Can masturbation cause weak erections and groin pain?

Question

Hello doctor,

I have been experiencing a dull pain in the testicle, mostly on the right side, and in the groin area. It first started about a month ago during masturbation, which I have been doing for over 10 years, averaging twice a day. The pain was sudden and severe at first, to the point that I could not walk properly due to the groin pain. It lasted for about a week and then gradually subsided. Currently, there is no pain during ejaculation, but I occasionally feel a dull, non-severe discomfort in the area. I have been using Minoxidil 10 percent and Finasteride (Proscar) 0.1 percent for the past two years. My second concern is related to erectile function, while I can get an erection, I am unable to penetrate during intercourse because my wife says there is not enough stiffness. The erection feels soft, bends, or does not last long enough. This was my first physical experience with a woman, although I have been watching pornography for over 10 years. I do not believe this issue is directly related to the groin pain.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Regarding the dull pain in your right testicle and groin, it sounds like post-ejaculatory strain of the epididymis or spermatic cord, possibly due to overstimulation from frequent masturbation, sudden forceful ejaculation, or temporary swelling. It is reassuring that the severe pain subsided within a week and is now only a dull ache, with no signs of infection or worsening during ejaculation. I recommend reducing ejaculation frequency, wearing supportive underwear, avoiding pressure on the groin, applying a warm compress daily, and using Paracetamol (Acetaminophen) or Ibuprofen if the pain is bothersome. However, if the pain persists beyond two to three more weeks, or if you notice swelling, increased pain, or pain during urination, a scrotal ultrasound is advised to rule out conditions like a varicocele, epididymitis, or hernia. As for the difficulty with penetration and maintaining a firm erection, this is most likely due to performance anxiety, especially given that this was your first sexual experience and you have a long history of solo activity and pornography use.

Porn-induced overstimulation can desensitize real-life arousal, and performance anxiety often contributes to temporary erectile dysfunction. This is common and usually reversible with time, reduced psychological pressure, and confidence-building. I suggest avoiding pornography for at least four to six weeks, engaging in non-penetrative intimacy with your wife without pressure to perform, trying pelvic floor exercises (Kegels), and, if needed, discussing with your doctor about starting a low-dose PDE5 inhibitor such as Tadalafil (Cialis). Also, ensure you get enough rest and manage stress. Minoxidil and topical Finasteride are unlikely to be the cause of these issues. You are young, healthy, and fully capable of improvement. Most men in your situation recover well with rest, open communication, and, if needed, temporary medication. You are not alone, so try not to feel anxious. This is very treatable.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I understand your concern.

I am glad to hear you are ready to take action. Here is a simple, practical diet plan to support your reproductive health and help your body recover from the groin discomfort and mild erection issues you mentioned. Start your morning on an empty stomach with one banana or a handful of soaked almonds (five to six) to boost energy and sperm health.

For breakfast, include two whole eggs or 100 grams of paneer or sprouted moong dal chilla, along with whole grain bread, millet roti, or oats, and one fruit such as a banana, papaya, or apple. For a mid-morning snack, have fresh coconut water or buttermilk, and one tablespoon of pumpkin or sunflower seeds.
At lunch, eat one to two rotis or a cup of brown or white rice, paired with dal, rajma, chana, chicken, or fish, one cup of cooked vegetables like spinach, carrots, beans, or beetroot, and a bowl of curd.
In the evening, around six PM, take a fruit with a handful of walnuts or two to three dates, and drink herbal tea like ashwagandha or ginger-tulsi tea without sugar.
Keep dinner light and eat two hours before sleep, with options like grilled paneer, tofu, egg curry, fish, or dal, and add vegetable soup or stir-fried vegetables.
Avoid heavy, oily, or spicy foods at night.
Include in your regular diet nuts and seeds such as almonds, walnuts, pumpkin seeds, and flaxseeds; fruits like bananas, pomegranate, watermelon, and berries; leafy greens like spinach, methi, and broccoli; proteins like eggs, fish, dal, and paneer; and healthy fats like olive oil and small amounts of ghee.
Avoid excess sugar, carbonated drinks, packaged snacks, junk food, fried items, processed meats, too much tea or coffee, and alcohol or smoking if applicable.
You can also consider supplements such as zinc (10 to 15 milligrams/day) to boost testosterone, vitamin D3 (1000 to 2000 international units/day), and Ashwagandha powder or capsules.
Stay consistent with this plan for six to eight weeks, and you should notice improved energy, focus, and better control over your erections and recovery.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.