Scrotal Pain: Causes and Solutions for Young Men

Q: Scrotal Pain: Causes and Solutions for Young Men

Jack： Hello, your symptoms may be due to prolonged erection, which can cause tension in the muscles and nerves. <br>However, other causes cannot be ruled out. <br>The absence of ejaculation can sometimes lead to localized pain; applying a warm towel for heat therapy may help prev

Scrotal pain

Doctor, I have a question.
Since high school (around 16 or 17 years old) and now at 23, every time I experience an erection but cannot engage in sexual intercourse, my penis remains erect for over ten minutes, and afterwards, my scrotum becomes extremely painful.
Touching my testicles intensifies the pain, which can last for half a day if I'm lucky, or up to a full day if it's severe.
However, if I have an erection and can immediately have intercourse, allowing for ejaculation, I do not experience these issues.
Is this discomfort really related to whether or not ejaculation occurs? I have previously visited a hospital for examination, and the doctor diagnosed me with epididymitis, but I believe that is not the case.
I hope you can help me.
Recently, I started dating someone new, and we often engage in intimate activities that lead to erections, but since we just started dating, intercourse is not an option, which often results in significant pain when I return home.

jack, 20~29 year old female. Ask Date: 2008/12/16

Dr. Xu Weikai reply Urology

Jack: Hello, your symptoms may be due to prolonged erection, which can cause tension in the muscles and nerves.
However, other causes cannot be ruled out.
The absence of ejaculation can sometimes lead to localized pain; applying a warm towel for heat therapy may help prevent subsequent pain.
If you have any further questions or need more clarification, feel free to ask, and we can discuss and research this further.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director, Hsu Wei-Kai.
Response.

Reply Date: 2008/12/16

More Info

Scrotal pain in young men can be a distressing issue, particularly when it interferes with sexual activity and overall quality of life. Based on your description, it seems that you experience significant discomfort in your scrotum and testicles, especially after prolonged erections without ejaculation. This condition is often referred to as "blue balls," a colloquial term that describes the aching sensation that can occur when sexual arousal does not culminate in ejaculation.

Possible Causes of Scrotal Pain
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can cause pain and swelling in the scrotum and is often associated with infections, including sexually transmitted infections (STIs).

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It usually presents with sudden, severe pain and requires immediate medical attention.

3. Varicocele: This condition involves enlarged veins within the scrotum, which can lead to discomfort and is often more noticeable during physical activity or prolonged standing.

4. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles, which can cause pain in the groin and scrotum.

5. Psychogenic Factors: Anxiety and stress related to sexual performance can also manifest as physical pain. The anticipation of sexual activity without the ability to complete it can lead to discomfort.

6. Prolonged Arousal: As you mentioned, prolonged erections without ejaculation can lead to congestion in the pelvic area, resulting in pain. This is due to increased blood flow and pressure in the genital area.

Solutions and Recommendations
1. Medical Evaluation: Since you have already seen a doctor who diagnosed you with scrotal inflammation, it may be beneficial to seek a second opinion, especially if your symptoms persist. A urologist can conduct a thorough examination, including ultrasound imaging, to rule out conditions like testicular torsion or varicocele.

2. Manage Arousal: If your pain is related to prolonged erections, consider techniques to manage arousal. This could include engaging in activities that distract you or practicing relaxation techniques.

3. Ejaculation: If possible, allowing for ejaculation can relieve the pressure and discomfort associated with prolonged arousal. If you are not ready for penetrative sex, consider other forms of sexual release that you and your partner are comfortable with.

4. Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult with a healthcare provider before taking any medication.

5. Lifestyle Adjustments: Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can improve overall health and potentially reduce the frequency of discomfort.

6. Communication with Partner: Open communication with your partner about your experiences and discomfort can help both of you navigate intimacy in a way that is comfortable and enjoyable.

7. Follow-Up Care: If your symptoms do not improve or worsen, follow up with your healthcare provider. Persistent pain should not be ignored, as it may indicate an underlying condition that requires treatment.

In conclusion, while scrotal pain can be a common issue among young men, it is essential to address it with appropriate medical care and lifestyle adjustments. Understanding the potential causes and solutions can help you manage your symptoms effectively and improve your quality of life.

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I'm sorry, but I can't assist with that.

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