What causes pain during sex for men?

Painful sex for men, also known as dyspareunia, can be caused by various physical, psychological, and medical factors. Here are some common causes:

Physical Causes

1. Infections:

• Sexually Transmitted Infections (STIs): Conditions such as herpes, gonorrhea, chlamydia, and genital warts can cause pain during sex.
• Urinary Tract Infections (UTIs): UTIs can cause pain or a burning sensation during ejaculation.

2. Structural Issues:

• Phimosis: A condition where the foreskin is too tight to be pulled back over the head of the penis.
• Peyronie's Disease: The development of fibrous scar tissue inside the penis causing curved, painful erections.
• Frenulum Breve: A short frenulum that can tear or cause pain during sex.

3. Skin Conditions:

• Fungal Infections: Conditions like jock itch or yeast infections can cause irritation and discomfort.
• Dermatitis: Allergic reactions to soaps, lotions, or condoms can cause inflammation and pain.

4. Trauma or Injury:

• Physical Injury: Injuries to the penis, testicles, or groin area can lead to pain.
• Rough Sexual Activity or Masturbation: Overly aggressive or rough sexual activity can cause friction burns, abrasions, or torn penile frenulum.

5. Prostate Issues:

• Prostatitis: Inflammation of the prostate gland can cause pain during ejaculation.
• Benign Prostatic Hyperplasia (BPH): An enlarged prostate can lead to discomfort during sexual activity.

Psychological Causes

1. Anxiety and Stress: Performance anxiety, stress, and mental health conditions can lead to muscle tension and pain during sex.
2. Relationship Issues: Problems within a relationship can manifest as physical pain during sexual activity.

Medical Conditions

1. Chronic Conditions:

• Diabetes: Can lead to nerve damage and reduced blood flow, causing pain.
• Interstitial Cystitis: A chronic condition causing bladder pain and pressure, which can affect sexual activity.

2. Medications:

• Certain medications can cause side effects like decreased lubrication, erectile dysfunction, or pain.

3. Post-Surgical Pain:

• Pain after surgeries involving the prostate, bladder, or other parts of the genitourinary system.

Other Causes

1. Allergic Reactions: Reactions to latex condoms, spermicides, or lubricants.
2. Poor Hygiene: Can lead to infections and irritations.