A number of factors can cause pain that accompanies ejaculation. Khera said one possibility is that a person has an infection, such as a urinary tract infection or an inflammation of the prostate called prostatitis.
Another possibility is a condition known as “blue balls,” which is a feeling of pain and vaso-congestion in the genitals after sexual arousal that does not result in orgasm. This is not a dangerous symptom, but it can be uncomfortable.
Infections or inflammation
If you experience pain in your testicles after masturbation, it’s important to see a doctor. Your doctor can recommend medications to relieve your pain and determine if you have an infection or another cause of the pain.
Physical trauma is also a common cause of testicular pain. You can injure your testicles in sports, when playing at home, or even when riding a bike. Injuries caused by physical contact or force can cause swelling, bruising, and even tearing. Injuries to the testicles can be mild or severe, depending on the amount of pressure applied and how long you were in contact with something that was hard or sharp.
The most serious causes of pain in the testicles after ejaculation are infections or inflammation. Infections can occur in the epididymis, a coiled tube that sits on the back of each testicle and stores the sperm released during ejaculation. When the epididymis becomes infected it is called epididymitis.
Infections can also occur in the ducts that carry sperm to and from the penis. A bacterial infection in these ducts can cause pain and swelling of the testicles and scrotum. The most common causes of these infections are STIs like chlamydia or gonorrhea.
If a swollen and painful scrotum is not treated, it can lead to the development of a cyst or hernia. This condition is called a hernia in the inguinal canal and can result in fluid building up in your groin area and causing pain in the testicles.
Physical trauma
Ejaculation takes place when the muscles in the scrotum contract, causing semen to leave the testicles through a long tube called the epididymis. The sperm then enter the urethra, the tube that carries urine and semen out of the body. Pain after ejaculation may be caused by physical trauma to the testicles or the scrotum. This can include injuries sustained while playing sports or during accidents that cause impact or pressure to the testicles. It may also be a symptom of a condition called hernia, which occurs when something in the lower abdomen, such as a section of intestine or a loop of fat, clings to the walls of the abdomen and pushes into the groin area.
While a traumatic injury to the testicles may lead to pain after ejaculation, it is unlikely to be serious. However, any pain that occurs after an orgasm, especially if it is severe, should warrant a visit to the doctor. Likewise, anyone who notices their testicles turning a bluish hue should seek medical attention immediately, as this could be a sign of a dangerous condition called testicular torsion, which requires immediate treatment. It is possible to relieve blue balls by masturbating, undergoing oral sex or engaging in protected sexual intercourse. Pain medication can also be helpful. In addition, doing exercise, such as light jogging, can help by moving blood away from the genitals and back to the muscles.
Chronic pain syndrome
If your pain is not relieved by resting, or if it comes back frequently, you should see your doctor to discuss the issue. He or she will likely prescribe medication to ease the pain. Getting enough sleep and eating a healthy diet can also help.
Chronic pelvic pain syndrome, or CPP, is a long-term condition that can cause discomfort in the area, including the testicles and penis. It can be caused by an injury, or it may have a genetic component. In some cases, the symptoms can be triggered by sexual activity.
Another possibility is an infection of the duct that carries sperm from the testicles to the penis. This could be a urinary tract infection (UTI) or an infected prostate, called prostatitis. If the symptom is accompanied by blood in the semen, your doctor can perform a culture to check for bacteria.
Other problems that can cause testicular pain include a hernia or other lumps. If you notice a lump, your doctor should take a careful examination of the area. You can try to reduce swelling by placing a rolled towel or athletic supporter under your scrotum. You can also try over-the-counter pain relievers like acetaminophen or ibuprofen. If the pain is severe and sudden, you should seek emergency treatment. This is a medical emergency because the spermatic cord can twist and cut off blood flow to the testicle, causing severe pain and swelling.
Testicular torsion
Testicular pain after ejaculation can originate in the epididymis, a curved tube that sits on each testicle to store sperm. Inflammation of this area is called epididymitis, and it can result from sexually transmitted infections (STIs) such as gonorrhea and chlamydia or from physical trauma. The scrotum, the sack that holds the testicles, may also be a source of painful sensations. Pain can be felt in the scrotum as a lump, swelling, or ache, and it might spread to the thighs, buttocks, or back.
One of the most serious reasons why a man’s testicles hurt after ejaculation is testicular torsion. This condition occurs when the tissues that hold the testicles twist around the spermatic cord and cut off blood flow to the testicle, resulting in pain and swelling. This is an emergency, and a guy needs to get to a hospital or doctor’s office as soon as possible for surgery to prevent permanent damage.
Symptoms of testicular torsion include a sudden pain that does not go away, a feeling that one testicle is higher than the other, and a red or dark color in the scrotum. A person might also feel a heaviness in the scrotum. A medical professional will diagnose this emergency condition by performing a physical exam and recommending tests such as urine or blood tests, an ultrasound, or an STI test. Over-the-counter pain relievers like ibuprofen can help to reduce discomfort.
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