Testicular Pain and Changes in Semen Color: What to Know - Urology

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Testicular issues


Hello, last week I was curious and played with my testicles, and afterwards they hung heavily and were painful after ejaculation.
They were a bit swollen and hurt when touched, but now they are no longer swollen and don't hurt.
However, the epididymis feels a bit hard and swollen when pressed, but there is not much pain now.
I read that the symptoms are very similar to epididymitis, and I'm not sure if it's due to a strain or injury causing inflammation.
I'm wondering if it will return to its normal state on its own.
Also, the semen I ejaculated has become quite clear, whereas it used to be milky white.
Will my semen gradually return to its original milky color, or have I accidentally damaged my testicles? I'm really worried that my testicles might die inside the scrotum and need to be removed.
😢

Lü, 30~39 year old female. Ask Date: 2021/07/26

Dr. Du Shixi reply Urology


Hello: The possibility of necrosis should be unlikely.
It remains to be seen whether complete recovery is possible after the injury.
Theoretically, it should return to the previous state of softness and hardness.
Wishing you good health.

Reply Date: 2021/07/26

More Info


Testicular pain and changes in semen color can be concerning symptoms, and it's important to understand the potential causes and implications of these changes. Based on your description, it seems you may have experienced some trauma to the testicles, possibly leading to a condition known as epididymitis, which is inflammation of the epididymis, the tube that stores and carries sperm.


Understanding Testicular Pain
Testicular pain can arise from various causes, including trauma, infection, or other medical conditions. In your case, the pain and swelling you experienced after engaging in activities that put stress on the testicles could indicate a mild injury or strain. The fact that the swelling has subsided and you are no longer experiencing significant pain is a positive sign. However, the persistent hardness or swelling of the epididymis may suggest that there is still some inflammation present.

Epididymitis can be caused by bacterial infections, sexually transmitted infections, or even non-infectious factors such as trauma or prolonged pressure. If the pain returns or if you develop additional symptoms such as fever, chills, or increased swelling, it would be advisable to seek medical attention promptly. A healthcare provider may perform a physical examination, and possibly an ultrasound, to assess the condition of your testicles and epididymis.


Changes in Semen Color
Regarding the change in the color of your semen from a typical milky white to a more transparent appearance, this can also be influenced by several factors. Semen color can vary based on hydration levels, frequency of ejaculation, and overall health. A more transparent semen can sometimes indicate that it is less concentrated, which may occur if you have recently ejaculated multiple times in a short period or if there is a temporary change in your body’s production of seminal fluid.

In most cases, changes in semen color are not permanent and can return to normal as your body recovers from any underlying issues. If your semen continues to appear abnormal or if you notice other changes such as blood in the semen, pain during ejaculation, or persistent changes in testicular size or shape, it is crucial to consult a healthcare professional.


When to Seek Medical Attention
While it is possible that your symptoms may resolve on their own, it is essential to monitor your condition closely. If you experience any of the following, you should seek medical attention:
1. Persistent Pain: If the pain returns or worsens.

2. Swelling: If the swelling does not subside or increases.

3. Fever or Chills: These could indicate an infection.

4. Changes in Semen: If you notice blood in your semen or other significant changes.

5. Testicular Changes: Any new lumps or changes in the shape or size of your testicles.


Conclusion
In summary, while your symptoms may be related to a mild injury or inflammation, it is important to remain vigilant. Most cases of testicular pain and changes in semen color can resolve with time, but if symptoms persist or worsen, do not hesitate to seek medical advice. A healthcare provider can offer a thorough evaluation and appropriate treatment to ensure your reproductive health is maintained. Remember, early intervention can prevent complications and provide peace of mind.

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