Urology Expert Forum
Painful Ejaculation
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Painful Ejaculation

I have pain in my right groin at the moment of ejaculation. I suffered a serious groin pull playing handball several years ago. I had a "knot" in my right groin, in the fold between the pubic region and the thigh. During a sudden movement a few months later I felt a popping in my right groin and discovered that my nagging pain and ejaculation problems were gone. However, several months later I reinjured the groin lunging to the right during a handball game and the problems came back. That was several years ago. I have had two prostrate checks and both have come back good. I have also had two sonograms of the area and they show nothing. However, one can feel a knot in either the ligament or muscle that runs down the fold between the abdomen and leg. The degree of pain during ejaculation varies from mild to very severe. I do not suffer from groin pain during my day-to-day activities. The only time I feel any pain in this area is during ejaculation. I have no other sexual problems. What is the cause of this problem and what can I do about it?
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A groin strain her hernia in the area is possible.  This can be evaluated by your personal physician or surgeon.

Imaging the area with a CT scan can also help rule out a hernia.  

If negative, you can consider enlarged lymph nodes that may be associated with an infection.  Obtaining urine tests to exclude this possibility can be considered.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
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