Pain in the Penis and Testicles: When to Seek Medical Help - Urology

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Pain in the glans and pain in the testicles?


The area at the bottom of the glans is painful to touch, and a part of the glans also hurts upon contact, with a faint purple discoloration.
After my girlfriend helped with masturbation, my testicles hurt, and I also experience pain while walking.
Should I see a doctor for these symptoms, or can I wait for a while to see if it improves, or is it something I can treat on my own?

ni, 10~19 year old female. Ask Date: 2024/02/08

Dr. Lin Wenxu reply Urology


Hello Mr.
You: We apologize, but it would be better for you to visit the Urology outpatient clinic in person for a proper examination by the physician.
Dr.
Lin Wen-Hsu from Nantou Hospital Urology Department.

Reply Date: 2024/02/08

More Info


Understanding pain in the penis and testicles can be concerning, and it’s important to address these symptoms appropriately. Based on your description, it sounds like you are experiencing localized pain in the glans (the head of the penis) and the testicles, accompanied by a faint purple discoloration. Additionally, you mentioned that the pain worsens after sexual activity, particularly after your girlfriend helps with masturbation.
First and foremost, it is crucial to recognize that pain in the genital area can arise from various causes, including infections, trauma, inflammation, or even vascular issues. The faint purple discoloration you noted could suggest a possible bruise or irritation, which may be due to friction or trauma during sexual activity. However, it could also indicate a more serious condition, such as a vascular issue or an infection.

Here are some potential causes of your symptoms:
1. Trauma or Injury: If there was any recent trauma to the area, it could lead to pain and discoloration. This could happen during vigorous sexual activity or even from tight clothing.

2. Infections: Conditions such as sexually transmitted infections (STIs) or urinary tract infections (UTIs) can cause pain in the genital area. Symptoms may include pain during urination, unusual discharge, or swelling.

3. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause pain and curvature during erections.

4. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can cause testicular pain and swelling, often accompanied by discomfort in the groin.

5. Varicocele: This is a condition characterized by enlarged veins within the scrotum, which can lead to discomfort or pain, especially after physical activity or sexual intercourse.

Given the symptoms you are experiencing, it is advisable to seek medical attention rather than waiting for the pain to resolve on its own. Here are some reasons why you should see a doctor:
- Persistent Pain: If the pain continues or worsens, it is essential to have it evaluated. Pain is often a signal that something may be wrong, and ignoring it could lead to complications.

- Discoloration: The faint purple color you mentioned could indicate bruising or a vascular issue that requires medical evaluation.

- Sexual Health: If there is a possibility of an STI or other infection, timely diagnosis and treatment are crucial to prevent further complications and to protect your partner's health.

- Rule Out Serious Conditions: Conditions like testicular torsion, which is a medical emergency, can present with similar symptoms. Early diagnosis is critical in such cases to prevent loss of the testicle.

In terms of self-care, while waiting for your appointment, you can try the following:
- Rest: Avoid any activities that may exacerbate the pain, including sexual activity.

- Cold Compress: Applying a cold pack to the area may help reduce swelling and alleviate pain.

- Over-the-Counter Pain Relief: Medications like ibuprofen or acetaminophen can help manage pain, but consult with a healthcare provider before taking any medication.

In conclusion, while some minor issues may resolve on their own, the symptoms you described warrant a professional evaluation. It is always better to err on the side of caution when it comes to your health, especially regarding sensitive areas like the genitals. Seeking medical help will provide you with a proper diagnosis and peace of mind.

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