Testicular Pain and Its Connection to Ejaculation - Urology

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Testicular pain and ejaculation?


Hello, Dr.
Hsu: Last night while using the computer, I suddenly felt pain in the cord below my left testicle.
The pain was so intense that it felt like my whole body was curling up, and it hurt even more when I touched it.
I thought it might be because I hadn't ejaculated in several days (about 4 days), so I masturbated, and afterward, the pain in my testicle went away.
I would like to ask what could be the cause of the testicular pain, as I have gone many days without ejaculation before without experiencing this issue.
Thank you for taking the time to respond.
:)

Yongheng, 20~29 year old female. Ask Date: 2013/07/18

Dr. Xu Weikai reply Urology


Hello, you may be experiencing neuropathic pain.
Local heat application could help improve the condition.
If you haven't ejaculated for a long time, it shouldn't cause any issues in that regard.
If you have further questions, feel free to ask, and we can discuss and research together.
Please remember that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/07/18

More Info


Testicular pain can be a concerning symptom, and it’s important to understand the potential causes and connections to ejaculation. The pain you experienced in the area below your left testicle could be attributed to several factors, and it’s good that you sought to clarify this.

One possible cause of testicular pain is epididymitis, which is an inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can be caused by infections, including sexually transmitted infections (STIs), or it can occur due to non-infectious reasons, such as trauma or prolonged sexual arousal without ejaculation. The pain associated with epididymitis can be sharp and may worsen with touch or movement.

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 requires immediate medical attention. However, your description of the pain resolving after ejaculation suggests that torsion is less likely, as this condition usually does not improve without surgical intervention.

Your experience of pain that subsided after ejaculation may indicate that the discomfort was related to congestion or pressure in the reproductive system. When ejaculation does not occur for several days, some men may experience a buildup of seminal fluid, leading to a sensation of fullness or discomfort in the testicles. This is sometimes referred to as "blue balls," a colloquial term for the discomfort that can arise from prolonged sexual arousal without release. The relief you felt after ejaculation supports this theory.

Additionally, muscle strain or tension in the pelvic area can also contribute to testicular pain. If you were sitting for an extended period while using the computer, it’s possible that the position may have led to muscle strain or nerve irritation, resulting in referred pain to the testicular area.

It’s also worth noting that psychological factors, such as anxiety or stress related to sexual performance or arousal, can manifest physically and contribute to discomfort in the genital region.
In summary, the pain you experienced could be due to a variety of factors, including epididymitis, muscle strain, or congestion from prolonged arousal. If this pain recurs 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 physical examination and may recommend further tests, such as an ultrasound, to rule out more serious conditions.

In the meantime, if you experience similar symptoms, consider monitoring your activities, including sexual activity and any positions that may contribute to discomfort. Maintaining open communication with a healthcare professional about your symptoms is essential for ensuring your reproductive health.

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