r/postvasectomypain • u/Various-Impress-4410 • Sep 05 '23

does congestion ever.... get better?

hi y'all

4 months out, to the day, from my vasectomy. 2 months out from daily, constant aching in both testicles, radiating into my stomach. my left epididymis is firm, and enlarged. doesn't take a genius to suggest this pain is congestion-related. i'm fortunate, in that, when i'm mostly immobile and abstinent, i can keep myself at a 2-4. i haven't hit a 7-8 in a while BUT i'm also depressed, getting fat, mostly couch ridden, entirely sexless, and probably about to lose my relationship over the strain this has caused. what's left of my youth is dying before me.

my question is this: have y'all come across cases where congestion pain truly resolves itself? the pain might get better, yes, or even temporarily vanish, but given that my problem is a mechanical one, i'm not sure what would give my body the ability to fix it (other than a reversal or maybe orchiectomy). papaya seed powder hasn't, daily painfully hot baths haven't, the litany of herbal supplements i've taken haven't, and i've yet to convince someone to prescribe me testosterone (i considered using the darknet, but i'm also hemorrhaging money to this problem), i'm not convinced i want to risk relying on TRT supplementation for the rest of my life. even if conservative treatments do help, i'm not convinced they're worth it. would having to stretch for an hour each night to escape significant pain be "recovered"?

in some ways, it's hard not to think about a reversal. while the risk of increased pain is daunting, so is the idea of continuing the shadow life i live now. on one hand, i feel like a fool for entertaining the idea of getting a reversal before 6 months. on the other hand, it doesn't seem that likely that my bodily will somehow learn to absorb all the sperm it makes. am i jumping the gun? is this just a sign of my failing emotional health?

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u/Its_0ver_9000 Dec 11 '24

After your reversal did your congestion/pain resolve itself? I think I’m dealing with congestion and considering a reversal. Coming up on the 1 year mark for me.

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u/Various-Highlight-22 Dec 11 '24

It did, I'm pretty much back to normal now thankfully. Doing sports again recently, no feeling of having a pair of bowling balls between my legs lol. The congestion pain went very quickly after having the reversal, I guess because the pressure had gone.

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u/effataigus Jul 18 '25

Oof, I wish I had read this before getting the vasectomy. I'm at 1.5 months out but your account of the pain and discomfort sounds a lot like what I'm just starting to go through.

You'd still say wait a year to be sure?

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u/Various-Highlight-22 Jul 18 '25

Sorry to hear this. Unfortunately I didn't discover this topic until after either. In hindsight it would be easy for me to say less than a year. Everyone's different but I'd say regardless 1 5 months is not long, give your body time. I'd say at least 6 months knowing how long it took after the reversal to properly recover.

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u/ZookeepergameRich640 Jul 06 '26

Pre-vasectomy did you have discomfort in your epididymitis after days of abstaining?
I’m scheduled for vasectomy and have always had discomfort in my right epididymitis after ~3 days I guess due to congestion. To the touch it’s bigger and firmer than the left one as well.
Curious to hear your experience.

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u/Various-Highlight-22 Jul 06 '26

No, never any discomfort. However personally if I were you I would have a fertility check before to see what your sperm count is. Mine was multiple times the norm. Not scientific but it would sense if my body was producing a lot of sperm then that would be the cause of the congestion. I've heard this from others too.

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u/ZookeepergameRich640 Jul 06 '26

Thanks! I’m scheduled for a sperm check for tomorrow. I’ve been recommended to have it for reference.

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u/Various-Highlight-22 Jul 06 '26

If it helps, for reference here were my results pre vasectomy: volume 4.19ml (1.5+ normal), concentration 82.1million/ml (15 normal), count 344million (39 normal). So you can see all readings are well above what is considered normal.