Pain in the testicles after sex or masturbation – causes, solutions and when you should see a doctor
Time to read 4 min
Testicular pain after sex or masturbation can be worrying. Perhaps you've experienced it before: after climax, you notice a pulling, pressure, or even a sharp pain in your testicles. You immediately wonder: Is this normal? Is it dangerous? What can I do?
In this article, we'll explain the most common causes of testicular pain after sexual activity, show you possible treatment methods, and advise you on when a doctor's visit is essential. If you're looking for information on this topic, you've come to the right place.
What exactly is testicular pain?
Before we discuss the connection between sex, masturbation, and testicular pain, you should know what testicular pain actually is. The medical term is orchialgia , which describes pain in the area of the testicles, epididymis, or surrounding structures. This pain can occur on one or both sides, be acute or chronic, and be sharp, pulling, or dull.
Common causes of testicular pain after sex or masturbation
Sexual overexcitement or "blue balls"
One of the most common reasons for testicular pain after sex or masturbation is so-called sexual overstimulation , colloquially often referred to as "blue balls" .
When you are sexually aroused, blood flow to the genital area increases significantly. The testicles and spermatic cord swell slightly. If ejaculation does not occur or if the arousal is maintained for a very long time, this can lead to an uncomfortable feeling of pressure – a pulling or pain – which typically disappears on its own after a while.
Tip : Ejaculation (through sex or masturbation) can usually quickly relieve this type of pain. Alternatively, simply waiting it out or gently cooling the area can also help.
Too frequent sex or masturbation
Too much of a good thing can also cause problems. If you masturbate or have sex very frequently – especially in a short period of time – it can lead to irritation of the testicles, epididymis, or vas deferens.
Symptoms : A dull pain that sometimes radiates to the lower abdomen. Occasionally accompanied by a feeling of tightness.
What to do? Take a sexual break of a few days so that the structures can recover.
Epididymitis
If the pain is more severe, lasts longer, and is possibly accompanied by swelling or redness, epididymitis may be the cause. This is usually caused by bacterial infections – sometimes also after sex, especially if it was unprotected.
Typical symptoms :
Severe, one-sided testicular pain
Redness or swelling
Fever
Pain when urinating
Important : You absolutely must see a doctor. Antibiotic treatment is usually necessary.
Testicular twisting (testicular torsion)
Testicular torsion is a medical emergency – a twisting of the spermatic cord that cuts off blood flow to the testicle. Although rarely directly caused by sex or masturbation, it can occur in temporal relation to these conditions.
Warning : Sudden, very severe pain in the testicle, possibly accompanied by nausea or vomiting, is a warning sign.
Act immediately! In this case, you must go to the emergency room right away . The testicle can be saved within a few hours – after that, the risk of permanent damage is high.
Hernia
An inguinal hernia can also cause testicular pain, especially after physical or sexual exertion. In this condition, tissue from the abdominal cavity protrudes through a weak point in the abdominal wall into the inguinal canal and can press on the testicles.
Typical signs :
Pain during physical exertion
-
Visible or palpable bulge in the groin area
Pain radiating into the testicles
Solution : A doctor's visit is necessary. Surgery may be required.
Varicose veins in the testicles (varicocele)
A varicocele is a dilation of the veins in the spermatic cord – similar to varicose veins. It often occurs on the left side and can cause increased pain after sex or masturbation.
Symptoms :
Pulling pains, especially when standing or after physical exertion
Visible, tubular veins above the testicles
Often asymptomatic, but occasionally associated with a feeling of pressure
What to do? Minor complaints can be treated conservatively, while more severe pain or fertility problems make surgery advisable.
The most popular sex toys for men
5 reasons why you urgently need a masturbator!
Prostate massage? Yes, there are good reasons for it!
Nuru Massage - The sensual art of touch with massage oil
Everything you need to know about anal toys - How to ensure you have fun!
How do I use anal beads? Here's how it really works!
When should you go to the doctor?
Not every testicular pain is an emergency, but in some cases you shouldn't delay medical attention. Pay attention to the following warning signs:
See a doctor immediately if:
Sudden, severe pain
Swelling or redness of the scrotum
Fever or chills
Pain when urinating or ejaculating
Blood in semen or urine
Pain that lasts for more than a few days
What can you do yourself?
If there is no serious underlying cause, you can contribute to relief yourself with the following measures:
Self-help tips:
Cooling : A cold pack (wrapped in a cloth) helps against swelling and pain.
Supportive underwear : Tight, supportive underwear can provide support for the testicles.
Sexual break : Treat yourself to a few days without sexual activity.
Painkillers : Ibuprofen or paracetamol can provide temporary relief – but should not be taken for extended periods without medical consultation.
-
Heat for cramps : A warm bath can be soothing for cramps caused by muscle tension.
Don't underestimate psychological factors.
Stress, performance pressure, or feelings of guilt related to sexuality can also manifest physically – including pain in the genital area. If medical causes have been ruled out, it can be helpful to consider the psychological aspect as well.
Conclusion – Testicular pain after sex or masturbation is often harmless, but should never be ignored.
In many cases, testicular pain after sex or masturbation is harmless – for example, due to overstimulation or sexual overstimulation. However, there are also serious medical causes that you shouldn't take lightly.
If you suffer from these symptoms repeatedly or persistently, seeing a urologist is always the right decision. Early diagnosis can not only alleviate pain but also prevent long-term damage.
Loveiu is the leading Swiss online sex shop with a comprehensive guide offering tips on sex toys and a fulfilling love life. Check back occasionally and look out for great articles.