Pain in the Testicles and Difficulty Achieving Erection - Urology

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It sounds like you are experiencing a combination of physical discomfort and psychological stress related to your sexual health. Let's break down the issues you're facing and explore potential causes and solutions.

Firstly, the pain in your testicles and the area around the base of your penis can be concerning. Testicular pain can arise from various causes, including trauma, infection, or conditions like epididymitis (inflammation of the epididymis) or testicular torsion. Since you mentioned that the pain seems to occur after physical intimacy, it could also be related to muscle tension or strain in the pelvic area, especially if you are not used to physical contact after a long period of abstinence.

The fact that you experienced significant pain after hugging for an extended period suggests that your body may be reacting to the physical stimulation in a way that is causing discomfort. This could be due to a combination of factors, including anxiety about sexual performance, physical tension, or even a psychosomatic response where your mind is influencing your physical sensations.

Regarding your difficulty achieving an erection, this can be attributed to several factors. Psychological factors such as anxiety, stress, or fear of performance can significantly impact erectile function. Since you mentioned that you have not been in contact with women for two years, it is possible that you are feeling anxious about your sexual performance, which can lead to difficulties in achieving or maintaining an erection. This is often referred to as "performance anxiety," and it is a common issue among men, especially when they are in new relationships.

It is also worth noting that physical health plays a crucial role in sexual function. Factors such as hormonal imbalances, circulation issues, or even certain medications can affect your ability to achieve an erection. Since you mentioned that you can achieve an erection during masturbation but struggle during intimate moments with your girlfriend, this further points to a psychological component rather than a purely physical one.

Here are some steps you can take to address your concerns:
1. Consult a Healthcare Professional: Since you have already seen a doctor, it may be beneficial to follow up with a urologist or a sexual health specialist. They can conduct a thorough examination and possibly run tests to rule out any underlying medical conditions.

2. Manage Anxiety: Consider speaking with a mental health professional who specializes in sexual health or anxiety. They can help you develop coping strategies to manage performance anxiety and improve your confidence in intimate situations.

3. Communicate with Your Partner: Open communication with your girlfriend about your feelings and experiences can help alleviate some of the pressure you may be feeling. A supportive partner can make a significant difference in reducing anxiety.

4. Practice Relaxation Techniques: Engaging in relaxation techniques such as deep breathing, meditation, or yoga can help reduce overall stress and tension in your body, which may improve your sexual function.

5. Gradual Exposure: If you feel comfortable, try to gradually increase physical intimacy with your girlfriend in a low-pressure environment. This can help you become more accustomed to physical contact without the added stress of performance expectations.

6. Physical Health: Ensure you are maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep. These factors can all contribute to better sexual health.

In summary, your symptoms may be a combination of physical discomfort and psychological factors. It is essential to address both aspects to improve your sexual health and overall well-being. Seeking professional help and communicating openly with your partner can be significant steps toward resolving these issues.