Painful ejaculation
ICD-10 N53.12 is a billable code used to indicate a diagnosis of painful ejaculation.
Painful ejaculation, or dysorgasmia, is a condition characterized by discomfort or pain during ejaculation. This condition can significantly impact a man's sexual health and quality of life. The pain may be localized to the genital area or may radiate to other regions such as the lower abdomen or perineum. Painful ejaculation can arise from various underlying causes, including infections (such as prostatitis or urethritis), anatomical abnormalities, or psychological factors. It can also be associated with other ejaculatory disorders, such as premature ejaculation or delayed ejaculation. The condition may be exacerbated by anxiety, stress, or relationship issues, which can further complicate diagnosis and treatment. Accurate diagnosis often requires a thorough medical history, physical examination, and possibly laboratory tests to rule out infections or other medical conditions. Treatment options may include medications, pelvic floor therapy, or counseling, depending on the underlying cause. Understanding the multifactorial nature of painful ejaculation is crucial for effective management and improving patient outcomes.
Detailed patient history, physical examination findings, and results of any diagnostic tests.
Patients presenting with pelvic pain, urinary symptoms, or sexual dysfunction.
Consideration of psychological factors and referral to mental health professionals if indicated.
Assessment of psychological factors contributing to sexual dysfunction, including anxiety and relationship issues.
Patients with anxiety disorders or relationship problems affecting sexual health.
Coordination with urology for a multidisciplinary approach to treatment.
When circumcision is performed to alleviate painful ejaculation due to phimosis.
Document the indication for the procedure and any associated symptoms.
Urology specialists should ensure proper coding for surgical interventions.
Common causes include infections like prostatitis, anatomical issues such as urethral stricture, and psychological factors like anxiety or stress.
