Pain in the Upper Left or Right Side of the Penis: Causes and Concerns - Urology

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Pain in the upper left or right side of the penis?


The pain is located approximately 4 centimeters in the upper left or upper right area, and it does not occur on both sides simultaneously; it only hurts on one side at a time.
However, when that side hurts, the corresponding testicle becomes swollen and painful (to the point of being unable to sleep).
This does not happen regularly; it only occurs after several consecutive days of viewing sexually stimulating content.
Even if it were due to excessive semen, I regularly masturbate, and even right after masturbation, if I continue to view sexually stimulating content for a day or two, the pain will recur.
Therefore, it doesn't seem like it is due to excessive semen.
Could you please advise if this is a concern? Thank you for your response.

Xiao C, 20~29 year old female. Ask Date: 2007/12/28

Dr. Liu Jianting reply Urology


It's a normal reaction! If you're concerned, you can visit a hospital and consult a urologist during an episode to check for any signs of infection.
I recommend reading a book titled "About Sex" and "Misconceptions about Sexual Knowledge."

Reply Date: 2007/12/28

More Info


When experiencing pain in the upper left or right side of the penis, particularly when accompanied by swelling and pain in the corresponding testicle, it is essential to consider several potential causes. The symptoms you describe, especially the correlation with viewing sexually stimulating material and the subsequent pain, suggest that there may be a connection to sexual arousal and possibly to the physiological responses associated with it.

One possible explanation for the pain could be related to a condition known as epididymitis, which is inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can cause localized pain in the testicle and may also lead to swelling. Epididymitis can be caused by infections, including sexually transmitted infections (STIs), or it can be related to non-infectious factors such as trauma or prolonged sexual arousal without ejaculation.

Another potential cause could be a condition called testicular torsion, which is a medical emergency. This occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include sudden and severe pain in the testicle, swelling, and sometimes nausea. However, this condition usually presents with more acute and severe symptoms than what you describe.

Additionally, the pain you experience may be related to pelvic floor muscle tension or dysfunction. This can occur due to prolonged periods of arousal or sexual activity without release, leading to muscle spasms and discomfort in the pelvic region, including the penis and testicles. Stress and anxiety can also exacerbate these symptoms, creating a cycle of discomfort.

It is also worth considering that the pain may be psychosomatic, where psychological factors contribute to physical symptoms. If you find that the pain consistently occurs after engaging with sexually stimulating material, it may be beneficial to explore the psychological aspects of your sexual health and arousal.

Given the complexity of the symptoms and the potential for serious underlying conditions, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, imaging studies, and possibly laboratory tests to rule out infections or other medical conditions.

In summary, while the pain you are experiencing could be related to various factors, including epididymitis, testicular torsion, pelvic floor dysfunction, or psychological components, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Ignoring these symptoms or delaying medical evaluation could lead to complications, especially if an acute condition like testicular torsion is present. Prioritize your health and seek medical advice to address your concerns effectively.

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