Your situation is understandably frustrating, especially since your testicular pain persists despite previous surgery for torsion. The ache commonly referred to as epididymal hypertension or “blue balls” happens due to increased blood flow and pressure in the testicles during sexual arousal without ejaculation, which can result in discomfort. The presence of bilateral varicocele could also be contributing to your symptoms, as varicocele is a common cause of scrotal pain and might worsen during times of increased blood flow.
First, it would be valuable to have a thorough discussion with your urologist or healthcare provider to determine if further management of your varicocele could alleviate some discomfort. In certain cases, surgical treatment of varicocele, like varicocelectomy, can help relieve symptoms. For immediate relief, focusing on ways to ease the symptoms at home might also help. Frequent ejaculation, through masturbation or partnered sexual activities, can sometimes reduce epididymal hypertension related discomfort. Applying a cold compress to the area might also provide some temporary relief.
Try avoiding activities that trigger these symptoms if possible, and consider wearing supportive underwear to reduce movement which can lessen discomfort. If pain becomes severe, over-the-counter pain relief, like ibuprofen, may help, but always use medications as directed. Above all, any changes in pain patterns, signs of swelling, or new symptoms should prompt a consultation with a healthcare professional to rule out any other underlying issues.
