Why Does My Dick Hurt

Why Does My Dick Hurt




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Why Does My Dick Hurt
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Zachary Zane is a Brooklyn-based writer, speaker, and activist whose work focuses on lifestyle, sexuality, and culture. He was formerly the digital associate editor at OUT Magazine and currently has a queer cannabis column, Puff Puff YASS, at Civilized.


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Wondering what's causing that ache below your belt and between your legs? We got you.
We're going to be honest with you: It’s not a great sign that your penis is hurting. That said, it’s not necessarily a bad sign your penis is hurting. Your penis is a weird, complex, and rather fickle sex organ.
It’s also made of a few delicate parts that carry out very necessary bodily functions. (Urination! Erections! Ejaculation!) There’s a lot that can go wrong with your penis, and if you notice that something doesn’t feel right, you shouldn’t ignore it. You want your penis to always be in tip-top shape.
Not to mention that your penis affects others. (By this, we mean if you have a sexually transmitted infection and don’t get treated , you’re not just putting your health at risk, but you’re also putting your partners’ health at risk.)
Before we begin, a quick refresher on the anatomy of your crown and jewels. Your penis has two chambers inside of it called the corpora cavernosa. “About one-third of these are inside the body and two-thirds are outside in the penile shaft,” Drogo Montague, M.D., a urologist at the Cleveland Clinic, previously told Men’s Health . These chambers are made up of spongy tissue and contain blood vessels. (These blood vessels fill with blood, which is how you get erect !)
Alright, with all that out of the way, here are eight of the most common types of penis (and testicular) pain, as well as the possible causes of—and solutions to—each of them. (And we're just going to say this point-blank: When in doubt, see a goddamn doctor.)
The pain: A burning or sharp pain at the tip of your penis.
The cause: If you’re lucky, this could just be the result of a little soap or shampoo slipping inside the opening at the end of your penis, says Tobias Köhler, M.D., urology chair at Memorial Medical Center in Springfield, Illinois. If this is the case, you're likely to feel irritation immediately after the soap creeps into your urethra, but sometimes you won't feel any discomfort until you urinate.
If the pain doesn’t go away after a day or two, it could be a sign of a sexually transmitted infection (STI), especially if it’s accompanied by a green-ish or white-ish discharge. Another possible cause, according to Köhler, is a kidney stone, although the pain in your tip would usually be accompanied by an ache in your lower stomach.
The solution: Give it a couple days. If the pain goes away or fades, you’re fine. If it persists or gets worse, it's probably time to see a doctor.
The pain: A dull, heavy ache in your scrotum that seems to show up after you’ve lifted weights, moved heavy furniture, or were standing for a long period of time. Typically, the pain will subside when you lie down.
The cause: V aricocele, which is an enlargement of the veins within your scrotum that heats up your testicles and causes tenderness or a dull pain. “A lot of guys describe this as having blue worms in their sack,” Köhler says. Blood collecting due to the scrotal veins enlarging can hurt your ability to produce sperm and testosterone.
The symptoms can depend on which stage varicocele you have. Grade 3 varicoceles are largest and most noticeable, and can feel thick and lumpy. Grade 2 are not as intense, though they still may feel a little ropey. You may not even notice if you have a grade 1 varicocele.
The solution: See a doctor as soon as possible, although there's not need to peel into the emergency room.
The pain: An erection that won’t go away, and hurts like hell.
The cause: Though most men who suffer from erectile dysfunction are not able to get blood to flow into the penis, a perma-boner is the result of a priapism, or a problem with the way blood flows out of the penis while erect. During a healthy erection, blood should be flowing both ways, according to Köhler
Eventually, the blood trapped in your penis as a result of a priapism becomes “deoxygenated,” which causes pain. Köhler says this typically happens to men who are mixing erectile dysfunction medications like Viagra or Cialis with drugs like cocaine or ecstasy. So yeah, don't do that. A priapism can also be caused by erectile dysfunction medication that is injected directly into the penis, which we would also advise against.
“Or, it may come about for no reason at all,” Köhler adds. OK then.
The solution: Emergency room. ASAP.
The pain: A sharp, shooting pain in your testicles that doesn’t let up and may be accompanied by nausea or vomiting.
The cause: One testicle may have become twisted in your scrotum, which cuts off the blood flow and oxygen it needs to stay healthy. “Basically, this is like your testicle is having a heart attack,” Köhler explains. The condition is called “testicular torsion,” and it could cost you one of your boys if you don’t act fast, he says.
Testicles are attached to the body by spermatic cords, which run into the abdomen, and by fleshy anchors near the scrotum. It's not terribly uncommon for men to be born without the latter, which increases the likelihood of testicular torsion.
Do this: Emergency room. Now. “If you don’t untwist the testicle within a couple hours, you could lose it,” Köhler says. Dr. Jon Pryor, a urologist with the University of Minnesota, concurs. “If you catch it in 4 to 6 hours, you can usually save the testicle,” he says. “But after 12 to 24 hours, you’ll probably lose it.”
The pain: A persistent ache or tenderness at the top of the scrotum, near the base of the penis. It may gradually become worse, and could be accompanied by swelling or redness.
The cause: This is likely epididymitis, or an infection of the epididymis, the small organ located between your penis and testicles that stores your sperm while they learn how to swim, says Köhler. In men younger than 35, this infection is usually caused by an STI. In men 35 and older, it’s more often the cause of a bacterial infection.
The solution: Get it checked out by a physician as soon as possible. If the pain keeps getting worse, you could be dealing with testicular torsion (see above), in which case you need to get to the emergency room, stat.
The pain: A sharp pain during urination.
The cause: The worst-case scenario is that you're dealing with bladder cancer, according to Joseph A. Smith, M.D., chairman of the department of urologic surgery at Vanderbilt University. Pain during urination and blood in the urine, which can cause a rusty discoloration.
A more common cause, however, is a urinary tract infection (UTI), which is happens when bacteria finds its way into your urethra. Another possibility is that you have a sexually transmitted disease (STD) like gonorrhea.
The pain: A feeling of pain during an erection or intercourse, along with a pop or snap in the penis shortly before an erection.
The cause: While many men are born with a slight curvature or bend in their penis, a more extreme curvature is seen in men with Peyronie's disease, and it usually appears in middle age. It's caused by fibrotic scar, or plaque, that has formed within the penis, creating the bend.
The exact cause of Peyronie's disease isn't entirely clear, but some researchers believe the plaque can form after an erect penis has been abnormally hit or bent during sex or athletic activity.
The solution: Head to a doctor to see if your curve truly is the result of Peyronie's disease. The good news is that pain of Peyronie’s disease is usually mild , and the condition inhibits intercourse in only about 1 percent to 2 percent of men, as urologist Ryan Berglund, MD, told Cleveland Clinic . But the curvature can interfere with sexual activity if it's severe enough, and in those cases physicians will usually intervene with oral medications, injections, or surgery.
The pain: Foreskin pain usually presents as tightness and/or swelling.
The cause: Some men are born with tighter foreskin than others, but it usually goes away in childhood (phimosis). If your foreskin suddenly gets tight, swollen, and painful, it may be due to paraphimosis , a condition where the foreskin can no longer be pulled into its normal position over the tip of the penis. It's usually caused when foreskin is pulled back for an extended period of time.
Paraphimosis causes the foreskin to become swollen, which can slow the flow of blood to the tip of the penis, and it can lead to tissue death or impaired penis function if it isn't treated quickly.
The solution: Head to the ER, where a doctor will try to manually try to pull the foreskin forward using ice or a bandage. As a report from The Scientific World Journal states, a physician may make a small incision or perform an emergency circumcision in extreme cases.
Additional reporting by Bill Phillips and Elizabeth Millard.


