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I have severe groin pain after sex in penis and testicles. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have severe groin pain days after sexual encounter. I have no lesions or bumps. I have prior HSV 1. I had no other symptoms but bad pain. I had pain in the penis and testicles. Now three months after I have a tingle in upper thighs and pelvis when laying down at night. Lymph nodes in groin never swelled but I can noticeably feel them in the groin and are tender after sex or to touch. I have been painful for years on and off though but not as bad as now. I have tingle weird feeling in testicles when sitting down during the day. No outbreaks ever. I am thinking and scared it is HSV 2. IGM and IGG are negative six weeks after sexual encounter.

  1. What is going on?
  2. What else could possibly be causing this?

Thank you.

Hi,

Welcome to icliniq.com.

Generalized body aches are most probably not due to any STD (sexually transmitted disease). If there is no swollen lymph node again it is not STD. HSV 2 (herpes simplex virus) do not present like that. it has blisters which periodically you should not worry about that. If there is no burning micturation, no discharge from the urethral opening, no itching over the penis, no ulceration on the penis it is probably not STD. But still, you should avoid unprotected sex. For these symptoms you can take Paracetamol tablet SOS, Azithromycin 500 mg once daily for five days and show to the physician as these are medical symptoms.

Thank you.

Medically reviewed byDr. Vinodhini J.

Published At April 9, 2020
Reviewed AtFebruary 3, 2025

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