Testicular pain after sexual arousal: causes and solutions

Sex is an important part of a man's life, especially for men who strive to always be on top. Hyperarousal is extremely rare, affects young people during puberty, and resolves on its own as the reproductive system develops. However, adult men should consult a urologist if they experience recurring premature ejaculation or not ejaculating at all, as this may indicate a serious problem.

Installation features

Study the structure of the penis with an expertGreater sexual arousal depends on the interaction of multiple systems. Initially, the nerve centers of the brain are stimulated. As a result of this effect, testosterone is released into the bloodstream. In addition, under the influence of male hormones, blood vessels gradually expand. At this moment, the blood volume increased. The fluid presses against the walls of the pudendal venous sphincter. Next, the corpora cavernosa fills up, increases in density, and the penile muscles stretch. The entire process described is called erection.Under normal sexual intercourse, an erection always ends in ejaculation. In this case, part of the semen located in the testicles is removed. After this process, the blood leaves the corpus cavernosum within a short time and the excitement ends.If contact is irregular, large amounts of sperm can accumulate in the testicles. Next, they begin applying pressure to the area of the paired organ, causing the man to feel discomfort.In youth, such worries will go away on their own. The body resorts to nocturnal emissions (spontaneous discharge of semen at night) to overcome overarousal. When sex becomes normalized, the problem goes away. But sometimes self-purification does not occur, leading to many negative symptoms.Adult patients experience similar discomfort when there is no sexual release. The partner will feel aroused, but the partner will not bring the contact into sexual intimacy. In this case, blood continues to flow into the corpus cavernosum, and after failure, the fluid very slowly leaves the cavity of the penis. Due to the influence of blood, the cavernous cavity becomes dilated. Therefore, after excitement, the testicles are injured, since against this background the movement of sperm along the vas deferens increases.All the above symptoms can be easily eliminated without the involvement of a specialist. The pain should go away a few hours after the semen is removed from the tube. During puberty, the problem disappears after stable intercourse. But if the testicles are very painful after sexual arousal, pathological changes may also be the cause. In this case, you need to seek help from a doctor.

Why physical causes cause pain

During sexual contact, men experience increased blood flow to their genitals and experience frequent mating friction. The accumulation of large amounts of fluid in the veins and strenuous exercise can cause pain in the testicles or groin because of the extra pressure on nerve endings, blood vessels, genital tissue, and nearby areas of the body. This can have a negative impact on a man's psycho-emotional state, his desire to continue having intercourse, and reduce his sexual desire. After the action is over, the pain during sexual excitement slowly subsides as the blood flows out of the genitals.If you abstain from sex for a long time due to irregular sexual life, prostatitis, erectile dysfunction and testicular inflammation may occur. Because men are sexually excited and produce sperm regardless of whether they have sexual intercourse or not, and the seminal vesicles are in a state of tension and produce sexual substances, so testicular pain will occur.Increased abstinence due to inability to initiate intercourse (chastity of partner, prohibition of contact due to treatment, etc. ), inhibition of ejaculation by interruption of intercourse, or prolonged sexual arousal during active caress, testicles, penis or lower abdomen (area where female ovaries are located)Will also get hurt.
This is because the blood vessels, capillaries, and cavernous bodies filled with blood are in a state of excessive tension, and the cavities and tubes of the testicles are in a state of ejaculation, causing the narrow channels to expand under pressure.
Externally, signs of overexcitement include the scrotum turning blue or purple in color and the testicles becoming hard and enlarged to the touch. Dizziness, nausea, and pain in the groin and back of the head in men may also sometimes occur. If the effects of overarousal are not eliminated naturally - by reaching orgasm and ejaculating - the pain will continue until the fluid subsides on its own.


Discomfort after sexual arousal may occur due to prolonged abstinence or excessive arousal. However, there are many other factors to consider. Many men wonder why their testicles hurt after sexual arousal; the main reasons are:
  • Injury to the testicles or scrotum;
  • Testicular torsion;
  • Epidermatitis;
  • orchitis;
  • Varicocele;
  • hernia;
  • Reproductive system tumors.
Men also need to pay attention to their underwear. It is not recommended to choose a style that pulls the skin. Synthetic options are dangerous. You should also try to avoid wearing tight jeans and trousers and choose loose-fitting clothing at home.

