Painful ejaculation may be caused by frequent sex life, tension and anxiety, inflammation, tumor, stones, etc. It needs to be treated by psychological counseling, medication or surgery according to the cause. 1. Frequent sexual intercourse: excessive congestion of the corpus cavernosum of the penis caused by too much sexual intercourse may lead to ejaculatory pain, and it is necessary to reduce the frequency of sexual intercourse. 2. Tension and anxiety: mental tension, anxiety and depression, etc. lead to ejaculation when the urethral smooth muscle and other excessive tension, contraction spasm and ejaculation pain. This can be improved by appropriate psychological guidance and education. 3. Inflammation: Orchitis, epididymitis, prostatitis, urethritis and other inflammatory lesions in the area of sperm storage and semen discharge may cause ejaculatory pain. Antibacterial drugs such as levofloxacin and ciprofloxacin can be applied for anti-infection treatment. 4. Tumor: prostate cancer, penile cancer and other diseases can infiltrate the urethra and cause ejaculation pain, which can be treated by surgery, such as radical prostatectomy. 5. Stones: Bladder stones and urethral stones cause obstruction of urinary tract, sperms can not be discharged through urethra, which may cause ejaculation pain. You can drink a lot of water to promote the discharge of stones, and if necessary, surgical removal of stones, such as cystoscopic lithotripsy. To summarize, painful ejaculation is related to many factors and should be treated promptly by a doctor.