Published on: 3/5/2025
Sperm buildup is not usually the cause of testicle pain. Most testicular pain comes from other issues like inflammation, infection, or blockages in the normal flow of fluids.
The idea of sperm buildup causing pain comes from a misunderstanding of how the male reproductive system works. Sperm are made continuously in the testicles and are usually either ejaculated or absorbed by the body. The system is designed to let sperm flow naturally, so they normally do not “build up” enough to cause pain. Most research shows that chronic scrotal pain is often linked to other causes such as inflammation, infection, or blockages in the tubes that carry sperm, rather than simply an accumulation of sperm. In some rare cases, if a blockage occurs, it may lead to some congestion or discomfort, but that situation is not common. If you or someone you know is experiencing testicle pain, it is important to talk with a healthcare provider for a thorough evaluation. They can help identify the exact cause and suggest the best treatment. This information is meant to help explain the issue and is not a substitute for professional medical advice.
(References)
Ziegelmann MJ, Farrell MR, Levine LA. Evaluation and Management of Chronic Scrotal Content Pain-A Common Yet Poorly Understood Condition. Rev Urol. 2019;21(2-3):74-84. PMID: 31768134; PMCID: PMC6864917.
Calixte N, Brahmbhatt J, Parekattil S. Genital pain: algorithm for management. Transl Androl Urol. 2017 Apr;6(2):252-257. doi: 10.21037/tau.2017.03.03. PMID: 28540232; PMCID: PMC5422702.
Durairajanayagam D, Agarwal A, Ong C. Causes, effects and molecular mechanisms of testicular heat stress. Reprod Biomed Online. 2015 Jan;30(1):14-27. doi: 10.1016/j.rbmo.2014.09.018. Epub 2014 Oct 12. PMID: 25456164.
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