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为什么我射精时会疼?
#1
[图: painful-ejaculation.jpg]



痛苦的射精会伤害人际关系,破坏自尊心,并使生活中的一种乐趣变成沮丧的源头。这可能是一个可怕的经历,但这并不令人感到羞耻。对于大多数男人来说,它表现为射精期间或射精后的疼痛。有些男人在射精疼痛时会感到尴尬,但这是一个相对普遍的症状。它也是高度可治疗的,并且可能是另一个问题的第一症状,例如前列腺肿胀。各种研究发现,有1-10%的男性会出现这种症状。高达30–75%的患有前列腺炎的男性在射精时会感到疼痛。在本文中,我们检查了痛苦射精的症状和原因,以及可以采取哪些措施进行治疗。


病征

射精的症状因人而异。它们也可能随时间变化。有些男人只有在与伴侣发生性关系之后才会出现症状,而在自慰时则不会。


一些最明显的症状包括:

射精过程中或射精后疼痛
阴茎,膀胱或直肠内或周围的疼痛
射精前后不久开始的疼痛
小便时疼痛,尤其是射精后立即
疼痛可能仅持续几分钟,或射精后长达24小时。它可以是温和的或非常强烈的。


原因

各种各样的情况都会导致痛苦的射精。在大多数男性中,射精时的疼痛是由于医疗状况造成的。有时,医生无法找到医疗原因。发生这种情况时,有些男人可能需要以心理疗法的形式来支持他们的病情。


前列腺疾病

关于痛苦射精的医学文献大多数集中在前列腺问题上。前列腺炎是常见原因之一。slotxo 患有前列腺炎的男性患有前列腺肿胀和炎症。这种肿胀通常是由于前列腺感染引起的。前列腺炎也可以由其他问题引起,例如神经损伤或尿道感染(UTI)会损害前列腺。患有糖尿病的男性更容易遭受引起前列腺炎的神经损伤。导致前列腺肿大的良性前列腺增生(BPH)也可能影响射精。患有BPH的男性也可能会经历排尿困难或排尿困难或尿频。其他前列腺问题,包括前列腺手术和前列腺癌,也可能导致射精痛苦。


药物

有些药物会导致射精痛苦。抗抑郁药可能会引起一系列性问题,包括性欲改变,勃起功能障碍(ED)和射精疼痛。关系和情绪问题抑郁,焦虑和压力可以从根本上改变男人的性生活。同样,关系中的问题可能表现为身体症状,包括痛苦的射精。手淫时没有疼痛的男性可能由于情绪或人际关系问题而射精。




[图: painful-ejaculation-may-be-linked-to-iss...ostate.jpg]


精囊问题

精囊是一个腺体,其中精子与其他液体混合形成精液。该腺体的问题,特别是结石的坚硬生长,可能使射精痛苦。骨盆手术对生殖器或骨盆进行的手术(包括骨盆辐射)可能会损坏前列腺和其他在射精中起作用的身体其他部位。这种损害会使射精痛苦。


性传播感染


广泛的性传播感染(STIs)会使射精痛苦。男性在射精,排尿或同时排尿和排尿时可能会感到灼痛感。衣原体和滴虫是常见的元凶。神经系统问题影响神经系统的疾病,例如糖尿病,可能损害与性高潮和射精相关的神经。一些身体上的伤害也可能伤害神经。脊髓损伤的男性在射精过程中可能会遇到一系列异常感觉。


汞毒性

一些病例报告将汞中毒(通常是由于鱼污染引起)与射精疼痛联系在一起。为了确定此链接的强度,需要进行更多的研究。治疗痛苦射精的治疗取决于病因。检查应从完整的病史开始,包括有关男人的心理健康和人际关系的问题。医生将询问当前和过去使用的药物,以及任何当前或以前的性传播感染史。对性传播感染进行全面测试也可能会有所帮助。骨盆检查(包括前列腺检查)可以评估前列腺炎,BPH和受伤情况。医生还可以进行血液检查以检测前列腺特异性抗原(PSA)。在患有某些前列腺疾病(包括前列腺癌)的男性中,这种物质会增加。
在大多数情况下,治疗根本原因还可以解决射精的症状。一些治疗选项可能包括:


抗生素治疗前列腺感染或性传播疾病
如果罪魁祸首是药物,那就换药
手术治疗前列腺癌和其他前列腺疾病
心理治疗和生活方式的改变,以解决关系和情绪问题


神经损伤可能是不可逆的,但医生可能仍会希望治疗根本原因。这样做可以防止神经损伤恶化。治疗失败或医生无法找出病因时,男人可以尝试一些可能减少疼痛的替代策略。一些选项包括:


性治疗
盆底运动,以增强参与射精的肌肉
止痛药
肌肉松弛药物
抗惊厥药
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