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QUESTION

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Hi, I'm 24 and married for the past one year. My husband seems to have lost interest in sex life. When I talked to him about this, he said that he usually gets pain in the penis after intercourse. Every time he ejaculates in 2 minutes, and winces whenever I touch his testis. Will these things affect his potency or our sex life? I'm greatly troubled.

This question was submitted to the HSAB by an actual iFriends user, and answered for recent publication.


ANSWER

Answered by Larry Siegel, M.A.

There are several possible issues embedded in your questionm but the first thing that needs to be suggested is that your husband be thoroughly examined by a physician, the sooner the better. You describe three separate issues: 1) he experiences pain in his penis after intercourse; 2) he ejaculates very quickly; and 3) his testes hurt when you touch them. Again, the most important thing here is that he sees a doctor; specifically, a urologist. Penile pain can be caused by a great number of things, many of which can be serious conditions. It could be due to an infection of some kind, Peyronie’s Disease (painful curvature of the penis), prostatitis, penile fracture, or something as serious as cancer. All of these can certainly affect his potency and sex life. You didn’t mention whether he was circumcised or not, but there is also a condition known as balanitis, which is an inflammation of the foreskin and glans (head of the penis). Balanitis is usually caused by poor hygiene in uncircumcised men, but can also be due to infection, harsh soaps, or failure to properly rinse soap off while bathing. If your husband has untreated diabetes, that can make him prone to it as well.

In addition to balanitis, his penile pain could also be due to something called Frenulum Breve, where the frenulum (under the glans, where the head of the penis and foreskin connect) is too short and pulls on the erect penis, causing pain. During intercourse, the foreskin gets pulled forward and pushed backward, often resulting in a mixture of both painful and pleasurable sensations. This can be a factor in explaining his rapid ejaculation and subsequent pain after intercourse. As far as the pain in his testicles, it could also be caused by a number of infections, perhaps causing a condition known as epididymitis, an inflammation of the epididymis (where sperm develop into maturity). If that is present, there is a very good chance that it could affect his fertility if it goes untreated.

In addition to whatever may be going on with him physically, I would presume that there is also a considerable degree of anxiety that he feels, which may also contribute to his lack of interest in sex and rapid ejaculation. It would be a good idea for him to speak with a sex therapist, or another mental health practitioner that specializes in sexual issues, about this in addition to seeing a physician. The only way to get any definitive answers is by getting a thorough physical examination by a medical professional so he can receive the proper treatment.

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