We keep seeing several posts regularly relating to genital pain particularly in testicle and groin region in one side or both sides. I was one such affected by this a pain, and finally got relieved from this chronic pain. I thought putting my success story, and how I got relieved from this pain. This may help some of you suffering from this pain, purely for information only. You are advised to follow what your physician says.
Make sure you have cleared all the STD tests/diagnosis before reading my story below.
More than 2 years back, while I was sitting in my office, I started feeling a very mild discomfort on my left testicle. However, on the very next day, it became much noticeable, and whenever I sit in my seat, I started feeling a dull ache in my left testicle, and in the groin. The pain manifested gradually, and remained dull and constant.
Symptoms:
1. Dull ache in left side testicle and groin, worsens while sitting.
2. Tenderness to touch the left testicle, and the pain was throbbing at times.
3. Some kind of burning / wound / cut (inflammation kind of) feeling beneath the pubic scrotal region.
4. Occasionally pain moves to left abdomen,and the perineum region (between scrotum and rectum).
5. Occasional dull ache in penis base.
6. Reduced ejaculation.
7. Pain after ejaculation.
8. No visible swelling, Rashes, Lesions, etc not seen anywhere in the entire genital region.
9. No problem with urine frequency.
10. Pain worsens with physical activity.
Doctors visited: Visited more than 7 urologists, 5 orthopedics and 3 neurologists.
Diagnosis:
1. STD Tests - None was found. Though I'm monogamous and married, to rule out all the possibilities, I did take these tests to get peace of mind.
All the reports showed normal for Genital Herpes, Syphillis, Gonnorhea, etc.
2. Semen and Urine culture did not find anything wrong, and there was no growth. Blood tests also came out normal.
3. Prostate scan - Normal size. There is no swelling.
4. When I took MRI as asked by the spine speciality, it appeared everything normal again, other than a mild disc bulge.
The urologists said I don't have any STDs causing my symptoms, no prostatitis or epididymitis, and the neurologists as well said there is no nerve impingement causing this pain.
Medication:
Despite not diagnosed for the pain, my urologists prescribed and asked me to try the following medications one after the other. However, none of these had an effect, and I was continued to suffer from this pain.
1. Doxycycline - No effect for my pain
2. Ciprofloxacin - No effect for my pain
3. Levofloxacin - No effect for my pain
4. Hetrazan - No effect for my pain
5. Forcan - No effect for my pain
In addition to the above, I was prescribed with pain killers and tranquilizer to calm down my mind. I was extremely annoyed when the pain persisted after taking all the medications regularly without missing not even a single day.
How I got out of this pain?
As my urologists and neurologists were unable to diagnose the exact problem, I visited an orthopedic, who said what I'm having is Myofascial pain/Chronic Pelvic Pain Syndrome (CPPS)/or Repetitive Strain Injury (RSI) due to contious sitting for several hours infront of laptop. It could possibly neuralgia as well due to injury, or acccidentally rubbing the scrotum hardly.
The myofascial therapy, and the medications prescribed by him had started yielding results, and drammatically the pain subsided.
The doctor said the following are the reasons which caused my testicle and groin pain:
1. My pelvic floor was contracted several years back due to various reasons (emotional, stress, etc), which I realized as true.
2. The burning pain and tenderness on the spermatic chords, epididimis was mainly due to the muscle contraction, poor blood supply which started irritating the nerve causing inflammation and soreness/tenderness to touch.
3. Possibily Neuralgia, due to injury or excessive rubbing might have irritated the nerves.
The following are the treatment I took from the doctor's clinic.
1. Took myotherapy with the physiotherapist in the ortho doctor's clinic for 6 weeks, every day.
2. He broke several bands, and applied trigger point massaging.
3. The myotherapy was very painful initially, and I used to jump and cry with tears due to severe pain. It is like one step forward is four steps backward.
4. Pelvic floor relaxation - Moment by moment relaxation (every 5 to 10 minutes gap).
5. Stretching exercises for the pelvic floor muscles, that was contracted involuntarily in the past.
6. Yoga, stretches for the pelvis.
7. Gabapentin (Neurontin), Ultracet (Tramadol) and Amitriptyline prescribed by the orthopedic. He prescribed these medicines which is good for treating chronic pain especially to "break" and get out of the chronic pain cycle.
The above medicines, and the myotherapy, started working on me, and I slowly got out this pain. Now I'm 100% pain free. There is no pain in the testicle or groin.
Do's
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1. I normally do the stretches given in this link. The first one is really very effective and dramatic.
http://www.freewebs.com/trydent78/index.htm
2. Read the headache in the pelvis book written by Dr. David Wise. While reading the book, I thought it was written for me. It covers a lot on stretching,
paradoxicl relaxation, trigger point therapy, patient stories, etc.
3. Use some ergonomical tools to vibrate and remind you every 20 minutes to wake up and stand while at work place. I have installed an ergociser tool in the laptop, so it popups every 20 minutes asking to relax.
4. Yoga
5. Hot water sitz - Gives temporary relief.
Don'ts
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1. Never try kejal exercise, it will aggravate the pain.
2. Try ejaculating only when there is no pain. Forceful masturbation strains pelvic muscles.
3. Acupuncture - I tried, absolutely no effect.