Testicular Pulsations After Masturbation: Causes and Solutions - Urology

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Masturbation issues


After masturbating that day, I have been experiencing pulsations in the perineal area below the testicles, occurring approximately every few seconds.
This has been happening for several days now and sometimes occurs quite frequently.

Li, 10~19 year old female. Ask Date: 2024/02/03

Dr. Du Shixi reply Urology


Hello: It may be best to stop the DIY for now.
Generally, if there is no redness, swelling, or urinary issues, it is often related to neuromuscular problems.
Wishing you good health.

Reply Date: 2024/02/03

More Info


Understanding testicular pulsations after masturbation can be a concerning experience for many individuals. The sensation of pulsation or rhythmic contractions in the area below the testicles, particularly in the perineum, can be attributed to several physiological and anatomical factors.

Firstly, it's important to recognize that the perineum is a sensitive area that contains various structures, including nerves, blood vessels, and muscles. After masturbation, the body undergoes a series of physiological changes, including increased blood flow to the genital area, heightened nerve sensitivity, and muscle contractions. These factors can contribute to the sensation of pulsations.

One common cause of pulsations in the testicular area is the contraction of the pelvic floor muscles, which can occur during sexual arousal and orgasm. This is a normal response as these muscles contract rhythmically to facilitate ejaculation. After masturbation, some individuals may continue to experience residual contractions or spasms in these muscles, leading to the sensation of pulsation.

Another potential cause is the increased blood flow and engorgement of the testicular area during sexual activity. The testicles receive a significant amount of blood during arousal, and after ejaculation, the blood vessels may take some time to return to their normal state. This temporary engorgement can create a sensation of pulsation as the blood flow fluctuates.

In some cases, the sensation of pulsation may also be related to the vas deferens, the duct that carries sperm from the testicles to the urethra. After ejaculation, the vas deferens may contract to expel any remaining sperm, which can also create a pulsating feeling.

While these sensations are often benign, it is essential to consider other factors that could contribute to the experience. For instance, anxiety or stress related to sexual performance or health concerns can heighten awareness of bodily sensations, making them feel more pronounced. Additionally, if there are any accompanying symptoms such as pain, swelling, or changes in urination, it is crucial to consult a healthcare professional for further evaluation.

If the pulsations persist or are accompanied by discomfort, it may be beneficial to seek medical advice. A healthcare provider can perform a thorough examination, review your medical history, and potentially conduct tests to rule out any underlying conditions such as infections, varicoceles (enlarged veins in the scrotum), or other anatomical issues.

In conclusion, testicular pulsations after masturbation can be attributed to normal physiological responses, including muscle contractions and increased blood flow. However, if the sensation is bothersome or accompanied by other symptoms, it is advisable to consult a healthcare professional for a comprehensive assessment. Maintaining open communication with a healthcare provider can help alleviate concerns and ensure overall reproductive health.

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