Can Kegel Exercises Worsen Epididymitis Symptoms? - Urology

Share to:

Can Kegel exercises be performed with epididymitis?


Doctor, about a month ago after working out my legs at the gym, I suddenly felt a dull pain in my left testicle.
I later went to a urologist who diagnosed me with epididymitis.
However, after taking medication, my condition has been fluctuating; sometimes it feels like it's getting better, but then it suddenly worsens.
I’m wondering if this could be related to my Kegel exercises, where I tighten the muscles.

Additionally, I have visible blood vessels on my scrotum that look like veins, present on both sides, with a horizontal line connecting from the outer sides to the center.
Could this be varicocele? There are very few images online, making self-examination difficult.
The urologist did not specifically mention it during my visit, but I’ve never noticed it before and I'm a bit concerned.

Mr. Li, 20~29 year old female. Ask Date: 2023/10/25

Dr. Du Shixi reply Urology


Hello: If there is unsafe sexual behavior, it is more likely to cause epididymitis; Kegel exercises should not lead to infection.
As for whether it is a varicocele, based on your description, I personally feel it is unlikely and may just be skin blood vessels.
If you have concerns, please seek medical attention.
Wishing you good health.

Reply Date: 2023/10/25

More Info


Epididymitis, an inflammation of the epididymis, can indeed be a source of discomfort and concern, particularly when symptoms fluctuate. Your experience of pain in the left testicle following leg workouts raises questions about potential underlying issues, including the impact of certain exercises like Kegel exercises on your condition.

Kegel exercises, which involve the contraction and relaxation of the pelvic floor muscles, are generally recommended for strengthening these muscles and can be beneficial for various conditions, including urinary incontinence and pelvic pain. However, in the context of epididymitis, the situation can be more nuanced.
When you perform Kegel exercises, you are effectively tightening the pelvic floor muscles, which can lead to increased pressure in the pelvic region. For someone with epididymitis, this added pressure might exacerbate symptoms, particularly if there is already inflammation present. If you notice that your symptoms worsen after doing Kegel exercises, it may be wise to reduce or modify these exercises until your condition stabilizes. It’s essential to listen to your body; if certain movements or exercises lead to increased discomfort, it’s best to avoid them.

Regarding the visible veins on your scrotum, what you are describing could potentially be a sign of varicocele, which is an enlargement of the veins within the scrotum. Varicoceles are relatively common and can sometimes be associated with discomfort or a feeling of heaviness in the affected testicle. They can also affect fertility in some cases, but many individuals with varicoceles do not experience significant issues. If your urologist did not mention anything concerning during your examination, it may not be a significant issue, but it’s always good to bring up any concerns you have during your next appointment.

To summarize, while Kegel exercises can be beneficial for many, they may not be suitable for everyone, especially those with conditions like epididymitis. If you suspect that these exercises are worsening your symptoms, consider pausing them and consulting with your healthcare provider for tailored advice. Additionally, if you have concerns about the appearance of veins on your scrotum, it would be prudent to discuss this further with your urologist to rule out any complications or to get a clearer understanding of your condition.

In managing epididymitis, it’s crucial to follow your doctor’s recommendations regarding medication and lifestyle adjustments. If symptoms persist or worsen, further evaluation may be necessary to ensure that there are no underlying issues that need to be addressed. Regular follow-ups with your healthcare provider will help monitor your condition and adjust treatment as needed.

Similar Q&A

Do Kegel Exercises Improve Male Sexual Health? Myths vs. Facts

There is a rumor circulating online that men can also perform Kegel exercises to improve sexual function. Is this true or just a myth? Could doing them excessively lead to negative side effects?


Dr. Du Mingyi reply Urology
Unable to improve sexual function, but it will not worsen.

[Read More] Do Kegel Exercises Improve Male Sexual Health? Myths vs. Facts


Understanding Epididymitis: Symptoms, Causes, and Exercise Tips

Hello, doctor. I am the one who asked about epididymitis today, and I have some questions to ask you: 1. You mentioned that the likelihood of the epididymitis not improving is low, so what could be the cause of my symptoms? 2. Does epididymitis always lead to increasing swelling?...


Dr. Du Shixi reply Urology
Hello: This response is for reference. 1. You mentioned that the likelihood of the epididymitis not improving is low. What could be the cause of my symptoms? --> It could be due to nerve or vascular issues (if symptoms persist, a follow-up visit is recommended). 2. Does epi...

[Read More] Understanding Epididymitis: Symptoms, Causes, and Exercise Tips


Do Kegel Exercises Help Men with Premature Ejaculation?

Can Kegel exercises for men actually increase endurance? I'm referring to their effectiveness for premature ejaculation, or are they only beneficial for erections? There are mixed messages online about both, so what is the actual benefit? Some also claim that they have no ef...


Dr. Du Shixi reply Urology
Hello: Strengthening pelvic control can be beneficial, but if the cause of premature ejaculation is not related to the pelvic floor, it may not be effective. However, it is effective for urinary control.

[Read More] Do Kegel Exercises Help Men with Premature Ejaculation?


Does Continuous Kegel Exercise During Erection Harm Your Body?

Even when I am erect, I reflexively continue to exert force, not knowing if it is due to sensitivity or excitement. In any case, I keep exerting force (causing the penis to engorge and become harder), which is similar to performing Kegel exercises (pelvic floor exercises). I woul...


Dr. Du Mingyi reply Urology
No impact.

[Read More] Does Continuous Kegel Exercise During Erection Harm Your Body?


Related FAQ