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HomeAnswersAndrologypremature ejaculationWhy do I have seminal leak and testis pain on excitement?

Seminal leak associated with testis pain occurs with just excitement. Why?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At April 2, 2016
Reviewed AtMay 19, 2023

Patient's Query

Hi doctor,

I am experiencing seminal leak and pain in left testis on excitement without sex. Situation worsens when excited after exercising. This seminal discharge is causing anxiety and pain. I am having this problem since last 10 years. Please help.


Welcome to icliniq.com.

I have read and understood your problem. It may be due to infection of epididymis or prostate. You should do ultrasound of scrotum, prostate and also bacterial culture along with drug sensitivity of prostatic massage fluid, after which a course of suitable antibiotic may help you.

Patient's Query

Thank you doctor,

Can this be a cause of premature ejaculation too? If yes, what helps?


Welcome back to icliniq.com.

Yes, it is similar to premature ejaculation (PE). It is usually not associated with any disease, but may be due to anxiety. Sometimes, however there may be problem with prostate gland and thyroid hormone. You can learn to control PE by doing the below mentioned exercises. Pull your muscles at the end of urination for few seconds and then release, repeat this several times daily. Another is stop-start technique. When you feel that you are going to ejaculate stop the sexual stimulation and divert your mind. Once the penis relaxes start the stimulation again and repeat the procedure. If you continue the above mentioned exercises, over few months you will gradually increase your ejaculation time. Most often it is a chronic problem with no permanent cure. You have to take medicines when required.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

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