Testicular Pain After Ejaculation: Possible Causes and Symptoms - Urology

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Testicular pain after ejaculation can be concerning and may indicate a variety of underlying conditions. Given your symptoms of persistent pain for five days, a sensation of fever, and swelling of the left testicle, it is essential to consider several potential causes.

One of the most common conditions associated with testicular pain is epididymitis, which is inflammation of the epididymis, the tube that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections (STIs) like chlamydia or gonorrhea, or non-sexually transmitted infections. Symptoms typically include pain and swelling in the affected testicle, which may also radiate to the lower abdomen. The fever-like sensation you mentioned could indicate an inflammatory response.

Another possibility is orchitis, which is inflammation of the testicle itself. This can occur alongside epididymitis or as a result of viral infections, such as mumps, especially if you have not been vaccinated. Orchitis can also present with swelling and pain in the testicle, and it may be accompanied by systemic symptoms like fever.

In some cases, testicular torsion can cause severe pain, but this is usually acute and requires immediate medical attention. It is characterized by sudden onset of severe pain, often accompanied by nausea and vomiting, and is a surgical emergency.

Hernias can also cause referred pain to the testicular area, particularly if there is an inguinal hernia. This occurs when tissue protrudes through a weak spot in the abdominal muscles, and it can lead to discomfort in the groin and testicular region.

Given that your pain has persisted for five days and is accompanied by swelling and a sensation of fever, it is crucial to seek medical evaluation. A healthcare professional will likely perform a physical examination and may order tests such as a scrotal ultrasound to assess for any abnormalities, including fluid accumulation, signs of infection, or torsion. Additionally, a urinalysis and possibly cultures may be necessary to identify any underlying infections.

In the meantime, you can manage discomfort with over-the-counter pain relievers such as ibuprofen or acetaminophen, but it is essential to avoid self-diagnosing or delaying medical care, especially if symptoms worsen or new symptoms develop.

In summary, your symptoms could indicate conditions such as epididymitis or orchitis, and it is vital to consult a healthcare provider for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a better outcome.