What could be the reason for pain during ejaculation in a 74 yr old male?
Patient: I am a 74 year old healthy male and for the past several months I have pain DURING ejaculation. I would describe the pain as moderate. My urologist has had me on two antibiotics and the situation is no better. 14 days on Levofloxacin 500mg and now half way thru a 37 day series of Bactrim DS 800-160. Ideas? Doctor: HelloThanks for query.You have pain during ejaculation .This is mostly due to Chronic Prostatitis .Get your Semen examination and Semen culture done to find out the organisms causing this infection so that you can take appropriate antibiotic as per culture report to combat infection.Discuss with you Urologist  about the other modality of treatment like daily prosatatic massage.This helps to drain out  all the secretions from prostate and there by helps to control infection.Dr.Patil.