During ejaculation, there is some pain. The testicles sometimes hurt. What should I do?

Patient's question:

Testicles are of uneven size. There has been a history of masturbation for about 10 years. Currently, there is occasional testicular swelling and pain, as well as occasional lower back pain. Please advise on what to do if there is some pain during ejaculation and sometimes testicular pain.

Doctor's answer:

Ejaculation pain refers to pain in the penis, urethra, perineum, and lower abdomen during ejaculation. The main causes of ejaculation pain include: frequent sexual activity, genital inflammation (seminal vesiculitis, prostatitis, posterior urethritis, etc.), urinary system stones, urinary system tumors, etc. Additionally, overly excited sexual activity or rough and forceful movements can also cause ejaculation pain. In clinical diagnosis, it is very common for men to experience pain of various different causes during sexual activity. Types of pain include penile pricking pain, groin cramping pain during ejaculation, perineal and lumbosacral soreness after ejaculation, and urethral burning pain during urination after ejaculation.

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