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See your urologist if pain is persistent or severe

January 25, 2021 / Rheumatology & Immunology


January 25, 2021 / Rheumatology & Immunology


September 3, 2019 / Urinary & Kidney


September 3, 2019 / Urinary & Kidney


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Penis pain involves any pain or discomfort, internal or external, of the penis. If you’re experiencing aches and pains in the penis, whether during sexual intercourse or at other times, you should schedule a trip to your doctor or a urologist if symptoms persist or are severe.

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Chief among the causes of penis pain is Peyronie’s disease, an abnormal curvature of the penis usually caused by scar tissue in the tunica albuginea — the strength layer of the penis — says urologist Ryan Berglund, MD .
Peyronie’s can interfere with intercourse either by making it painful or by leading to erectile dysfunction, Dr. Berglund says. Some men report hearing a pop or snap in the penis shortly before an erection, he says.
About one in 20 men develop Peyronie’s at some point in their lives. The exact cause of Peyronie’s disease is unknown.
The disease becomes severe enough to inhibit intercourse in only 1% to 2% of men. Physicians typically intervene only in those cases.
Surgery is a possible treatment in some cases. Doctors also sometimes use a penile prosthetic to treat the condition. Incision of plaque from the penis is another type of treatment, he says.
While Peyronie’s gets somewhat more likely to occur with age, men in any stage of life may develop the condition, Dr. Berglund says.
“I’ve seen plenty of young men who have it,” he says.
A somewhat rarer source of pain in the penis are penile fractures. A penis fracture can occur when there is trauma to the erect penis. The trauma may rupture the lining of one of the two cylinders in the penis responsible for erections.
Men who experience this report hearing a popping sound, then experiencing severe pain, swelling and dark bruising of the penis, Dr. Berglund says.
Penile fractures are medical emergencies. The concern is that they can lead to permanent erectile dysfunction if not treated immediately.
“You need to go in and quickly have those sewn up,” he says. “But fractures are fairly rare.”
Skin disorders such as lichen sclerosus sometimes cause penis pain. This condition looks like small white bumps that are shiny and smooth. Later, the spots grow into bigger patches. The skin on the patches becomes thin and crinkled. Then the skin tears easily, and bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the disease is a mild case, there may be no symptoms.
Lichen sclerosus is an “inflammatory scarring response that can lead to difficulty in urination and anatomic problems with the penis,” Dr. Berglund says. The likelihood of developing lichen sclerosus grows significantly higher with age.
Uncircumcised men sometimes develop a painful condition called phimosis . This means the foreskin cannot be fully retracted. This condition sometimes requires corrective surgery, he says. Older men are considerably more likely to develop phimosis, as well.
Uncircumcised men are more likely to develop hard lesions on the penis. This condition is rare in the United States, but more common worldwide. Improved hygiene usually clears up this problem. However, a doctor should evaluate the condition to rule out penile cancer , Dr. Berglund says.
Penis pain can have many causes, from Peyronie’s to penile fracture to skin disorders like lichen sclerosus. Here’s when to see your doctor.

