Testicular Pain After Sexual Activity: Causes and Solutions - Urology

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Testicular pain after sexual activity can be a concerning issue, and it’s important to understand the potential causes and solutions. Based on your description, it seems that the pain may be related to pressure or trauma to the testicles during sexual activity, particularly when your girlfriend is sitting on your lap or inadvertently applying pressure to the area.

Possible Causes of Testicular Pain:
1. Trauma or Pressure: As you mentioned, if your girlfriend is sitting on your lap and inadvertently compressing the testicles, this can lead to discomfort or pain. The testicles are sensitive organs, and any undue pressure can cause pain that may persist even after the activity has ended.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can be caused by infections or sexually transmitted infections (STIs). Symptoms often include pain, swelling, and sometimes fever.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain and swelling. If you experience this, seek immediate medical attention.

4. Varicocele: This is a condition characterized by enlarged veins within the scrotum, which can cause discomfort or a dull ache, especially after prolonged sexual activity.

5. Nerve Irritation: Sometimes, nerve irritation or compression in the pelvic area can lead to referred pain in the testicles, especially during or after sexual activity.


Solutions and Recommendations:
1. Avoid Pressure: If you notice that certain positions lead to discomfort, it may be best to avoid them. Communicate with your partner about what feels comfortable and what does not.

2. Use Supportive Underwear: Wearing supportive underwear can help minimize movement and provide comfort during sexual activity. This can reduce the risk of trauma or pressure on the testicles.

3. Rest and Ice: If you experience pain after sexual activity, resting and applying ice to the area can help reduce inflammation and discomfort. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

4. Consult a Healthcare Provider: If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, or fever, it is crucial to consult a healthcare provider. They may perform a physical examination and possibly imaging studies to determine the underlying cause of your pain.

5. Avoid Sexual Activity Until Resolved: If you are experiencing significant pain, it may be wise to refrain from sexual activity until you have consulted with a healthcare professional. This will help prevent further irritation or injury.

6. Discuss with Your Partner: Open communication with your partner about comfort levels and any pain experienced during sexual activity is essential. This can help both of you find positions that are enjoyable and comfortable for both parties.

In conclusion, while occasional discomfort may occur during sexual activity, persistent or severe testicular pain should not be ignored. Understanding the potential causes and taking appropriate measures can help alleviate discomfort and ensure a healthy sexual experience. If symptoms continue, seeking medical advice is the best course of action to rule out any serious conditions.