Why is there pain in scrotum and testis if masturbation or sex is not done?

Hello,

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I can understand your concern. He has persistent testicular pain which develops usually when he does not masturbate or have sex. If the pain is persistent and is severe then that should be evaluated. The causes should be ruled out in order to make the diagnosis. Infection in testis should be ruled out first. Though any granuloma, torsion are other rare possibilities. Non-specific testicular pain is seen in a lot of individuals. His urine and semen analysis should be done. Scrotal ultrasound should also be done. This will grossly rule out possible causes. A prophylactic antibiotic course can be given if there is any mild infection or there are pus cells in semen. Doxycycline can be given for at least four weeks. Anti-inflammatory drugs like Ibuprofen should also be given regularly in order to contain the pain. This should solve the problem. If the problem persists and all investigations come normal, then that pain could be due to some psychological reasons. Drugs like Amitriptyline, Nortriptyline or Duloxetine can be used. These drugs can help to alleviate the pain and he will become normal. The drugs should be used regularly for at least 6 to 8 weeks. This will help to treat the chronic pain condition. So please do not get worried, just get his investigations done and rule out possible causes. He will be alright. Take care.