For men, the penis is one of the most, if not the most important organ. So if there are any signs of pain or discomfort, it usually causes a lot of worry and anxiety. However, pain in the penis can be due to many different conditions. Some are harmless, others may need immediate treatment.
So I have listed below some of the common causes of penile pain so that you can know when you need to rush to see the doctor or only come in the following Monday.
Balanitis refers to inflammation of the foreskin which can be caused by fungal or bacterial infections, and irritants such as soaps, powders or creams that are applied over the foreskin. People that have diseases which compromise the immune system, such as Diabetes and HIV, may be more prone to this condition.
The pain caused by the inflammation is usually not severe but it can be throbbing, itchy and rather uncomfortable. This can be easily treated by treating the cause or avoiding the irritant.
See: Treatment for Penile Infection
Herpes is one of the most common Sexually Transmitted Diseases STDs. This infection is transmitted through skin to skin contact and is usually caused by 2 different viruses called HSV 1 and HSV 2, which are usually known to cause lesions in the mouth and genital areas respectively. However, during oral sex, the virus can be passed on from the mouth to the penis causing genital herpes.
They usually present with painful blisters or ulcers over the skin and can be painful or at least very sensitive to touch. It can be treated with anti-viral tablets although it will keep recurring throughout a person’s life.
See: Everything You Need to Know about Herpes Simplex Virus
Chancroid is caused by a bacteria called Haemophilus Ducreyi and is transmitted through sexual intercourse. It commonly presents with a single large painful ulcer on the penis along with enlarged and tender lymph nodes in the groin region.
Chancroid is an infection that is usually caught via sexual contact. This can be treated with antibiotics once the diagnosis is established by your doctor.
See: The causes of Genital Blister and Ulcers
This is an infection of the urinary tract along the penis, through which the urine is passed out from the bladder. When an infection occurs along this tract it results in pain when urinating or discharges from the tip of the penis. Sometimes even when not urinating, one can feel the pain along the urethra itself.
Urethritis can be caused by Chlamydia, Gonorrhea, NSU or Herpes which are very common infections that can be transmitted through sexual intercourse. A simple urine test and sometimes a urethral swab can be performed to found out the exact cause and in most cases, it is easily cured with antibiotics.
See: What are the causes of Abnormal Penile Discharge
When the prostate is involved during a urinary tract infection it can cause severe pain during urination and sometimes fever and shivering. This sometimes is difficult to diagnose and may involve the doctor placing a finger up the anus to feel for any tenderness in the prostate gland. Moreover, it usually requires a longer course of antibiotics.
See: The Causes, Testing and Treatment of Prostatitis (Prostate Inflammation) 
The penis is made out of erectile tissues and blood vessels. Although there is no bone in the penis, during an erection it can be as hard as bone. The term penis fracture is used when there is an injury to the erectile tissue inside the penis. It usually happens during sexual intercourse when the penis accidentally fully or partially slips out of the partner and the partner sits back down on the penis which injures it.
This will result in a sudden onset of pain and in certain cause you may even hear a snapping sound. When this occurs you should go to the emergency department immediately because it is a medical emergency.
The frenulum is a thin strip of skin connecting the head of the penis to the foreskin. This can break during intercourse, especially when it’s rough, and result in pain and a lot of bleeding. The pain can last up to a few days as the frenulum heals. The healing time varies and it may get repeatedly injured during subsequent intercourse. When it started to occur more frequently, a simple surgical procedure may be done to fix the frenulum.
Frenulum breve , or short frenulum , is a condition in which the frenulum of the penis is too short and thus restricts the movement of the foreskin.
See: Frenulum Breve Treatment or Penile Frenulectomy
Is your penis bent during an erection? At the point where it is bent, can you feel a painful lump?
If it is yes to both questions, you may have Peyronie’s Disease . This happens when a spot along the penis shaft becomes inflamed and as it heals, it leads to contraction of one side of the penis causing it to bend. The pain may arise from the area of inflammation or in certain cases when the curvature is so severe, it causes pain during sexual intercourse.
Please see a doctor if you think you have Peyronie’s disease, and once the diagnosis is established the doctor may suggest several treatment options ranging from s
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