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इंटिमेसी के बाद 18 साल के लड़के को एपिडिडिमल हाइपरटेंशन दर्द हो रहा है और उसे वैरिकोसील भी है, तो उसे क्या करना चाहिए?
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Sexual Health & Wellness
Question #29818
42 days ago
132

इंटिमेसी के बाद 18 साल के लड़के को एपिडिडिमल हाइपरटेंशन दर्द हो रहा है और उसे वैरिकोसील भी है, तो उसे क्या करना चाहिए?

Client_4075f2

मैं 18 साल का लड़का हूँ और मुझे लगता है कि मुझे एपिडिडिमल हाइपरटेंशन (ब्लू बॉल्स) है। जब मैं अपने पार्टनर के साथ बिना सेक्स के इंटिमेट होता हूँ, तो मेरे टेस्टिकल्स में दर्द होता है जो घंटों तक रह सकता है। स्कैन से पता चला है कि मुझे बाइलेटरल वैरिकोसील है और मैंने टेस्टिकुलर टॉर्शन सर्जरी भी करवाई थी, उम्मीद थी कि इससे दर्द में राहत मिलेगी लेकिन कोई सुधार नहीं हुआ। मुझे जानना है कि मुझे क्या करना चाहिए क्योंकि मैं इस तरह से जारी नहीं रख सकता। मैं बिना सेक्स के इंटिमेट होना चाहता हूँ लेकिन दर्द महसूस नहीं करना चाहता। यह मेरी रोजमर्रा की जिंदगी को प्रभावित करने लगा है।

How long have you been experiencing this pain after intimacy?:

- More than 6 months

How would you describe the intensity of the pain?:

- Severe pain

Do you notice any specific activities that trigger the pain?:

- Physical intimacy

Have you tried any treatments or remedies for this pain?:

- Over-the-counter pain relief

How does this pain affect your daily activities?:

- Moderate impact — affects some activities

Have you experienced any other symptoms along with the testicular pain?:

- None

What did your doctor advise after the testicular torsion surgery?:

- Medication for pain management
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
41 days ago
5

Hello dear See as per clinical history It seems presence of blue balls or epididymal hypertension In addition there is presence of varicocele ( bilateral) Old torsion surgery pain There are chances of

pelvic floor dysfunction, chronic orchialgia Ejection problem Discomfort I suggest you to please get in person consultation with gynaecologist or urologist for better clarity and for safety please donot take any medication without consulting the concerned physician Hopefully you recover soon Regards

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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.

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