Testicular Pain After Exercise: Causes and Concerns - Urology

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Pain in the left testicle and spermatic cord after exercise?


Hello Doctor: I am currently 17 years old and I masturbate about once a day.
About two weeks ago, while exercising (aerobics) in the evening, I noticed a dull pain (similar to cramping) in the left testicle and the spermatic cord, which caused me to stop exercising and take a shower (for about 20 minutes), after which the pain significantly eased.
During the painful episode, I touched my scrotum and found no abnormalities or foreign objects.
I continued to exercise without any symptoms until this morning during badminton class when the pain suddenly reoccurred for about 1 to 1.5 hours, gradually decreasing.
Could this be varicocele? What would be an appropriate interval for masturbation frequency?

Jing, 10~19 year old female. Ask Date: 2020/05/28

Dr. Du Shixi reply Urology


Hello: If the pain lasts for 1 to 1.5 hours, you should seek medical attention.
Generally, varicose veins do not cause prolonged pain; it usually comes and goes, and changing positions can help alleviate it.
I recommend seeing a urologist for an examination.
Wishing you good health.
For now, please avoid excessive abdominal strain.

Reply Date: 2020/05/28

More Info


Testicular pain after exercise can be concerning, especially for a young individual like yourself. It's important to understand the potential causes of this pain, as well as the implications it may have on your health and exercise routine.

Firstly, the pain you are experiencing in the left testicle and the associated area could be due to several factors. One common cause of testicular pain during or after exercise is testicular torsion, which is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. However, given that you mentioned the pain is intermittent and subsides after a short period, torsion might be less likely.
Another possibility is epididymitis, which is inflammation of the epididymis, often caused by infection or trauma. This condition can lead to pain and swelling in the testicular area, and it may be exacerbated by physical activity. Additionally, varicocele, which is an enlargement of the veins within the scrotum, can also cause discomfort, especially during physical exertion. This condition is more common on the left side and can lead to a dull ache or a feeling of heaviness.

The pain you described as "dull" and similar to cramping could also be related to muscle strain or tension in the pelvic area, particularly if you are engaging in activities that involve sudden movements or heavy lifting. It's essential to consider your overall physical condition, including any recent changes in your exercise routine or intensity.

Regarding your question about masturbation frequency, there is no universally "correct" frequency, as it varies from person to person. However, if you find that your activities, including masturbation, are contributing to discomfort or pain, it may be beneficial to reduce the frequency and observe if your symptoms improve. Generally, moderation is key, and listening to your body is crucial. If you notice that certain activities consistently lead to discomfort, it may be wise to adjust your routine accordingly.

In terms of managing your symptoms, here are a few recommendations:
1. Rest and Recovery: If you experience pain during or after exercise, consider taking a break from high-intensity activities. Allow your body time to recover.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and alleviate pain. Make sure to wrap the ice in a cloth to avoid direct contact with the skin.

3. Consult a Healthcare Provider: Given that you are experiencing recurrent pain, it is advisable to consult a healthcare professional. They can perform a physical examination and may recommend an ultrasound to rule out conditions like torsion or varicocele.

4. Modify Your Exercise Routine: If certain exercises seem to trigger your symptoms, consider modifying your routine. Focus on low-impact activities that do not exacerbate the pain.

5. Stay Hydrated and Maintain Good Posture: Proper hydration and maintaining good posture during exercise can help prevent muscle strain and discomfort.

In conclusion, while occasional testicular pain after exercise can occur, persistent or recurrent pain should not be ignored. It is essential to seek medical advice to ensure that there are no underlying issues that need to be addressed. Your health and well-being are paramount, and a healthcare professional can provide you with the best guidance tailored to your specific situation.

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