Testicular and Abdominal Pain After Intimacy - Urology

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Testicular pain can cause abdominal discomfort?


Hello doctor, I’m not sure what’s going on, but recently when I get intimate with my girlfriend, I often experience erections, and then I feel pain in my testicles and abdomen.
What could be the cause of this? We are both under eighteen, so we haven’t engaged in actual sexual intercourse, just hugging and kissing.

Gao San Sheng, 10~19 year old female. Ask Date: 2009/07/05

Dr. Lai Ronghao reply Urology


During sexual arousal, an erection occurs, primarily due to engorgement, which may cause slight discomfort.
If this persists, it is advisable to seek medical evaluation.

Reply Date: 2009/07/05

More Info


Experiencing testicular and abdominal pain after intimacy, even if it does not involve penetrative sexual activity, can be concerning and warrants attention. The discomfort you are describing could stem from several factors, and it’s important to understand the potential causes and when to seek medical advice.

Firstly, during sexual arousal, the body undergoes various physiological changes. Increased blood flow to the genital area can lead to an erection, which is a normal response. However, if the erection is prolonged without ejaculation, it can lead to a condition known as "blue balls" or epididymal hypertension. This occurs when blood pools in the testicles, causing discomfort or pain. The pain can radiate to the lower abdomen as well, which may explain the abdominal discomfort you are experiencing.

Another possible cause of your symptoms could be related to muscle tension. Engaging in intimate activities, even without penetrative sex, can lead to increased muscle tension in the pelvic region and abdomen. This tension can result in discomfort or pain, particularly if you are not accustomed to such activities.

Additionally, anxiety or stress related to intimacy can also manifest as physical symptoms, including abdominal pain or discomfort in the testicular area. If you are feeling nervous or anxious about being intimate, this could contribute to muscle tension and discomfort.

It’s also worth considering other medical conditions that could cause similar symptoms. For instance, testicular torsion, which is a medical emergency, can cause severe pain in the testicles and abdomen. Although this is less likely given your description, it’s important to be aware of such conditions. Other potential issues could include infections, such as epididymitis, or hernias, which can also cause pain in the lower abdomen and testicles.

If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or changes in urination, it is crucial to seek medical attention promptly. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the underlying cause of your symptoms.

In the meantime, here are a few suggestions to help manage your discomfort:
1. Rest and Relaxation: Give your body time to recover after intimate activities. Avoid strenuous activities that may exacerbate the pain.

2. Warm Compress: Applying a warm compress to the affected area may help alleviate discomfort and relax tense muscles.

3. Over-the-Counter Pain Relief: If the pain is bothersome, consider using over-the-counter pain relief medications, such as acetaminophen or ibuprofen, following the recommended dosages.

4. Communication: Talk openly with your partner about your experiences and any discomfort you are feeling. This can help alleviate anxiety and improve your overall comfort during intimacy.

5. Avoid Prolonged Arousal: If you notice that prolonged arousal without ejaculation leads to discomfort, consider finding ways to manage this, such as taking breaks or engaging in other activities that do not lead to prolonged erections.

In conclusion, while occasional discomfort after intimacy can be normal, persistent or severe pain should not be ignored. It’s important to listen to your body and seek medical advice if you have concerns. Remember, your health and well-being are paramount, and addressing any discomfort early on can help prevent potential complications in the future.

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