Alarming symptoms

If you have irregular contact and your partner refuses to have sex, there is no need to sound the alarm. But there are some signs you should look out for. The following alarming symptoms stand out:
  • Soreness in groin and lower tailbone;
  • Headache in the occipital region;
  • Indigestion after exposure;
  • The presence of a seal in the scrotum;
  • Changes in semen quality.
Doctors recommend paying attention to the location of the disease. In the absence of hidden pathology, pain after stimulation is limited to the testicles. If additional changes occur in the tissue, the site of symptoms will expand. The pain occurs in the lower lumbosacral spine. It can also spread to the penile shaft and scrotum. It is necessary to strictly follow all medical adviceAnother unpleasant sign of the disease's presence is a change in skin color. Against the background of torsion, the scrotal tissue appears blue. Additionally, part of the scrotum may become enlarged. Discoloration may occur on the lower abdomen. The central aorta passes through the abdominal cavity. Varicocele can cause obstruction of blood circulation in the groin. My belly turned purple.You also need to see a doctor if you experience pain in the occipital area of your head. The pituitary gland is located in this part of the head. It is responsible for the production of testosterone, the main male hormone. When excited, this part of the brain becomes active. The pituitary gland is in chronically active mode due to overexcitability. This can cause severe strain on the blood vessels in the brain. Excessive tension in the blood vessels can cause this additional symptom. Continuous tension is dangerous to the nervous system. The long-term course of the disease can lead to impotence and erectile dysfunction.

What else do you need to know

Diarrhea may become a marker for the development of pathological forms of tumors. This symptom is accompanied by sudden weight loss. The neoplastic form of prostate adenoma can only be excluded in a medical center under the supervision of a doctor.If pain occurs frequently, men can have their scrotum examined independently. The patient may notice a lump when palpating the scrotum. This compacted boundary has a clear outline. The intensity of pain may also increase when the tumor is pressed. If a patient discovers a tumor, he or she needs to see a doctor urgently.Doctors also recommend paying attention to the quality characteristics of semen. Normally, sperm is light white and has a specific odor. As the pathology progresses, the quality of semen changes. It becomes sticky and thick. The liquid has a strong, unpleasant odor. With such a sudden change in characteristics, you must go to a medical center immediately. If left untreated, this problem can lead to infertility.


Men often ask why their testicles and groins hurt after sexual arousal. As we all know, there are many reasons for this. Many times, the scrotal area gets hit during physical activity or just plain awkward movements. This action can cause local bleeding. Sometimes men can even lose consciousness due to pain, so in this case you need to consult a doctor. If the damage is minor, the tissue will repair itself. If a disturbance occurs after an assault and the young man does not seek medical help, this may have a detrimental effect on his sex life.

testicular torsion

The vas deferens runs throughout the testicles, and because it can move freely from side to side, it can sometimes become twisted, causing nerve endings to become pinched. The existence of this disorder is another answer to the question of why men experience testicular pain after sexual arousal. If this happens, men will feel severe and unbearable pain in the right or left testicle. As a result, parts of the testicles and blood vessels may die. If the organ is not surgically implanted in time within 6 hours, the organ will completely lose its reproductive function. The cause of this phenomenon is not fully understood, but vasoconstriction, hypothermia, and muscle contraction may play a role.

"Kissing Hormone"

A very interesting hormone involved in sexual arousal in both women and men is the "kissing hormone" called kisspeptin. This hormone was recently discovered by scientists. Studies in mice have shown that chemical signals from females activate certain types of neurons. Research has found that receptors for this hormone are located in the hypothalamus and pituitary gland. Due to the activation of these receptors, men's pituitary cells begin to rapidly secrete gonadotropin hormones that control sexual behavior and reproductive organ function. Apparently, this hormone encourages kissing and triggers a series of chemical reactions that trigger sexual desire.Some time later, kisspeptin was also discovered in humans. Currently, the possibility of using this hormone to treat sexual desire disorders in women is being actively studied. Because pectin regulates attraction to a partner, sexual intercourse, and ovulation, it is likely to be successfully used to treat hypoactive sexual desire disorder in women. About 40% of women experience this condition at least once, and about 10% suffer from it regularly.


