Testicular pain
I have been experiencing premature ejaculation for a long time, and a few hours after sexual activity, I feel sharp pain in both testicles.
It usually subsides after resting.
I would like to know the reason for this.
Chen, 20~29 year old female. Ask Date: 2016/03/14
Dr. Fu Shizhang reply Urology
Pain in the penis or testicular-perineal pain after ejaculation is often caused by sympathetic nervous system stimulation.
If the pain subsides within a few hours, it is considered a normal physiological phenomenon and does not require excessive concern.
Online consultations cannot replace an in-person evaluation and physical examination by a physician.
If there are any health issues, it is still advisable to seek medical attention at a healthcare facility.
Reply Date: 2016/03/14
More Info
Testicular pain after sexual activity can be a concerning issue for many individuals. Understanding the underlying causes and potential solutions is crucial for managing this discomfort effectively.
Firstly, it’s important to recognize that experiencing testicular pain after sexual activity is not uncommon. The pain can arise from several factors, including physiological responses, anatomical variations, and underlying medical conditions.
One of the most common reasons for testicular pain post-intercourse is related to the physiological changes that occur during sexual arousal and activity. During arousal, there is increased blood flow to the genital area, which can lead to engorgement of the testicles and surrounding structures. This engorgement can sometimes result in discomfort or pain, especially if the sexual activity is prolonged or if there is a lack of adequate release or ejaculation. This phenomenon is sometimes referred to as "blue balls," where the buildup of blood in the testicles causes a feeling of heaviness or aching.
Another potential cause of testicular pain is the presence of conditions such as epididymitis or orchitis, which are inflammation of the epididymis or testicle, respectively. These conditions can be caused by infections, trauma, or other underlying health issues. Symptoms often include swelling, redness, and tenderness in the affected area, and they may be accompanied by fever or other systemic symptoms. If the pain is persistent or accompanied by other concerning symptoms, it is essential to seek medical attention for a proper diagnosis and treatment.
Additionally, anatomical issues such as varicocele (enlargement of veins within the scrotum) can contribute to discomfort during or after sexual activity. Varicoceles can lead to a feeling of heaviness or aching in the testicles, especially after prolonged periods of sexual activity or physical exertion.
In your case, you mentioned experiencing pain a few hours after sexual activity, which could indicate that the discomfort is related to the physiological changes that occur during arousal and sexual activity. If the pain resolves with rest, it may suggest that it is not due to an acute medical condition but rather a temporary response to sexual activity.
To manage and alleviate testicular pain after sexual activity, consider the following strategies:
1. Adequate Foreplay and Lubrication: Ensuring sufficient foreplay and using lubrication can help reduce friction and discomfort during intercourse, potentially minimizing post-activity pain.
2. Ejaculation: If you experience discomfort due to prolonged arousal without ejaculation, allowing for ejaculation may relieve the pressure and discomfort in the testicles.
3. Rest and Ice: After sexual activity, resting and applying ice packs to the scrotal area can help reduce swelling and alleviate pain.
4. Consult a Healthcare Provider: If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, or fever, it is crucial to consult a healthcare provider. They may perform a physical examination and recommend tests such as an ultrasound to rule out any underlying conditions.
5. Addressing Early Ejaculation: Since you mentioned having issues with premature ejaculation, addressing this concern through behavioral techniques, counseling, or medication may also help improve your overall sexual experience and reduce associated discomfort.
In conclusion, while testicular pain after sexual activity can be distressing, understanding its potential causes and implementing appropriate management strategies can help alleviate discomfort. If symptoms persist or worsen, seeking medical advice is essential for proper evaluation and treatment.
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