Discomfort and Mild Pain After Gentle Testicular Massage: Is It Normal? - Urology

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After rubbing the testicles, there is discomfort and slight pain in the area around the testicles?


Hello Doctor: My girlfriend and I have both gently massaged my testicles, but this often leads to mild discomfort or slight pain in the area behind the testicles, which usually resolves after a while.
This situation has been ongoing for many years.
According to anatomical diagrams, it seems to be related to the epididymis and vas deferens located behind the testicles.
I would like to know if this is normal or if there are other causes or concerns I should be aware of.
Previously, due to prostate issues, I had a doctor check for testicular cancer, and the physician did not find any problems during the testicular examination.
Thank you for your clarification!

Xiao Dai, 30~39 year old female. Ask Date: 2023/11/26

Dr. Du Shixi reply Urology


Hello: If there are no lumps present, the chances of cancer should be low.
Wishing you good health.

Reply Date: 2023/11/26

More Info


Discomfort and mild pain after gentle testicular massage can be a common experience for many individuals. The testicles are sensitive organs, and the area surrounding them, including the epididymis (the coiled tube at the back of the testicle where sperm matures) and the vas deferens (the duct that conveys sperm from the epididymis to the ejaculatory duct), can also be sensitive to touch.
When you engage in gentle massage, it is possible to stimulate these areas, which can lead to temporary discomfort or mild pain. This sensation may be due to a variety of factors, including the sensitivity of the tissues, the pressure applied during the massage, or even the position of the testicles and surrounding structures. In many cases, this discomfort is transient and resolves on its own, as you have noted.

However, it is important to differentiate between normal discomfort and pain that may indicate an underlying issue. If the discomfort is mild and subsides after a short period, it is likely within the realm of normal. However, if you experience significant pain, swelling, or any other concerning symptoms (such as changes in color, persistent discomfort, or any unusual lumps), it would be prudent to consult a healthcare provider for further evaluation.

Given your history of prostate issues and previous examinations for testicular cancer, it is reassuring that your doctor did not find any abnormalities during the examination. Regular self-examinations of the testicles can help you become familiar with their normal size and shape, making it easier to detect any changes that may require medical attention.

In terms of anatomy, the epididymis and vas deferens are indeed located behind the testicles, and any manipulation in that area can lead to sensations of discomfort. The testicular area is richly supplied with nerves, which can contribute to heightened sensitivity.
If you find that the discomfort persists or worsens, or if you have any additional concerns, it may be beneficial to seek a follow-up appointment with a urologist. They can perform a thorough examination and may suggest imaging studies if necessary to rule out any underlying conditions such as epididymitis (inflammation of the epididymis), varicocele (enlargement of veins within the scrotum), or other potential issues.

In summary, mild discomfort after gentle testicular massage can be normal due to the sensitivity of the area. However, it is essential to monitor your symptoms and consult a healthcare professional if you notice any significant changes or persistent pain. Regular check-ups and self-examinations are key components of maintaining reproductive health.

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