Persistent Pain in Right Spermatic Cord After Sexual Activity: Causes and Concerns

Pain in the right side of the spermatic cord during erection?

Hello doctor, last Saturday after three hours of sexual stimulation, I experienced slight pain in the right side of the testicle and spermatic cord, but it resolved after a few hours.
When I initially consulted a doctor, they said it was nothing serious.
However, now a week later, I still feel soreness in the right spermatic cord during erections.
The doctor did not provide a reason, but I suspect it might be due to cremaster muscle strain.
Is it normal for this to last so long? Additionally, could this cause changes in the same side of the scrotum? I feel like the right side is slightly larger, and even when not erect, touching the right testicle and spermatic cord causes a bit of discomfort.
I'm worried that it might not just be a cremaster muscle issue, but possibly inflammation of the testicle or epididymis.
P.S.: I have been avoiding sexual stimulation and ejaculation during this time; should I continue this to recover more quickly? Thank you.

xie, 20~29 year old female. Ask Date: 2013/09/01

Dr. Xu Weikai reply Urology

Hello, muscle soreness can be alleviated through local heat application.
Local inflammation may present with swelling.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan, who cares about your well-being.

Reply Date: 2013/09/01

More Info

Persistent pain in the right spermatic cord after sexual activity can be concerning and warrants a thorough understanding of potential causes and implications. Based on your description, it seems that you have been experiencing discomfort localized to the right spermatic cord and testicle, which has persisted for over a week following sexual stimulation. While your doctor initially assessed that there was no significant issue, the ongoing nature of your symptoms suggests that further evaluation may be necessary.

One possibility for the pain you are experiencing could be related to the cremaster muscle, which is responsible for raising and lowering the testicles. This muscle can become strained or overactive during prolonged sexual arousal or activity, leading to discomfort in the spermatic cord area. This is often referred to as "cremasteric muscle strain." However, the fact that the pain has lasted for an extended period raises the question of whether there may be an underlying condition that needs to be addressed.

Another consideration is the potential for inflammation or infection in the testicle (orchitis) or the epididymis (epididymitis). These conditions can cause localized pain and swelling, and they may be associated with other symptoms such as fever or changes in urination. If you notice any swelling in the right testicle or if the discomfort worsens, it would be prudent to seek medical attention to rule out these possibilities.

You mentioned that you perceive the right side of your scrotum as slightly larger, which could indicate swelling or a fluid collection, such as a hydrocele. This condition can occur due to various reasons, including trauma or infection. It is essential to monitor any changes in size or shape of the testicles and report these to your healthcare provider.

Regarding your question about whether to continue avoiding sexual stimulation and ejaculation, it may be beneficial to give your body time to recover. Engaging in sexual activity while experiencing discomfort could exacerbate the issue. Resting and avoiding activities that provoke pain can help in the healing process. However, if the pain persists or worsens, it is crucial to follow up with a urologist for a comprehensive evaluation, which may include a physical examination, ultrasound imaging, or laboratory tests to assess for any underlying conditions.

In summary, while the initial assessment may not have indicated a serious issue, the persistence of your symptoms warrants further investigation. Conditions such as muscle strain, inflammation, or infection should be considered, and monitoring for any changes in the size or shape of the testicles is essential. If symptoms continue, do not hesitate to seek further medical advice to ensure appropriate management and peace of mind.

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