Testicular Pain: Causes and Concerns in Urology

Q: Testicular Pain: Causes and Concerns in Urology

Hello： Examination of the vas deferens is not easy. <br>It is recommended that you visit a urology department at a medical center for evaluation, as I cannot provide an answer here. <br>Generally, there are not many individuals with this issue.

Testicular issues

Hello Doctor, I previously visited a urologist due to pain in the right posterior area of the scrotum.
It was found that there was edema in the area of the vas deferens, and there was no bacterial infection.
The doctor speculated that there might have been a previous infection that caused some narrowing in that area (I vaguely remember the diagnosis from a long time ago).
The first time I went for this issue was four years ago during high school, and the pain occurred only after ejaculation from masturbation.
In subsequent instances of masturbation, I did not experience discomfort.
However, in the past couple of years, I have felt discomfort every time after masturbation, so I have stopped the habit.
I later noticed that I do not experience discomfort during normal erections, such as morning erections or when viewing mildly suggestive photos.
The discomfort only arises when I view pornographic images or videos; even if I do not masturbate afterward, I still feel discomfort after an erection.

1.
What could be the reason for this?
2.
Why has it changed in the past couple of years to cause discomfort after every instance of masturbation? Thank you, Doctor.

XX, 20~29 year old female. Ask Date: 2017/08/16

Dr. Du Shixi reply Urology

Hello: Examination of the vas deferens is not easy.
It is recommended that you visit a urology department at a medical center for evaluation, as I cannot provide an answer here.
Generally, there are not many individuals with this issue.

Reply Date: 2017/08/16

More Info

Understanding testicular pain can be complex, as it may stem from various causes, including infections, anatomical abnormalities, or even psychological factors. Based on your description, it seems that you have experienced discomfort primarily after ejaculation and during arousal, particularly when exposed to sexual stimuli like pornography. Let’s break down the potential reasons for your symptoms and discuss the implications.

1. Anatomical and Physiological Factors: You mentioned that a previous examination revealed swelling near the vas deferens without bacterial infection. This could indicate a condition such as a hydrocele or a varicocele, which can cause discomfort in the testicular area. These conditions can lead to a feeling of heaviness or pain, especially during sexual arousal or after ejaculation. The swelling may also be a result of previous infections that caused scarring or narrowing of the ducts, leading to discomfort during sexual activities.

2. Psychological Factors: It’s important to consider the psychological aspect of sexual arousal and ejaculation. The brain plays a significant role in sexual function, and anxiety or stress related to sexual performance or experiences can lead to physical symptoms. If you have developed a fear or anxiety surrounding masturbation or sexual arousal, this could manifest as discomfort or pain. The brain's response to sexual stimuli can trigger a physical reaction, which might explain why you feel discomfort specifically when viewing pornography.

3. Changes Over Time: The fact that your symptoms have evolved over the past couple of years could suggest a change in your body’s response to sexual stimuli or a shift in your psychological state. It’s not uncommon for individuals to experience changes in sexual function or discomfort as they age or as their mental health fluctuates. If you have been avoiding masturbation due to discomfort, this could also create a cycle of anxiety that exacerbates the pain.

4. Ejaculation and Pain: Pain after ejaculation can sometimes be linked to conditions like prostatitis or pelvic floor dysfunction. These conditions can cause pelvic muscle tension, leading to discomfort during and after sexual activity. If you notice that the pain is consistently linked to ejaculation, it may be worth discussing with a urologist who can evaluate for these specific conditions.

5. Recommendations: Given your symptoms, it would be advisable to revisit a urologist for a thorough evaluation. They may recommend imaging studies or further tests to assess for any anatomical issues or pelvic floor dysfunction. Additionally, discussing your experiences and feelings surrounding sexual activity with a mental health professional could provide insights into any psychological factors contributing to your discomfort.

In conclusion, testicular pain can arise from a combination of physical and psychological factors. It’s essential to approach this issue holistically, considering both the physiological aspects and the mental health implications. Seeking further medical advice and possibly engaging in therapy could help you manage your symptoms and improve your overall sexual health. Remember, you are not alone in this experience, and there are professionals who can help guide you through understanding and alleviating your discomfort.

Similar Q&A

Understanding Testicular Pain: Causes and Related Symptoms

Hello doctor, could you please explain what causes testicular pain? I also experience some bladder pressure and a bit of cramping when the pain occurs.

Dr. Chen Zhirong reply Urology
Hello young man: Given your age, the common causes of testicular pain may include orchitis, testicular torsion, ureteral stones, or even excessive sperm accumulation. You mentioned experiencing bladder distension and pain as well, so it is advisable for you to visit a urology cli...

Understanding and Managing Testicular Pain: Causes and Solutions

I have pain in my right testicle, a kind of dull ache. I haven't touched it, so why is this happening? How can I improve this? Thank you.

Dr. Xu Wencang reply Urology
Hello: In response to your question, the causes of testicular pain may include bacterial infection, varicocele, hernia, cremasteric contraction, and neuropathic pain. It is best to visit a hospital for a thorough examination to confirm the diagnosis.

Understanding Testicular Pain: Causes and Diagnostic Procedures

What are the causes of testicular pain? If I need to come to your hospital for an examination, what kind of tests will be performed?

Dr. Lin Wenxu reply Urology
Thank you for your question. I would like to address your concerns and offer some suggestions: 1. There are many potential causes of testicular pain, such as testicular torsion and varicocele, among others. In some cases, the exact cause may not be identifiable. 2. A general ...

Understanding Testicular Pain: Causes and Concerns for Men

Hello Doctor, for the past few days, I have been experiencing occasional sharp pain in my testicles (the pain doesn't last long, it occurs in both, but is more frequent on the right side). Both testicles feel firm to the touch (I haven't masturbated for 7 days). Since i...

Dr. Li Xinyi reply Urology
Testicular cancer is typically characterized by a painless, asymptomatic testicular mass. Based on your description, it seems more like the benign issues you mentioned. However, if you have concerns, it is important to see a urologist for a thorough physical examination.