Left Testicular Pain During Ejaculation: Causes and Solutions - Urology

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Left testicular pain during ejaculation can be a concerning symptom, and it’s important to understand the potential causes and solutions. The pain you describe, which occurs specifically during ejaculation and resolves afterward, may be related to several factors.

One common cause of testicular pain during ejaculation is a condition known as "epididymitis," which is inflammation of the epididymis, the tube that carries sperm from the testicles. This condition can be caused by infections, sexually transmitted infections (STIs), or even trauma. However, since you mentioned that the pain is not present during erection or when touching the testicle, it may suggest that the issue is not primarily due to an infection.

Another possibility is "testicular torsion," which is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. However, this condition typically presents with severe, sudden pain and swelling, and since you only experience pain during ejaculation, torsion is less likely.

The pain could also be related to pelvic floor muscle tension or spasms. The pelvic floor muscles play a significant role during ejaculation, and if these muscles are tense or spasming, it can lead to discomfort or pain in the testicular area. Stress, anxiety, or even certain physical activities can contribute to this muscle tension.

In some cases, referred pain from other areas, such as the lower abdomen or prostate, can manifest as testicular pain during ejaculation. Conditions like prostatitis (inflammation of the prostate) can cause discomfort that radiates to the testicles.

To address your concerns, here are some steps you can take:
1. Consult a Healthcare Provider: It’s essential to see a urologist or a healthcare provider who specializes in male reproductive health. They can perform a thorough examination, including a physical exam and possibly imaging studies, to determine the underlying cause of your pain.

2. Medication: Depending on the diagnosis, your doctor may prescribe anti-inflammatory medications or antibiotics if an infection is suspected. Over-the-counter pain relief, such as ibuprofen or acetaminophen, may also help alleviate discomfort.

3. Pelvic Floor Therapy: If muscle tension is identified as a contributing factor, pelvic floor physical therapy may be beneficial. A physical therapist can guide you through exercises and techniques to relax these muscles.

4. Avoiding Aggravating Activities: Until you have a clearer understanding of the cause, it may be wise to avoid activities that exacerbate the pain, including certain sexual activities or physical exertion.

5. Follow-Up: If the pain persists or worsens, or if you develop additional symptoms such as swelling, fever, or changes in urination, seek immediate medical attention.

In conclusion, while left testicular pain during ejaculation can be alarming, it often has treatable causes. A thorough evaluation by a healthcare professional is crucial to determine the exact cause and appropriate treatment plan. Remember, early intervention can lead to better outcomes and relief from symptoms.