Right Testicular Pain During Prolonged Erection: Is It Normal? - Urology

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Experiencing pain in the right testicle during prolonged or intermittent erections can be concerning, and it’s important to understand the underlying mechanisms that may contribute to this sensation. While some discomfort during or after an erection can be relatively common, especially if it lasts for an extended period, it is not something that should be ignored.

Firstly, it’s essential to recognize that during an erection, blood flow to the penis and surrounding areas, including the testicles, increases significantly. This engorgement can lead to a feeling of fullness or pressure, which might be interpreted as discomfort or pain. If the erection is prolonged, the sustained pressure and blood flow can lead to a condition known as "priapism," which is a prolonged and often painful erection that can cause damage to the penile tissue if not resolved. However, your description does not indicate that you are experiencing priapism, as you mention that the pain subsides after some time.

Another possible explanation for the pain could be related to the cremaster muscle, which surrounds the testicles and is responsible for raising and lowering them in response to temperature changes or sexual arousal. If this muscle is overly tense or spasms during an erection, it can lead to discomfort in the testicular area. Additionally, the nerves that supply the testicles can also become irritated during prolonged sexual arousal, leading to pain.

It is also worth considering that if there is any underlying condition, such as a varicocele (enlargement of veins within the scrotum) or epididymitis (inflammation of the epididymis), these could contribute to pain during erections. These conditions can cause discomfort that may be exacerbated by sexual activity.

Regarding whether this experience is normal, it can vary from person to person. Some men may experience discomfort during prolonged erections, while others may not. If the pain is mild and resolves quickly, it may not be a cause for concern. However, if the pain is severe, persistent, or accompanied by other symptoms such as swelling, redness, or fever, it is crucial to seek medical attention.
In conclusion, while some discomfort during prolonged erections can be normal, it is essential to pay attention to the nature and severity of the pain. If this is a recurring issue or if you have any concerns about your reproductive health, it is advisable to consult a healthcare professional, such as a urologist. They can perform a thorough evaluation, including a physical examination and possibly imaging studies, to rule out any underlying conditions and provide appropriate treatment or reassurance. Remember, your health and well-being are paramount, and it’s always better to err on the side of caution when it comes to any pain or discomfort in the genital area.