Dr. Aastha Midha Likhyani
General Surgery
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
While having sex with my wife six months ago, I had a severe pain in my stomach, which seemed to have originated from my testicles. The pain has never happened again. I live a pretty much normal day to day life. Since then, I have noticed a decrease in semen volume considerably. Now, I also feel that my testosterone levels have lowered, and I have low sex drive, difficulty concentrating, and lower back pain. It also seems that my testicles are riding a bit higher. All my blood reports are normal. What is the cause?
Please help.
Regards.
Hi,
Welcome to icliniq.com.
This could be epididymo-orchitis or simply orchitis. I suggest getting an ultrasound of the abdomen and scrotum. Follow-up with the reports.
Patient's Query
Hi doctor,
Thank you for your prompt reply.
I will get it done and revert. Can this be partial testicular torsion? Or for some reason, can the blood flow to the testicle through the spermatic cord get restricted? I feel this is causing the lower volume of semen and testosterone.
Hi,
Welcome back to icliniq.com.
There are many possibilities, but let us not think too much. Get the tests done, and respond back.
Take care.
Patient's Query
Hi doctor,
Thank you for the reply,
I got the tests done, and it is really freaking me out. Apparently, I have a bilateral indirect inguinal hernia. Is this what is causing my problem? I have absolutely no symptoms or pain.
Please comment.
Hi,
Welcome back to icliniq.com.
Yes, your problem was because of inguinal hernias. I suggest you get yourself operated. Mesh hernioplasty is the treatment. Please visit a general surgeon nearby. If you are a smoker, please stop smoking.
Do not worry about it, and take care.
Patient's Query
Hello doctor,
Thank you for replying.
No, I do not smoke. Can a hernia cause lower testosterone and decreased ejaculate volume?
Thank you for your support.
Hi,
Welcome back to icliniq.com.
Regarding low testosterone levels and low ejaculate volume, this could be subjective also. I would say, for this visit a urologist nearby.
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General Surgery
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