STI) or blood.

·         Semen analysis: To check for signs of infection or other abnormalities.

·         Blood test: To check for signs of inflammation, PSA (for prostate health), or hormone levels.

·         Imaging tests: In some cases, an ultrasound or MRI of the prostate, seminal vesicles or pelvic region may be done to detect structural problems, stones or inflammation.

·         Urodynamic study or cystoscopy: Less common, but may be used to evaluate bladder and urethral function.

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Treatment:

Dr. Sunil Dubey offers his comprehensive treatment for these types of sexual problems. First, he focuses on the underlying causes, which can be-

·         Bacterial infections (prostatitis, epididymitis, sexually transmitted diseases, urinary tract infections)- Antibiotics

·         To reduce pain and swelling

·         To relax the muscles of the prostate and bladder neck, improving urine flow and sometimes reducing ejaculation-related discomfort, especially if BPH or chronic prostatitis is involved.

·         Recommend for physiotherapist for pelvic floor muscle dysfunction

·         Recommend for surgical procedure in case of ejaculatory duct obstruction

·         Counselling/sexual therapy: If psychological factors are important, therapy may help manage anxiety, stress or relationship problems.

·         Lifestyle changes: Reducing alcohol consumption, managing stress and maintaining good hygiene can sometimes be helpful.

He provides holistic treatment and medicine facilities with the help of Ayurveda and naturopathy. During the treatment, he provides both modern and traditional methods of sexual medicine which helps in providing evidence-based treatment. People from different places in India connect with Dubey Clinic to get proper consultation with Dr. Sunil Dubey. He treats about 20-25 people at this clinic every day while around 100 people connect with this clinic over phone every day.

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Dr Sunil Dubey (Dubey Clinic)

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