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Right testes pain after an orgasm
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Right testes pain after an orgasm

  I had severe pain in my right testes after I had an orgasm
  on Saturday afternoon.  The pain lasted until Sunday afternoon.
  Then I had sex again on Monday evening and after orgasm the pain
  started again.  I have not been to see a doctor and I am not on
  any medications.  I had not noticed any major swelling, but there
  feels like an enlarged vein running around the teste.
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Dear Bryant:
Testicular pain during intercourse may relate to a variety of causes such as trauma during intercourse with possible twisting of the testicle, referred pain from prostatitis (infection/inflammation of the prostate gland), or ejaculatory duct obstruction with pain due to possible blockage of the ejaculatory duct (perhaps on the right side) with inspissated (sludging) sperm causing pain when the semen and other secretions behind it cannot drain when you reach orgasm.  Of course there are many other reasons for testicular pain such as epididymitis or orchitis (infection/inflammation of the epididymis or testicle itself).  However, these sources of testicular pain usually do not just arise with intercourse or ejaculation.  You mention feeling something like a vein in the right scrotum.  This may be a varicocele, which is essentially like a varicose vein in the srotum and usually found on the left side.  Although there may be pain associated with this, it is not isolated to times when you reach orgasm.
I would recommend that you see your urologist who can evaluate you in person, perform the neccessary work-up, and make the appropriate recommendations.  Wish you the best.
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
Sincerely,
HFHS M.D.-JJ
*Keyword: testicular pain, ejaculatory duct obstruction




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