Testicular trauma and hypersensitivity?
Hello, doctor.
Yesterday, while riding my bicycle, I had an accident but everything looks normal externally.
However, I experience pain after sitting for a long time, so I went to see a doctor who recommended an ultrasound examination of my testicles.
I am very sensitive, and when the transducer touched my testicles a few times, I felt an urge to ejaculate and even released some fluid.
I asked to pause the examination, but it continued to happen.
In the end, the doctor decided not to proceed with the examination.
Is this normal? It was quite embarrassing at the moment, but I couldn't control it.
Later, I was told to check for any ability to retract, so does that mean if I can retract normally, it indicates there is no swelling? Thank you.
Chen, 20~29 year old female. Ask Date: 2014/03/24
Dr. Xu Weikai reply Urology
Chen: Your sensitivity should not be related to the injury.
If it is related to the injury, local heat application may help.
Generally, as long as you can engage in normal sexual activity and have normal ejaculation, there shouldn't be any major issues.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.
Reply Date: 2014/03/24
More Info
Testicular trauma can be a concerning issue, especially for those who experience discomfort or sensitivity following an injury. It’s important to understand the anatomy and physiology of the testicles, as well as the implications of trauma to this sensitive area.
When you experienced the bike accident, even if there was no visible damage, the testicles can still be affected by trauma. The testicles are highly sensitive organs, and any impact can lead to pain, swelling, or even internal injuries that may not be immediately apparent. In your case, the fact that you are experiencing pain after prolonged sitting suggests that there may be some underlying issue that needs to be addressed.
Regarding the sensitivity you experienced during the ultrasound examination, it is not uncommon for individuals to have heightened sensitivity in the genital area, especially after trauma. The testicles are innervated by a network of nerves that can react strongly to touch or pressure, leading to sensations that may feel overwhelming or even lead to involuntary ejaculation. This response can be embarrassing, but it is a physiological reaction that can occur in sensitive individuals. It’s important to communicate with your healthcare provider about your discomfort during the examination, as they can adjust their approach to make the process more comfortable for you.
As for the ultrasound itself, it is a valuable tool for assessing any potential damage to the testicles, including hematomas (blood collections), torsion (twisting of the testicle), or other injuries. If the ultrasound was not completed due to your discomfort, it may be advisable to discuss alternative imaging options or sedation with your doctor to ensure a thorough evaluation without causing you distress.
You mentioned that your doctor suggested self-examination to check for swelling or abnormalities. This is a reasonable approach, as self-examination can help you become familiar with the normal size and shape of your testicles. If you notice any changes, such as swelling, lumps, or persistent pain, it is crucial to seek medical attention promptly. The ability to "embed" the testicle, as you mentioned, refers to the testicle's ability to retract into the scrotum, which can be a sign of normal function. However, this does not necessarily indicate that there is no injury present.
In conclusion, while your experience during the ultrasound may have been uncomfortable and embarrassing, it is a normal physiological response to sensitivity in that area. It is essential to follow up with your healthcare provider regarding your symptoms and consider alternative methods for evaluation if necessary. Testicular trauma should not be taken lightly, and any persistent pain or changes should be addressed to prevent potential complications. Always prioritize open communication with your healthcare provider to ensure you receive the best care possible.
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