Can Varicocele Cause Pain After Masturbation? the Connection - Urology

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Varicocele issues


Hello, doctor! I would like to ask if varicocele can cause soreness after masturbation?

Niming, 20~29 year old female. Ask Date: 2016/09/26

Dr. Sun Hongshun reply Urology


Hello, there is a possibility that this could lead to serious conditions, including infertility.
If you still have concerns, please consult a urology clinic.

Reply Date: 2016/09/26

More Info


Varicocele is a condition characterized by the enlargement of veins within the scrotum, similar to varicose veins that occur in the legs. It is quite common, affecting approximately 15% of the male population, and is often found in men who are infertile. The condition can lead to various symptoms, including discomfort or pain, particularly after activities that increase abdominal pressure, such as heavy lifting or sexual activity, including masturbation.

When it comes to the question of whether varicocele can cause pain after masturbation, the answer is yes, it can. The pain associated with varicocele is often described as a dull ache or a feeling of heaviness in the scrotum, which can become more pronounced after activities that increase blood flow to the area, such as sexual arousal or ejaculation. During masturbation, the increased blood flow to the genital region can exacerbate the discomfort caused by the enlarged veins.
The mechanism behind this pain is related to the increased venous pressure in the affected veins. When a man becomes sexually aroused, blood flow to the penis and surrounding areas increases, which can lead to engorgement of the veins in the scrotum. In individuals with varicocele, this engorgement can result in increased pressure and discomfort, leading to pain after ejaculation or masturbation.
Additionally, the pain may also be influenced by the position during masturbation, the duration of the activity, and any underlying inflammation or irritation in the area. If the pain is severe or persistent, it may indicate complications such as testicular torsion or epididymitis, which require immediate medical attention.

If you are experiencing pain after masturbation and suspect it may be related to varicocele, it is advisable to consult a healthcare professional. They can perform a physical examination and possibly an ultrasound to assess the condition of the veins and determine the best course of action. Treatment options for varicocele may include lifestyle changes, pain management strategies, or surgical interventions if the varicocele is causing significant discomfort or fertility issues.

In summary, varicocele can indeed cause pain after masturbation due to increased venous pressure and blood flow in the scrotal area. If you are experiencing this issue, it is important to seek medical advice to rule out any serious conditions and to discuss potential treatment options.

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