Testicle Pain After Ejaculation

Testicle Pain After Ejaculation
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Testicular pain is one of the most common issues several men face. They are common and can be caused by various factors. Experiencing pain during ejaculation can become a serious issue if left untreated. Aside from causing discomfort, they might also affect your relationship with your partner.

While some men might feel it humiliating to admit to such an issue, it is best to come forward and solve it rather than escalate the issue. In this article, we have discussed some common causes that can cause painful ejaculations. It is best to seek medical help if you have experienced any of those causes.

Common Causes of Testicular Pain After Ejaculation

Painful ejaculation, also called orgasmalgia or dysorgasmia, is a discomfort that occurs in men after they ejaculate. It is a pain in the penis or scrotal areas and can be caused due to a variety of reasons.

If you have been having a painful ejaculation, it might be due to one or more of the below causes.

Physical Trauma and Testicular Pain

Physical trauma to the testicles, by accident, during sports or sexual activity, is one of the major causes of testicular pain. It is essential to immediately seek medical attention as it can sometimes cause serious complications like impotence.

The main indication of physical trauma is pain, swelling, or bruising in the testicles. If you have recently had any physical trauma to the testicles, immediately visit a doctor and check if there are any problems. Take an ultrasound and rule out any chances for future complications.

Infections and Inflammation in the Testicles

Infections or inflammation in the testicles can also cause pain during ejaculation. Issues like epididymitis (inflammation in the epididymis) which has specific significance , mumps (orchitis-pain & swelling of testicles), and other bacterial infections can cause pain during ejaculation.


Sexually Transmitted Infections and Testicular Pain

Sexually Transmitted Infections (STIs) are one of the main causes of infertility and testicular pain. STIs like chlamydia or gonorrhea can affect the epididymis, urethra, and testicles and cause symptoms like pain and swelling.

Testicular Torsion and Testicular Pain

Testicular torsion occurs when a testicle rotates and twists around the spermatic cord, the structure that houses the vessels that bring blood to the scrotum. This reduced blood flow can cause sudden and acute testicular pain, swelling, and redness in the affected testicle.

It is best to refrain from ejaculating until this condition is treated. If you feel any acute pain or swelling in your testicles, consult a doctor and treat the issue immediately. Delay in treatment can lead to permanent damage or even loss of a testicle.


Prostatitis is the inflammation of the prostate gland. It can cause symptoms like painful urination and can make it difficult to achieve an erection. It is a common urological disorder and can often be mistaken for a urinary tract infection (UTI). Prostatitis can also cause painful ejaculation.

Cysts or stones

The formation of cysts or stones in the ejaculatory tract can cause painful ejaculation. These cysts block semen from ejaculating, causing them to cram up and cause pain during ejaculation. It is also one of the leading factors of infertility.

Prostate cancer

A painful urination or ejaculation is one of the main symptoms of prostate cancer. It is best to consult a doctor and treat the issue before it causes serious complications.


Testicular pain during ejaculation can be a concerning issue, especially if it affects your health and your relationship with your partner. However, there is no need to worry too much about the issue as it can be treated and turned back to its normal state.

It is best to consult a Fertility doctor when you start experiencing pain during ejaculation. This will give you and the doctor better chances at diagnosing the issue at its early stages and treating it completely. Painful ejaculation can sometimes be a symptom of an underlying major condition. Take a thorough diagnosis when you visit the doctor.


Mild testicle pain usually goes away on its own after some time. If you have mild testicular pain, you can opt for over-the-counter pain relief medications to relieve the pain. If the pain is intense and doesn’t go away after some time, it is most likely caused due to some issue and should be checked.

Yes, sperm buildup can cause pain. No sexual activity for a prolonged time can cause sperm to build up in your testicles, which can cause discomfort or pain.

Epididymitis is the inflammation of the epididymis. Once you start taking medications to treat the issue, you will feel better after a few days. However, it might take up to 3 months to fully recover from the condition.

As long as the pain is mild and only occurs every now and then, it is okay to take some medications to cure it. However, if the pain is intense and recurrent, you must consult a doctor immediately and find out the root cause of the issue. It might be due to some underlying conditions.

Picture of Dr. Rukkayal Fathima
Dr. Rukkayal Fathima

Dr Rukkayal Fathima, India's Leading Gynaecologist and the best fertility doctor in Chennai. She has 11+ years of experience and treated 1000+ patients. She finished her M. S., Obstetrics and Gynaecology from the Institute of Obstetrics & Gynaecology (Madras Medical College), Chennai. She is a visiting consultant at St. Isabelle Hospital, Motherhood Hospital, Rainbow Hospital & Mehta Hospital. Dr Rukkayal Fathima specialises in Obstetrics care, Early Pregnancy Scan, IVF, ICSI, TESA/Micro TESE, Menopause advice, Gynaecological surgeries and endoscopy. She is a Co-Founder of Hive Fertility, the Best Fertility Center in Chennai.

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