Another name for this condition is adnexitis, which causes pain in the testicles after arousal. The appendage is located on the lower third of the posterior wall. Apparently, when it becomes inflamed, the scrotum does not change, but the problem area begins to feel sore. It should be taken into account that in the case of epidermatitis, men will only be affected by one testicle.If left untreated, the inflammation will worsen, swelling will occur, pain will not be severe but constant, and fever may occur.

characteristics of pain

The nature of the pain that occurs in the testicular area is very important during the diagnostic process. Based on its radiating position, preliminary conclusions can be drawn about the nature of the occurrence of unpleasant sensations:
  • If the pain radiates to the waist or abdomen, an inflammatory process in the testicular adnexa is suspected;
  • If the pain radiates to one side, you may have urolithiasis or an inguinal hernia;
  • When pain radiates to the lower extremities, suspect spermatic cord torsion or testicular contusion with subsequent bleeding.
If your testicles are red and you feel pain and discomfort, you need to urgently follow the doctor's instructions for diagnostic measures. In this case, delay may lead to infertility because the ejaculate does not contain motile sperm, impaired sexual ability, or amputation of the reproductive organs.


Usually, this disease is a complication of an infectious disease (rubella, mumps). It can reward men who have lost their reproductive function. When this disease occurs, the inflamed testicles become red and swollen, causing interference with sperm production and discharge, threatening infertility. Most of the time, only the right or left testicle is affected. After sexual arousal, the pain is very severe because the sperm does not form properly and cannot be released.The disease is characterized by progressive worsening, pain, and swelling of one testicle. There may be discomfort in the perineum, waist, and lower abdomen, as well as headaches. Patients usually have fever and chills.

love is a disease

It’s also interesting to note that the World Health Organization has included love in its disease registry. Experts recognized it as a mental illness years ago. However, each disease must have its own signs and symptoms. For love, they are like this:
  • Severe mood swings.
  • Obsession with a person.
  • Insomnia.
  • Self-pity.
  • allergy.
  • Increased sense of self-worth.
  • Headache.
  • Reckless behavior.


If the testicles are painful and enlarged after prolonged sexual arousal, this is not only a sign that the man has epidermatitis or orchitis. All of these signs are present in cancerous tumors. In the case of tumors, persistent discomfort in the testicles, the formation of compactions and nodules, swelling of the scrotum and localized increase in body temperature are also observed.

other disease factors

This problem usually occurs in the context of prolonged overexcitation. The brain sends signals to the pituitary gland. It releases testosterone into the bloodstream. The corpus cavernosum is filled. An erection occurs. Sexual arousal becomes longer due to the partner's reluctance. Against the background of prolonged excitement, blood vessels become dense. These buildups put pressure on muscle fibers and nerve endings. The patient is sick.This problem also accompanies long-term abstinence in mature men. During sexual rest, the testicles retain their function. They continue to produce sperm. A large number of germ cells accumulate in the testicles. The body is able to independently clear out unclaimed cells. Excess sperm is broken down. The tension subsided. But due to the powerful function of the testicles, the excess material does not have time to dissolve. This causes the glandular shell to expand. There is pain in the scrotum. This problem often arises in irregular sex life. This factor is common in teenagers. During puberty, the hormonal system is unstable. Cyclic increases in testosterone levels can lead to sexual arousal without additional effects. In this case, sexual arousal does not end with ejaculation. This problem goes away with regular sex with a regular partner.

When you need to see a doctor urgently

The first questions men can ask the experts are as follows. What should I do if my testicles hurt after sexual arousal? Is it possible to refuse medical treatment altogether? Sometimes this is possible, but only if the symptoms are rare and go away on their own quickly enough. Self-treatment should be completely abandoned when one of the following symptoms occurs:
  • Changes in the shape or size of the organ;
  • The slightest touch to the testicles can cause excruciating pain;
  • Have severe pain;
  • Incomprehensible lumps appear on organs that weren’t there before;
  • Pain in the scrotum that is not severe but constant but becomes more intense over time;
  • After the injury, the pain in the ovaries does not go away after several hours.


To understand why your testicles hurt after sexual arousal, you need to undergo a thorough medical examination. Diagnosis involves a variety of methods. The first is palpation, during which the specialist carefully feels the testicles and scrotum. Palpation helps identify the texture of the testicles and the presence of unwanted tumors within them.Next, an ultrasound is performed. Using modern equipment you can measure the size of paired glands and their mass characteristics. If no changes in the scrotum are detected during the examination, the prostate is diagnosed. If a tumor is suspected, additional computed tomography or magnetic resonance imaging may be performed, as well as fluoroscopy and biopsy. Sperm tests and blood tests are sometimes performed. Only after a diagnosis has been made can the doctor prescribe some medications.

Who to contact?

