Testicular Pain: Causes and Solutions for Long Hours of Standing

Confusion 3

Hello, doctor: I apologize for bothering you again.
Last time you mentioned that my symptoms could be caused by prolonged standing and varicose veins, leading to swelling and discomfort near the testicles.
What should I do about this? Will it improve after resting, or are there other solutions? Also, why do my testicles feel a bit painful after ejaculation (but it doesn't hurt when lying down)? Is there a way to alleviate this? Additionally, sometimes I don't masturbate or ejaculate, but after working for over 8 hours on my feet, I feel a slight pain in my testicles when I sit down to rest at home (similar to the pain after ejaculation, but less intense).
What could be the cause of this? Is there a way to improve this condition? I would appreciate your help.
Thank you.

Dan Dan, 20~29 year old female. Ask Date: 2005/09/03

Dr. Xu Weikai reply Urology

Hello, actually, your symptoms are indicative of a standard varicocele.
The symptoms tend to worsen with increased abdominal pressure.
Standing continuously for 8 hours is indeed a bit excessive.
If possible, I recommend that your boss take breaks periodically to change positions or lie down for a few minutes, which should help alleviate the discomfort.
As for the pain after ejaculation, many people experience this, especially when the erection lasts for a longer duration.
If the pain becomes unbearable, applying a warm towel locally for a few minutes can provide relief.

Sincerely,
Dr.
Hsu Wei-Kai
Director, Urology Department
Taitung Hospital, Department of Health, Executive Yuan

Reply Date: 2005/09/03

More Info

Testicular pain, especially in the context of prolonged standing or sitting, can be a complex issue that may arise from various underlying causes. Based on your description, it seems that you are experiencing discomfort in the testicular area after long hours of standing, as well as after ejaculation. Let's break down the potential causes and solutions for your symptoms.

Potential Causes
1. Venous Insufficiency and Varicocele: Prolonged standing can lead to increased pressure in the veins of the lower body, which may result in conditions like varicocele. This is characterized by enlarged veins within the scrotum, similar to varicose veins in the legs. Symptoms can include a feeling of heaviness or aching in the testicles, especially after standing for long periods.

2. Muscle Strain: Standing for extended periods can also lead to muscle fatigue and strain in the pelvic region, which may contribute to discomfort in the testicles. The muscles and ligaments that support the testicles can become tense and sore, leading to pain.

3. Nerve Compression: Prolonged standing or sitting can sometimes lead to nerve compression in the lower back or pelvis, which can radiate pain to the testicular area. Conditions like sciatica or lumbar disc issues can manifest as referred pain in the testicles.

4. Post-Ejaculation Pain: It is not uncommon for individuals to experience some discomfort in the testicles after ejaculation. This can be due to temporary changes in blood flow and muscle tension in the pelvic area. If this pain is mild and resolves quickly, it may not be a cause for concern.

Solutions and Recommendations
1. Rest and Position Changes: If you find that standing for long periods exacerbates your symptoms, it is crucial to take regular breaks. Try to alternate between sitting, standing, and walking to reduce the strain on your pelvic region. When sitting, ensure that your posture is correct and that you are not putting undue pressure on your groin area.

2. Compression Support: Wearing supportive undergarments, such as athletic supporters or compression shorts, can help alleviate discomfort by providing support to the testicles and reducing strain on the surrounding muscles and veins.

3. Stretching and Strengthening Exercises: Incorporating stretching and strengthening exercises for the pelvic floor and lower back can help improve muscle tone and reduce tension. Consider consulting a physical therapist for a tailored exercise program that addresses your specific needs.

4. Hydration and Diet: Staying well-hydrated and maintaining a balanced diet can help improve overall circulation and reduce the risk of venous issues. Avoiding excessive caffeine and alcohol may also be beneficial.

5. Medical Evaluation: If your symptoms persist or worsen, it is essential to seek a medical evaluation. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound, to rule out conditions like varicocele or other structural issues.

6. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, it is advisable to consult with a healthcare professional before starting any medication regimen.

7. Follow-Up on Ejaculation Pain: If the pain after ejaculation becomes more severe or frequent, it would be wise to discuss this with a urologist. They can assess for any underlying conditions that may require treatment.

Conclusion
In summary, testicular pain associated with prolonged standing can stem from various causes, including venous issues, muscle strain, and nerve compression. Implementing lifestyle changes, such as taking breaks, using supportive garments, and engaging in targeted exercises, can help alleviate symptoms. However, if the pain persists or is accompanied by other concerning symptoms, a thorough medical evaluation is essential to identify and address any underlying issues. Always prioritize your health and well-being by seeking professional advice when needed.

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