Testicular pain after ejaculation
So-called “cavalier pain” is described when pain in the testicles occurs after sexual arousal without ejaculation or also after a particularly long erection and subsequent ejaculation. These pains range from unpleasant feelings of tension in the testicles to existing pain in the testicles. The term is probably coined because the cavalier holds back and can delay his orgasm until the partner is sexually satisfied.
When the man is sexually aroused, blood flows into the genitals, first the penis and then also into the testicles. The arteries are dilated, but the veins are narrowed (vasoconstriction). This increases the blood flow in the genitals and thus helps to achieve an erection of the penis and swelling of the testicles.
The testicles may increase in size by 25-50% of their original volume. The reason for the pain may be that the smooth muscles of the seminal ducts become cramped. When orgasm is reached, ejaculation occurs and the vessels return to their original size, causing the penis and testicles to shrink again.
If ejaculation does not occur, the vasoconstriction of the vessels remains and can cause a persistent feeling of pressure, discomfort or pain in the testicles. Similarly, if the condition persists for a long time before ejaculation is achieved. This sensation or pain can also radiate into the groin.
In and of itself, these pains are not harmful. However, if it lasts for a long time, a doctor should be consulted to clarify possible blood flow disorders. Cavalier pain can also occur as an accompanying symptom of a permanent erection.
Treatment must be carried out just as rarely, as the pain usually subsides on its own. It is stated that after ejaculation, the pain disappears after 30 minutes to 3 hours. A cooling of the testicles with a wet, cold towel, for example, can be pain-relieving.
However, care must be taken that the cooling is moderate and that hypothermia does not occur.
- Treatment
Nonspecific pain in the testis may indicate testicular cancer with an enlargement of the testis and nodular changes in the testis. Occasionally, a feeling of heaviness of the testis is also described.
In later stages, back pain, abdominal pain, weight loss, loss of appetite, fatigue and reduced performance may occur. Testicular cancer is diagnosed after a detailed medical history (interview with the patient) and an examination. An ultrasound of the testicle is also often performed to show possible nodular changes.
Further examinations can be connected to exclude a possible metastasis (spreading) of the tumor. The blood is also examined for tumor markers. These can be used for diagnosis but especially for monitoring the progress of the disease.
In particular, these would be alpha-fetoprotein (AFP) and placental alkaline phosphatase (PLAP), lactate dehydrogenase (LDH) and human chorionic gonadotropin (HCG). There are several possible therapies. One of these is surgery with complete removal of the testes and lymph nodes.
In addition, radiation or chemotherapy can be carried out as a supplement or on its own.The treatment concept is chosen according to the age and condition of the patient, the stage of the tumor and after microscopic evaluation (seminoma or non-seminoma). In most cases, surgical removal of the affected testicle is the first step, followed by possible subsequent measures. During follow-up, the tumor markers in the blood are determined and a CT (computed tomography) examination is performed regularly to detect possible metastases in time.
- Diagnosis
- Therapy
