Published on: 3/5/2025
Testicle pain after ejaculation can come from issues with the pelvic floor muscles or from changes after surgeries like inguinal hernia repair. This pain, sometimes called orchalgia, happens when nerves or muscles in the area are strained.
When someone feels pain in the testicles after ejaculation, one possible reason is pelvic floor dysfunction. The pelvic floor is made up of muscles and ligaments that support the pelvic organs. If these muscles become too tight or work in a way that puts strain on nearby nerves, it can lead to discomfort after ejaculation. In some cases, pain may also develop after a surgical procedure like an inguinal hernia repair. With hernia surgery, the nerves in the area can be affected, which might lead to pain when the area is used during activities like ejaculation. Additionally, ongoing inflammation or irritation of the nerves (sometimes called orchalgia) can make the discomfort last for a long time. It is important to remember that many factors may be involved, so a careful examination by a qualified doctor is the best way to understand and treat the pain.
(References)
Planken E, Voorham-van der Zalm PJ, Lycklama A Nijeholt AA, Elzevier HW. Chronic testicular pain as a symptom of pelvic floor dysfunction. J Urol. 2010 Jan;183(1):177-81. doi: 10.1016/j.juro.2009.08.147. PMID: 19913802.
Tolver MA, Rosenberg J. Pain during sexual activity before and after laparoscopic inguinal hernia repair. Surg Endosc. 2015 Dec;29(12):3722-5. doi: 10.1007/s00464-015-4143-8. Epub 2015 Mar 18. PMID: 25783834.
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