I have had two inguinal hernia surgeries, one at age 5 and another at age 12. I have been tested there is no sperm in my semen. Every other hormone level is normal and every other test has been normal. I believe there is a blockage. My question is, If I go several consecutive days without ejaculation My scrotum begins to swell and I have a dull and sometimes intense pain in my testicle and also in my area around my pubic bone. I thought it may be vasocongestion but isn't that supposed to go away after a few hours? The pain lasts until my next ejaculation.
Hi, This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon