Testicular Pain: Causes, Concerns, and Masturbation Myths - Urology

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Testicular issues


Hello Doctor: I would like to ask you some questions.
My testicles usually feel normal and I don't have any discomfort, but recently I have occasionally experienced some pain.
There isn't a specific action or situation that seems to trigger this discomfort.
I read online that it could be due to testicular torsion or inflammation, but I don't have severe pain, and it doesn't last long.
Could this be a sign of testicular torsion, inflammation, or something else? Additionally, I would like to ask: 1.
I masturbate at least once a day, sometimes two or three times.
Would this be considered excessive masturbation? 2.
Is there a connection between the pain in my testicles and my masturbation habits? 3.
How often is considered normal for masturbation? Thank you, Doctor, for taking the time to answer my questions.

Mr. Lin, 10~19 year old female. Ask Date: 2021/10/02

Dr. Li Xinyi reply Urology


The frequency can vary from person to person, as everyone's body is different.
However, a general recommendation for your situation might be every other day.
Otherwise, you may be focusing too much on sexual activity, which is not beneficial for both your physical and mental health.
Excessive DIY activities could lead to discomfort in the pelvis, and pain in the scrotum and testicles is also possible.
Based on your description, it doesn't seem like testicular torsion, but if you have concerns, it's best to consult a urologist for an examination.

Reply Date: 2021/10/02

More Info


Testicular pain can be a concerning symptom, and it's important to understand the potential causes and implications of such discomfort. Based on your description, it seems that you are experiencing intermittent pain in your testicles without any specific triggering actions. This type of pain can arise from various conditions, and while some may be serious, others are benign.


Possible Causes of Testicular Pain
1. Epididymitis: This is an inflammation of the epididymis, often caused by infections, including sexually transmitted infections (STIs). Symptoms may include swelling, redness, and tenderness in the scrotal area.

2. Orchitis: Similar to epididymitis, orchitis is the inflammation of the testicle itself, which can also be due to infections or viral illnesses like mumps.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain and swelling. However, since you mentioned that your pain is not severe or persistent, this may be less likely.

4. Hernia: An inguinal hernia can cause discomfort in the groin and testicular area, especially when straining or lifting.

5. Varicocele: This is an enlargement of the veins within the scrotum and can cause a dull ache or discomfort.

6. Trauma or Injury: Any recent trauma to the groin area can lead to pain.

7. Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the lower back or abdomen.


Addressing Your Concerns
1. Masturbation Frequency: Engaging in masturbation once or twice a day is generally considered normal for most individuals. The concept of "overdoing" it varies from person to person and is often subjective. If you find that your masturbation habits are interfering with daily life, relationships, or causing physical discomfort, it may be worth evaluating.

2. Relationship Between Pain and Masturbation: While masturbation itself is not typically a direct cause of testicular pain, excessive or aggressive masturbation can lead to temporary discomfort or soreness. If you notice that your pain correlates with your masturbation frequency or technique, consider moderating your approach.

3. Normal Frequency of Masturbation: There is no universally "normal" frequency for masturbation. It varies widely among individuals. The key is to ensure that it does not cause physical discomfort or interfere with your daily activities.


Recommendations
- Monitor Symptoms: Keep track of when the pain occurs, its intensity, and any associated symptoms (like swelling, redness, or fever). This information can be helpful for a healthcare provider.

- Consult a Healthcare Provider: If the pain persists, worsens, or is accompanied by other symptoms, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests such as an ultrasound to rule out serious conditions.

- Practice Safe Sexual Health: If you are sexually active, ensure you are practicing safe sex to reduce the risk of STIs, which can lead to conditions like epididymitis.

In conclusion, while occasional testicular pain can be benign, it is essential to remain vigilant and consult a healthcare professional if you have concerns. They can provide a thorough evaluation and appropriate management based on your specific situation.

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