Post-Ejaculation Pain and Swelling in Right Testicle: Causes and Concerns - Urology

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Post-ejaculation pain and swelling in the testicle, particularly when localized to one side, can be concerning and may indicate several potential underlying conditions. The symptoms you describe—pain and swelling in the right testicle after ejaculation, along with the presence of a palpable mass—warrant careful consideration and possibly further evaluation by a healthcare professional.

One common cause of unilateral testicular pain and swelling is epididymitis, which is inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can be caused by infections, including sexually transmitted infections (STIs) such as chlamydia or gonorrhea, or non-sexually transmitted infections. Epididymitis often presents with pain, swelling, and sometimes fever. The pain may worsen with ejaculation or sexual activity.

Another potential cause is testicular torsion, a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition typically presents with sudden, severe pain and swelling and requires immediate medical attention to prevent permanent damage to the testicle. However, torsion usually occurs suddenly and is often accompanied by nausea and vomiting.

A less common but serious condition is a testicular tumor, which can also present as a mass in the testicle. While testicular cancer is more common in younger men, it can occur at any age. Symptoms may include a lump or swelling in the testicle, discomfort, or a feeling of heaviness.

Other possible causes of your symptoms could include trauma to the testicle, hernias, or varicocele (enlargement of veins within the scrotum), which can sometimes cause discomfort and swelling.

Given the symptoms you are experiencing, it is crucial to seek medical evaluation. A healthcare provider will likely perform a physical examination and may order imaging studies, such as an ultrasound of the scrotum, to assess for any abnormalities. Blood tests may also be conducted to check for signs of infection or other underlying issues.

In the meantime, it is advisable to avoid any activities that may exacerbate the pain, such as heavy lifting or vigorous exercise. Applying ice to the affected area may help reduce swelling and discomfort. However, do not delay seeking medical attention, especially if the pain worsens or if you experience additional symptoms such as fever, nausea, or vomiting.

In summary, while there are several potential causes for the pain and swelling you are experiencing in your right testicle, it is essential to consult a healthcare professional for a thorough evaluation and appropriate management. Early diagnosis and treatment can significantly improve outcomes and prevent complications.