Testicular Discomfort and Blood in Semen: Key Questions Answered - Urology

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Understanding testicular discomfort and blood in semen can be concerning, and it's important to address these symptoms with a thorough understanding of potential causes and appropriate next steps. Based on your description, it seems you are experiencing a combination of symptoms that may be related to various underlying conditions.


Q1: Testicular Discomfort and Possible Hernia
The discomfort you are feeling in the left side of your scrotum, especially when walking or squatting, could be indicative of several issues. Given your history of surgery for a hernia, it's possible that you may be experiencing a recurrence or complications related to that surgery. Hernias can sometimes lead to discomfort or pain, particularly if there is any strain or pressure on the area.

Additionally, inflammation or infection in the testicular area, such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testis), could also cause discomfort. These conditions can arise from infections, including sexually transmitted infections (STIs), which may be relevant given your mention of treatment for chlamydia.

It is advisable to monitor the discomfort closely. If it worsens or is accompanied by other symptoms such as swelling, fever, or severe pain, you should seek immediate medical attention.


Q2: Treatment for Inflammation
Regarding your current treatment with antibiotics for chlamydia, it is essential to follow your doctor's instructions. If the discomfort is indeed due to inflammation, your healthcare provider may consider prescribing anti-inflammatory medications or pain relievers to help alleviate your symptoms. Common options include non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, but you should consult your doctor before starting any new medication.

If your symptoms persist despite treatment, further evaluation may be necessary. This could include imaging studies such as an ultrasound to assess for any abnormalities in the testicular area or to rule out conditions like a hydrocele or varicocele.


Q3: Physical Activity and Exercise
As for your question about continuing to exercise, it largely depends on the severity of your discomfort. If you are experiencing mild discomfort and no significant pain, light activities such as walking or swimming may be acceptable. However, high-impact activities or those that put strain on the abdominal area, such as running or cycling, might exacerbate your symptoms.

It's crucial to listen to your body. If any activity increases your discomfort, it would be wise to reduce the intensity or duration of your workouts. Additionally, consider consulting your healthcare provider for personalized advice regarding physical activity during your recovery.


Conclusion
In summary, the combination of blood in your semen and testicular discomfort warrants careful evaluation. While there are several potential causes, including infections, inflammation, or complications from previous surgeries, it is essential to follow up with your healthcare provider for a comprehensive assessment. They can guide you through the necessary tests and treatments based on your specific symptoms and medical history.
Remember, early intervention can often lead to better outcomes, so do not hesitate to seek medical advice if your symptoms change or worsen.