Left Testicular Pain After Ejaculation: Causes and Solutions - Urology

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Left testicular pain after ejaculation can be concerning, especially if it is a new symptom. There are several potential causes for this discomfort, and understanding them can help you determine the best course of action.

One common cause of testicular pain after ejaculation is epididymitis, which is the inflammation of the epididymis, a tube located at the back of the testicle that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections (STIs) like chlamydia or gonorrhea, or non-sexually transmitted infections. Symptoms may include pain, swelling, and sometimes fever. If you suspect an infection, it is crucial to see a healthcare provider for appropriate testing and treatment.

Another possible 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 swelling, and requires immediate medical attention. However, since you mentioned that the pain occurs after ejaculation and resolves on its own, torsion is less likely.

Varicocele, which is an enlargement of the veins within the scrotum, can also lead to discomfort, particularly after sexual activity. It is often described as a dull ache and can be exacerbated by prolonged standing or physical activity. If you notice a "bag of worms" feeling in the scrotum or if the pain persists, a consultation with a urologist may be warranted.

Another consideration is referred pain from other areas, such as the lower back or pelvis. Conditions like hernias or issues with the prostate can sometimes manifest as testicular pain.
In terms of treatment, if the pain is mild and resolves on its own, you might consider over-the-counter pain relief, such as ibuprofen or acetaminophen, to manage discomfort. However, if the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, or fever, it is essential to seek medical attention. A healthcare provider may perform a physical examination, and possibly an ultrasound, to determine the underlying cause of the pain.

Additionally, practicing safe sex and maintaining good hygiene can help prevent infections that may lead to testicular pain. If you are engaging in frequent sexual activity, ensure that you are using protection to reduce the risk of STIs.

In summary, while occasional testicular pain after ejaculation can occur for various benign reasons, persistent or severe pain should not be ignored. It is always best to consult with a healthcare professional to rule out any serious conditions and to receive appropriate treatment. Your health and well-being are paramount, so do not hesitate to seek help if you have concerns about your symptoms.