Testicular Pain?!


Question: Tonight I was with my girlfriend. I'm not quite through sexual maturity yet so needless to say I got alot of erections. At one point she reached down my pants. I didn't want to ejac in my pants so I pulled her hand out. I started feeling like I was going to go so I stopped it. Well as I was leaving I start feeling this pain in my testicle. I had a hydrocele when I was born so it the one that you can still feel. haha. This is accompainied by a pain about and inch above and a little bit to the left. I am feeling very nauseous. Whats going on?


Answers: Tonight I was with my girlfriend. I'm not quite through sexual maturity yet so needless to say I got alot of erections. At one point she reached down my pants. I didn't want to ejac in my pants so I pulled her hand out. I started feeling like I was going to go so I stopped it. Well as I was leaving I start feeling this pain in my testicle. I had a hydrocele when I was born so it the one that you can still feel. haha. This is accompainied by a pain about and inch above and a little bit to the left. I am feeling very nauseous. Whats going on?

HAhaha wow the same happened to me ALL the time until i found out that there is actually a medical reason!!! Boy was I relieved. Don't worry, there is nothing wrong with you. This is called Blue Balls. It is caused when you have an erection for an excessive amount of time without "sexual relief."

The best way to treat this is to have an orgasm, however you may want to accomplish that is up to you.

Now you can relax, i know it's tough, considering you feel like you just got kicked in the balls exTREMELY hard.

blue balls?

Two possibilities pop into my head...
One is a condition called Tortion that i'll talk about further on in this post.

The first one, i have no name for it. It is when you are close to ejaculation and then stop, the semen flows into the tubes to be ejaculated then stops because there was no orgasm reached. (You didnt do it all the way, lol). The semen is stuck in the tubes and it is causing pain. If this is the case, the most simple and only solution is; you gotta jack off ;).
______________________________________...
The only other cause of this problem that i can think of is Testicular Torsion.


Testicular Torsion Overview

Testicular torsion is a surgical emergency that may result in the loss of the affected testicle if not treated promptly. This is a painful condition caused by the twisting of the spermatic cord, which causes a loss of blood flow to the testicle. Testicular tissue cannot survive without blood flow. Torsion is the most common cause of testicle loss in adolescent males.

Testicular Torsion Causes

The cause of the majority of cases is the bell clapper deformity, an anatomic abnormality that is present in around 12% of males. This anatomical condition allows the spermatic cord to twist more easily, resulting in compromise of the blood supply to the testicle. This can occur spontaneously or may be associated with trauma. There is no way to detect this deformity. In about 40% of men who have this anatomical abnormality, it is present bilaterally (in both testicles).

Testicular Torsion Symptoms

Testicular torsion is characterized by excruciating one-sided testicular pain, with sudden swelling. Since the cord structures twist (like the strings of a puppet), the testicle elevates as well. Patients may have nausea and vomiting. Patients may also have abdominal pain. There may be a history of previous testicular pain. Fever may also accompany the testicular pain.

Testicular torsion is seen most frequently in the 12-18-year-old age group, and most cases occur in men under 30 years of age. However, it can occur at any age, including in newborns.

When to Seek Medical Care

Testicular swelling and pain should be evaluated on an emergent basis. The evaluation is best done in an emergency room, where rapid imaging is available and there is quick access to surgical intervention. There is about a six-hour window for the testicle to be salvaged; surgical treatment within this time frame is associated with a 100% salvage rate for the testicle. After six hours, the salvage rate decreases, and if surgical repair is performed after 24 hours, the testicle is no longer salvageable.

Questions to Ask the Doctor

You should notify your doctor immediately of your condition and ask where your doctor wants you to be evaluated. You may also ask your doctor to notify a urologist in the event surgery is needed.

Exams and Tests

The typical physical exam of the torsed testicle reveals a painful scrotum with one-sided testicular swelling and elevation. Lab tests may include a urine analysis and blood count. The scrotum may also be imaged by one or more radiologic studies. Imaging may include a doppler ultrasound of the testicles or a nuclear scan of the testicles to assess the degree of blood flow. Depending on the physical exam, and/or the time frame, imaging may not be done, since emergent treatment is essential to preserve the testicle.

Testicular Torsion Treatment

The only treatment for testicular torsion is surgery. On rare occasions, a physician may be able to manually untwist the testicle, but this is not common. The importance of having testicular pain evaluated immediately cannot be overemphasized.

Self-Care at Home

Care at home is inappropriate and will only result in the loss of the testicle.

Medical Treatment

If your doctor suspects torsion, a urologist will be notified. Depending on your history and physical, you may either be brought to the operating room or you may have imaging done. Occasionally a testicular torsion may be manually detorsed (untwisted by hand) by a physician.

Medications

In the emergency room, the patient with testicular torsion will probably receive a narcotic such as morphine for pain relief.

Surgery

The goal of surgery is to salvage the testicle. If the testicle cannot be salvaged, the testicle is removed (a procedure known as orchiectomy). If the testicle is detorsed successfully, it will be sutured within the scrotum so that it can no longer twist (called orchiopexy). The other testicle will also undergo the same fixation to the scrotum.

Other Therapy

Patients who have a nonviable testicle may return for the insertion of a prosthetic testicle. This will be done only after the urologists feels that healing from the surgery is complete.

Next Steps

After surgery, the patient will learn if the testicle was able to be salvaged.

Follow-up

The surgeon will inform the patient as to when follow-up is needed.

Prevention

The orchiopexy should prevent further episodes of torsion.

Outlook

Fertility should be maintained even after the loss of one testicle. There will be no apparent changes noted physically besides the loss of the testicle.

Support Groups and Counseling

Patients who have lost a testicle should be counseled on the potential dangers of contact sports, since there is the risk of injury to the one remaining testicle.

blue balls is when u stop a sexual stimulated touch around the area when touched by some1 who you r attracted 2. it is a horrible pain and can disappear with jacking off.





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