Every man should know what to do when your testicles hurt after sexual arousal. This is the first sign to see a doctor. Most commonly, patients are referred to a urologist. During the first consultation, the doctor will clarify the duration of anxiety symptoms and what signs of disease are present. If the problem is severe, the patient may be taken to a hospital for treatment. In most cases, it takes several days for the health condition to stabilize. Modern medicines and methods are very effective in treating injuries and other diseases.

Solutions to medical problems

If after sexual arousal, the right testicle and the left testicle are injured due to long-term abstinence or excessive excitement, then this pathological phenomenon will be resolved soon after the sexual life is normalized. To do this, you need to end intercourse with ejaculation. If a man needs abstinence for medical reasons, he can resort to masturbation. The pain after prolonged abstinence will disappear after 4-6 hours. If pathology is present, the problem can be restored only with medical help.After an injury, a thorough examination is required. Doctors recommend cold compresses and bed rest. Frequent injections of painkillers. If the injury is severe and the pain is unbearable, hospitalization will be required, as the injury can cause blood to accumulate in the scrotum. In this case, the problem requires immediate surgical intervention.When testicular torsion is observed, surgery is inevitable and must be performed as soon as possible, otherwise problems may arise in preserving the organ.When epidermatitis occurs, prompt and adequate antibiotic treatment is required because the infection can also reach other organs. Immunotherapy, physical therapy, and pain relief are also required as needed.Treatment of orchitis must be carried out promptly, since complications may occur, manifesting as gonadal atrophy and adnexal inflammation. Treatment includes antibiotics, wearing tight underwear, bed rest, and pain relief as needed.Like other conditions, varicocele must be treated quickly using surgical methods that involve ligation and removal of the affected vein. With appropriate treatment, organ function can be fully restored.

What if you get too excited?

After prolonged overstimulation, sexual intercourse brings relief - pain in the groin area disappears within 3-4 hours. If this does not happen, the man should seek expert advice. Combating overmotivation starts with diagnosing the cause of this subtle problem.If rapid ejaculation is the result of a man's long-term abstinence from sex, natural intercourse or masturbation can help. If you have emotional problems, you need to talk to sexologists and psychologists who can teach you how to get rid of your daily problems and manage your body and emotions.In order to search for pathological problems, uro-andrologists talk to men to find out the symptoms that accompany hyperarousal. He then palpates the scrotum and pelvic organs and examines the penis. To get a detailed picture, an ultrasound of the male reproductive organs is done. If an inflammatory disease is suspected, a general and bacteriological analysis of urine and blood is required, which will help to identify the causative agent of the disease and its resistance to antimicrobial treatment. If necessary, someone can be sent for additional diagnostics:
  • Urine analysis using Zimnitsky method, Nechiporenko test;
  • blood tests to study hormone levels;
Normal male hormone index table
  • X-ray, CT, or MRI of pelvic organs;
  • Excretory urography is a computerized diagnostic method performed after the administration of contrast media.
Once the problem is identified and a diagnosis is made, the man will receive appropriate treatment.

home remedies

You can get rid of overarousal at home with the help of traditional medicine and lifestyle changes. Sometimes it is enough for a person to give up bad habits, increase physical activity, eat right, and sleep 8 or more hours a day. As an additional method, you can use folk remedies, which will help improve blood circulation in the pelvic organs, relieve pain, swelling, help improve immunity, relax and restore emotional balance.A decoction of motherwort, rose hips, and chamomile leaves helps relieve overarousal, calms nerves, strengthens the body's defenses, and is rich in vitamins and minerals. Watch leaves have antidepressant properties, so using them can help prolong sexual intercourse. To prepare, you need to take 1 tbsp. Mix each plant well and add boiling water. Simmer for 30 minutes. Take 2-3 times a day, before meals, 50 ml each time.

Pain caused by pathology

Don't forget, too, that severe hypothermia can cause pain. If hypothermia is ignored, testicular pain will last approximately 3-4 weeks. The longer a man goes without sex, the more likely it is that these diseases will manifest themselves quickly. Testicular pain can also be caused by conditions that affect the veins and blood vessels of the male reproductive organ. Hydrocele (hydrocele) is an accumulation of fluid within the testicular membrane due to difficulty in flowing out through blood vessels.Overexcited Are you overexcited or is there something wrong? Everyone, male or female, experiences sexual abstinence differently. For some people, giving up intimacy will go unnoticed, while others may experience serious health problems.