Testicular Pain After Ejaculation: Causes and Concerns

Testicular pain?

Doctor, recently after masturbating, my testicles feel a bit painful.
After an erection for a while, my testicles also feel a bit painful and swollen.
Sometimes after ejaculation, I still feel some pain down there.
Doctor, is there something wrong with me?

Lurén Jiǎ, 10~19 year old female. Ask Date: 2007/10/22

Dr. Liu Jianting reply Urology

There's nothing wrong! The brief contractions after ejaculation can lead to similar sensations.
I recommend you read a book titled "Misconceptions About Sexual Knowledge."

Reply Date: 2007/10/22

More Info

Experiencing testicular pain after ejaculation can be concerning, and it's important to understand the potential causes and when to seek medical attention. Testicular pain can arise from various factors, and while it may not always indicate a serious condition, it is essential to monitor your symptoms closely.

One common cause of testicular pain after ejaculation is a condition known as "epididymitis," which is the inflammation of the epididymis, the tube that carries sperm from the testicles. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections. Symptoms may include swelling, tenderness, and pain in the testicles, which can worsen after ejaculation.

Another potential cause is "testicular torsion," a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition typically presents with sudden, severe pain and swelling and requires immediate medical attention. However, torsion is less likely if the pain occurs consistently after ejaculation rather than suddenly.

"Congestive epididymitis" can also occur, especially in men who experience frequent ejaculation or prolonged sexual arousal without ejaculation. This condition results from the accumulation of fluid in the epididymis, leading to discomfort and swelling. It is often self-limiting but can be alleviated by reducing sexual activity or ejaculation frequency.

In some cases, testicular pain may be related to pelvic floor muscle tension or dysfunction. Stress, anxiety, or prolonged periods of arousal without ejaculation can lead to muscle tension in the pelvic region, resulting in discomfort during or after ejaculation. Techniques such as relaxation exercises, pelvic floor physical therapy, or stress management may help alleviate these symptoms.

If you are experiencing persistent or severe pain, swelling, or any other concerning symptoms, it is crucial to consult a healthcare professional. A thorough evaluation, including a physical examination and possibly imaging studies, can help determine the underlying cause of your symptoms. Additionally, if you notice any changes in urination, discharge, or other systemic symptoms like fever, you should seek medical attention promptly.

In summary, while testicular pain after ejaculation can be caused by various factors, it is essential to pay attention to the severity and duration of your symptoms. If the pain persists or worsens, or if you have any other concerning symptoms, do not hesitate to seek medical advice. Early intervention can help address any underlying issues and provide relief from discomfort.

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