Post-Masturbation Testicular Pain: Causes and Concerns - Urology

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After masturbation, there may be a slight pain in the testicles during an erection?


Hello doctor, after I masturbate, I experience a slight cramping pain in my testicles whenever I have an erection.
However, there is no pain when I am not erect.
By the next day, the pain completely goes away.
Is there a problem with this? Please advise, doctor.

Jun, 10~19 year old female. Ask Date: 2020/03/10

Dr. Du Shixi reply Urology


Hello: Mild pain may stop without any major issues, but if the pain persists, you should seek medical attention.
Wishing you good health.

Reply Date: 2020/03/10

More Info


Post-masturbation testicular pain can be a concerning symptom for many individuals, and it's important to understand the potential causes and when to seek medical attention. Based on your description, it seems that you experience mild pain in your testicles after masturbation, particularly during an erection, but this discomfort resolves by the next day.
There are several potential causes for this type of pain:
1. Normal Physiological Response: After ejaculation, it is common for some men to experience temporary discomfort or sensitivity in the testicles. This can be due to the increased blood flow and tension in the area during arousal and orgasm. The pain typically subsides as the body returns to its normal state.

2. Muscle Strain: Engaging in sexual activity, including masturbation, can sometimes lead to muscle strain in the pelvic region. This can cause discomfort in the testicles, especially if there is vigorous movement involved.

3. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. While this condition often presents with more severe pain, it can sometimes cause mild discomfort after sexual activity. It is usually accompanied by other symptoms such as swelling, redness, or fever.

4. Testicular Torsion: Although this is a medical emergency characterized by severe pain and swelling, it is important to note that any sudden, severe pain in the testicles should be evaluated immediately. However, your description of mild pain that resolves quickly suggests this is less likely.

5. Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the lower back or abdomen. This can occur due to nerve pathways that connect these regions.

Given that your pain is mild and resolves by the next day, it may not be a cause for concern. However, there are a few considerations to keep in mind:
- Frequency and Severity: If the pain becomes more frequent, severe, or is accompanied by other symptoms such as swelling, redness, or fever, it would be advisable to seek medical attention.

- Changes in Symptoms: Pay attention to any changes in your symptoms. If you notice persistent pain, changes in urination, or any unusual discharge, these could be signs of an underlying condition that requires evaluation.

- Self-Care: In the meantime, you can practice self-care measures such as wearing supportive underwear, avoiding excessive strain during masturbation, and applying a cold compress to the area if you experience discomfort.

In conclusion, while mild testicular pain after masturbation can be a normal physiological response, it is essential to monitor your symptoms. If you have any concerns or if the pain worsens, it is always best to consult with a healthcare professional for a thorough evaluation. They can provide personalized advice and determine if any further investigation or treatment is necessary.

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