Testicular Pain: Causes, Concerns, and When to Seek Help

Q: Testicular Pain: Causes, Concerns, and When to Seek Help

Hello： The situation you described is unlikely to cause injury. <br>If discomfort persists, it is advisable to seek medical attention. <br>Wishing you good health.

Testicular and penile cavernous pain?

Hello, doctor.
Sometimes when I haven't ejaculated for a while (about a few days to a week), I experience soreness in my penis, testicles, perineum, and even in the groin and lower back.
After researching online, I found that this could be due to "sexual arousal without release," leading to repeated pelvic congestion and resulting discomfort.
Is this correct? Additionally, when I sat down earlier with my thighs together, I felt a slight pinch on my left testicle, and now I have a lingering discomfort and anxiety.
On the other hand, I haven't masturbated in several days (I have sexual urges but haven't engaged in any self-stimulation), so I'm unsure if this discomfort is due to "not masturbating for too long" or "testicular injury." I feel worried, but I also think that testicles shouldn't be that easily injured, which is making me anxious.
If it is a mild testicular injury, is it still okay to masturbate?

Jiao Lv Da Xue Sheng, 20~29 year old female. Ask Date: 2022/11/27

Dr. Du Shixi reply Urology

Hello: The situation you described is unlikely to cause injury.
If discomfort persists, it is advisable to seek medical attention.
Wishing you good health.

Reply Date: 2022/11/27

More Info

Testicular pain can be a concerning issue, and it's important to understand the potential causes and when to seek medical help. Based on your description, it seems that you are experiencing discomfort in the testicular area, which can be attributed to a few different factors.

Firstly, the sensation of pain or discomfort in the testicles, penis, perineum, and even the lower back after a period of sexual inactivity (like not ejaculating for several days to a week) can indeed be related to pelvic congestion. When sexual arousal occurs without ejaculation, blood flow to the pelvic area increases, which can lead to a feeling of fullness or pressure. This is sometimes referred to as "blue balls," a colloquial term that describes the discomfort that can occur when sexual arousal is not followed by release. While this condition is generally not serious, it can be uncomfortable and may cause anxiety about the underlying causes of the pain.

Additionally, you mentioned a specific incident where you felt a pinch in your left testicle after sitting down with your legs together. This could potentially lead to a temporary discomfort due to the position you were in, but it is unlikely to cause significant injury to the testicle. Testicles are relatively well-protected within the scrotum, and while they can be injured, such injuries typically result from trauma rather than from sitting in a particular position.

However, if the discomfort persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or changes in urination, it is crucial to seek medical attention. Conditions like testicular torsion, epididymitis, or hernias can present with similar symptoms and may require prompt treatment.

Regarding your question about whether you can engage in masturbation (DIY) if you suspect a mild injury to the testicle, it is generally advisable to listen to your body. If you feel significant discomfort or pain while attempting to masturbate, it may be best to refrain until you feel better. Engaging in sexual activity or masturbation should not cause pain; if it does, it could exacerbate any underlying issue.

In summary, while your symptoms may be related to pelvic congestion due to sexual inactivity or a minor positional discomfort, it is essential to monitor your symptoms closely. If you experience persistent pain or any alarming symptoms, do not hesitate to consult a healthcare professional for a thorough evaluation. They can provide a proper diagnosis and recommend appropriate treatment options. Remember, taking care of your sexual health is important, and seeking help when needed is a sign of strength, not weakness.

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