What should I do if I have pain in the left testicle and vas deferens after intercourse?

Patient's question:

Before New Year's Eve, I experienced pain in my left testicle and vas deferens after a sexual encounter. The pain later subsided, and I didn't feel any other abnormalities. Later, I noticed that my urine contained blood and that the semen was also brown. What could be the cause?

Doctor's answer:

Because you may have poor hygiene after intercourse, which has triggered infections of the reproductive or urinary systems, leading to hematuria. The dark brown color of the semen also indicates some minor abrasions, as even a small amount of friction can turn it dark brown. If you don’t feel any symptoms now, there’s no need to take medication. Your body’s immune system can gradually heal itself. However, if hematuria reoccurs, you must take antibiotic medication and apply topical treatments. Testicular conditions are prone to recurring, requiring long-term medication treatment.

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