What causes painful ejaculations?
Patient: I have been experiencing painful ejaculations with a very small amount of ejaculate. It creates a uncomfortable pressjre in testicles and feels like something is obstructing the flow. I have had a vasectomy years ago and never had problem until recently. I take effexor xr daily. Doctor: Hello and .Your concern is understandable.At time of intercourse, sperms with some fluid, travel via tubes called vas, from both the testis to the penis, and out with ejaculation.In your case,  both the vas have been divided and tied up years back.But, the kind of pain you're experiencing, is known in few cases.You should get a doctor to check the genitalia, and proper treatment will be advised.  You should also ask the doctor, if the Effexor XR, is needed.Wish you well.