Male Sexual Accidents and Risks: Analysis of the Causes of Pain Hypersensitivity and Sudden Death During Intercourse

When it comes to dyspareunia, people often think that only women experience it. In fact, dyspareunia in men is also quite common. So, what causes dyspareunia in men? According to surveys, the main causes of dyspareunia in men are as follows: (1) Phimosis or redundant foreskin: Phimosis refers to the narrow foreskin opening that adheres to the glans penis, preventing the foreskin from being retracted to expose the glans penis; redundant foreskin is when the foreskin covers the entire glans penis and urethral opening, but can still be retracted to expose the glans penis. If men with redundant foreskin do not pay attention to local hygiene, they are prone to infection and repeated balanitis. The foreskin opening becomes narrow due to scarring and constriction, forming secondary phimosis. During sexual intercourse, if the movements are too vigorous, the foreskin may be forced to retract and cannot be returned to its original position in time. The foreskin opening is tightly constricted at the coronal sulcus of the penis, obstructing the return of blood and lymph from the penis, which can cause congestion, edema, and pain, thus forming paraphimosis. If not treated in time, the foreskin and penis may ulcerate or even become necrotic. (2) Prostatitis: Chronic prostatitis is a common chronic inflammation of the urinary system in young and middle-aged men. After contracting this disease, the prostate and seminal vesicles contract during ejaculation, squeezing the tissues and expelling purulent semen, while also causing pain during ejaculation. Therefore, men with pain during intercourse should have a prostate fluid examination and receive timely treatment. In addition, seminal vesiculitis and urethritis can also cause pain during ejaculation. (3) Urinary tract stones: Regardless of where the stone is located in the urinary tract, it will cause pain. Kidney stones and ureteral stones can cause severe pain during an attack, making it difficult to sit or lie down; pain from bladder and urethral stones often occurs during urination, and the pain may be located above the pubic bone or in the perineum. The duration of pain from urinary tract stones varies, ranging from a few minutes to several days. If there is a stone in the urethra, the urethra will also contract from time to time during intercourse, causing obstruction of semen expulsion during ejaculation and resulting in pain during ejaculation. (4) Frequent intercourse: The frequency of intercourse varies from person to person. However, excessive indulgence in sexual activity, such as having intercourse too frequently, even several times a day, can cause prolonged congestion of the reproductive organs, leading to local swelling and pain. Frequent dyspareunia in men can also increase psychological stress, causing fear of intercourse and potentially resulting in sexual dysfunction. Therefore, if dyspareunia occurs, the cause should be identified and treated promptly.

(1) Causes of Sexual Intercourse Allergy: Newlywed couples are deeply in love during their honeymoon, but some newlywed men experience sexual intercourse allergy during intercourse, which is embarrassing to talk about, casting an unpleasant shadow over their newlywed life. The causes of sexual intercourse allergy can be summarized into the following four aspects: ① Condom allergy. Since condoms are made of rubber, some men with allergies may experience allergic reactions. The clinical symptoms are generally redness, swelling, itching, or burning of the glans penis. In severe cases, it can lead to ulcers, erosion, or discharge. Men who are allergic to condoms can temporarily stop using condoms and switch to oral contraceptives for their partners to achieve the purpose of contraception. ② Friction allergy. Since intercourse is a process of physical contact and appropriate whole-body exercise, for some people with allergies, even slight friction can cause a certain degree of allergic reaction, with localized edema or wheals, surrounding redness, and itching at the friction site. ③ Drug allergy. Some couples use external contraceptives during intercourse, such as contraceptive films, which are slightly yellow and translucent and mainly contain phenoxy polyol 10 ether; and contraceptive creams, which contain ethyl acetate, etc. A small number of men experience allergic reactions to the above-mentioned films or creams during intercourse, resulting in penile pain and itching. ④ Allergic reaction to secretions. The secretions mentioned here refer to the mixture of fluids secreted by the cells of the vaginal wall and the fluids secreted by the cervical glands, which are acidic. If the man is usually allergic, he may experience allergic reactions to secretions after intercourse. The main manifestations are: shortly after intercourse, the man's penis will experience intense itching, stinging, or small papules. In severe cases, there may be eyelid swelling and systemic skin itching, hives, etc. (2) Prevention and treatment: Sexual intercourse allergy is a very troublesome thing for newlywed men, but it can be prevented. First of all, the patient should maintain a good mood, not be annoyed or impatient, so as to control and alleviate the condition. For men who do not wish to conceive temporarily and are allergic to condoms, contraceptive methods such as oral medication or IUD insertion for the female partner can be used. For men allergic to vaginal secretions, condoms should be used to prevent direct contact with the vaginal secretions. If an allergic reaction occurs, do not scratch or wash with hot water and soap; instead, rinse the penis with clean water, especially the glans. Patients can also take oral antihistamines such as chlorpheniramine, calcium gluconate, or prednisone. For those with friction allergies, acetaminophen may be considered. The use of any of these medications should be under the guidance of a doctor.

Sudden death during intercourse, also known as accidental sexual intercourse, is more common in men than women. The main causes are as follows: (1) Excessive excitement: For example, on the wedding night, the groom may occasionally die on top of the bride. This is because the man is overly excited, causing his central nervous system to lose its inhibitory function, leading to death. (2) Excessive indulgence: A couple living apart, the husband returning home for the weekend, disregards the fatigue of the long journey and indulges excessively, having intercourse multiple times in one night, eventually dying from exhaustion. If the woman can detect this early and has some medical knowledge, taking emergency measures such as pinching the philtrum, lightly biting the tongue and lips, or pricking the lower back with a fingernail or hairpin, the man's central nervous system may react immediately, stopping the convulsive attack that leads to exhaustion. (3) Excessive fatigue: Some people, after engaging in strenuous exercise continuously, or working or gambling day and night for several days, drag their exhausted bodies to have intercourse, resulting in premature death. An ancient saying goes, "Those who have intercourse within a hundred li will die." This is because the body's hormones are depleted, leading to fatigue and weakness, which in turn causes yin deficiency and yang excess, ultimately resulting in tragedy. Therefore, those who are extremely fatigued must be very careful. (4) Overeating: It is also very dangerous for some people to have sex immediately after a full meal. In mild cases, it can lead to acute indigestion and long-term diarrhea; in severe cases, it can be life-threatening. (5) Excessive exposure to cold: After sex, one sweats profusely. In the hot summer, indulging in sexual activity can easily cause a cold. Coupled with a history of hypertension, coronary heart disease, etc., accidents can often occur.