What causes testicular pain after ejaculation

Testicular pain after ejaculation may be related to excessive sexual behavior, chronic prostatitis, seminal vesiculitis, epididymitis, or vasectomy. Mild pain is mostly caused by physiological factors and lasts for a short time ； For persistent severe pain, you need to be vigilant about pathological causes, and it is recommended to visit a urology department for investigation.

1. Excessive sexual behavior

Frequent sexual activity or masturbation may cause perineal muscle fatigue, rapid discharge of semen, and transient dull pain in the testicles. This condition is usually accompanied by a swollen feeling in the scrotum, which resolves on its own after resting for 1-2 hours. Avoid repeated stimulation in a short period of time. Appropriate cold compress can improve local congestion.

2. Chronic prostatitis

Congestion and swelling of the prostate may radiate to the testicular area, and contraction of the gland during ejaculation may exacerbate pain. Typical symptoms also include frequent urination, urgency, and burning sensation in the perineum. The diagnosis requires a prostate fluid examination, and tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and warm water sitz baths can be used for treatment.

3. Seminal vesiculitis

When the seminal vesicles are infected, bloody semen will be discharged during ejaculation, accompanied by painful contraction of the ejaculatory ducts. The pain often radiates toward the groin and may be accompanied by low-grade fever. Ultrasound of the seminal vesicles shows enlarged glands. Treatment requires medications such as Levofloxacin tablets and Relinqing granules. During this period, drinking alcohol and spicy food are prohibited.

4. Epididymitis

Retrograde infection of the epididymis by bacteria will cause severe pain in the affected testicle, and swelling and hardness may be palpable when the scrotum is touched. In the acute phase, high fever above 39°C may occur, and in the chronic phase, pain worsens during ejaculation. Routine blood tests showed an increase in white blood cells. Cefixime dispersible tablets combined with a scrotal band can relieve symptoms.

5. Vasectomy

Sperm granuloma may occur within 3 months after surgery, and pressure changes during ejaculation may stimulate nerve endings to produce acupuncture-like pain. Scrotal ultrasound shows the formation of nodules, and most of them gradually adapt within six months. When pain is severe, you can take ibuprofen sustained-release capsules for a short period of time and avoid strenuous exercise.

It is recommended to record the frequency and duration of pain attacks and avoid wearing tight underwear to increase compression. Wash the perineum with warm water every day to reduce caffeine intake. If the pain is accompanied by hematospermia, fever, or lasts for more than 48 hours, emergency treatment is required to rule out emergencies such as testicular torsion. Routine examinations include scrotal color ultrasound, urine routine and semen analysis, and antibiotic treatment or physical therapy is selected based on the results.