Testicular Trauma: Impact on Libido and Erectile Function

Q: Testicular Trauma: Impact on Libido and Erectile Function

Hello： Psychological factors may still be the primary reason, but if it lasts for more than a month, it may be necessary to seek medical attention. <br>Some hospitals have clinics for sexual function (since an ultrasound has already been done, it is likely just a blood test). <br

Testicular issues (trauma/low libido)

Testicular issues (being kicked/low libido) started when I was in the middle of intercourse and my partner accidentally kicked my left testicle.
At that moment, I didn't feel much pain, but my penis immediately became flaccid.
A few days later, I tried again and it seemed I could achieve an erection, but it wasn't very lasting.
After that, I experienced some dull pain in my left testicle, which led to reduced sexual activity.
I consulted a doctor and took medication, and later an examination at a regional hospital indicated there were no issues with my testicles.
However, during this period, my libido has noticeably decreased.
During intercourse, I don't achieve an erection as quickly or maintain it as long as before.
Often, I initially respond, but I'm unsure if it's due to the kick affecting my mindset or if there's an injury to my testicle causing the decreased libido.
I frequently find it easy to become flaccid shortly after starting.
Before the incident, I would often have spontaneous erections in the morning or throughout the day, and I would respond quickly to attractive stimuli.
But in recent months, I've felt lethargic.
Recently, my left testicle has been experiencing some dull pain, and sometimes I feel slight pain, but I'm more concerned about the decreased libido and the inability to maintain an erection for long.
Previously, I would respond quickly and last longer.
I hope there is something that can help.
Thank you.

Ryan, 30~39 year old female. Ask Date: 2017/03/24

Dr. Du Shixi reply Urology

Hello: Psychological factors may still be the primary reason, but if it lasts for more than a month, it may be necessary to seek medical attention.
Some hospitals have clinics for sexual function (since an ultrasound has already been done, it is likely just a blood test).
It may be helpful to relax a bit.
(Testicular injury can lead to decreased libido; I have not encountered this situation before.)

Reply Date: 2017/03/24

More Info

Testicular trauma can have various effects on libido and erectile function, and it is essential to understand the potential implications of such an injury. In your case, the incident of being kicked in the left testicle may have led to both physical and psychological factors that could contribute to your current symptoms of decreased libido and erectile dysfunction.

Firstly, it's important to note that the testicles play a crucial role in the production of testosterone, the hormone that significantly influences libido and sexual function. Any trauma to the testicles can potentially affect testosterone levels, either directly through injury or indirectly through stress and anxiety related to the incident. Although you mentioned that medical examinations showed no significant issues with your testicles, the lingering pain and discomfort could still be affecting your sexual desire and performance.

The psychological aspect of sexual function is also vital. Experiencing pain during sexual activity or even the fear of re-injury can lead to anxiety, which may inhibit arousal and contribute to erectile dysfunction. This is often referred to as performance anxiety, where the worry about not being able to perform can create a cycle of decreased sexual function. It's not uncommon for individuals who have experienced a traumatic event to develop a heightened sensitivity to pain or discomfort in that area, which can further exacerbate anxiety and lead to a decrease in sexual desire.

Moreover, the fact that you previously experienced spontaneous erections and sexual arousal easily suggests that your body was responding well to sexual stimuli. The change in this response could be attributed to both the physical trauma and the psychological impact it has had on you. The decline in libido and the difficulty in maintaining an erection could be a combination of physical discomfort and mental stress.

To address your concerns, it is advisable to consider the following steps:
1. Consult a Specialist: If you haven't already, consider seeing a urologist or a sexual health specialist who can provide a thorough evaluation of your symptoms. They may conduct tests to check hormone levels, including testosterone, and assess any underlying issues that could be contributing to your symptoms.

2. Psychological Support: If anxiety or stress is a significant factor, speaking with a mental health professional or a sex therapist could be beneficial. They can help you work through any fears or anxieties related to sexual performance and provide strategies to improve your sexual health.

3. Pain Management: If you continue to experience discomfort in your left testicle, it is crucial to address this with your healthcare provider. Persistent pain may require further investigation to rule out any underlying conditions that could be affecting your sexual function.

4. Lifestyle Factors: Consider lifestyle changes that can improve overall sexual health, such as regular exercise, a balanced diet, and reducing stress through mindfulness or relaxation techniques. These factors can positively influence testosterone levels and overall libido.

5. Open Communication: If you are in a relationship, maintaining open communication with your partner about your feelings and experiences can help alleviate some of the pressure you may be feeling during sexual encounters.

In conclusion, while testicular trauma can impact libido and erectile function, it is essential to consider both the physical and psychological aspects of your experience. Seeking professional help and addressing any underlying issues can lead to improvements in your sexual health and overall well-being.

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