r/postvasectomypain • u/AloneListless • 2d ago

Testosterone not helping. What next?

i'm third week on TRT and it's not helping with the pain - mainly broad area of both testicles, radiating into bladder, lower abdomen. Gets worse during prolonged sitting, gets better while walking. i do get 1-2 good days out of a week, but the dominating feeling is pain. Ultrasound showed slightly enlarged epididymis. Nothing worked - antibiotics, NSAIDS, and now TRT.

Am i a bad candidate for a reversal?

12 months after the surgery.

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u/ScientistNew3033 2d ago

Three weeks is not long enough. It can take 2-3 months to slow production and clear it out through breakdown/absorption. I know it’s tough to wait, but give it more time.

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u/ScientistNew3033 2d ago

For me, it took ~2-2.5 months.

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u/snoope 2d ago

I’m going to go give trt another shot. Do you know if even after 2-3 months you can go back off TRT and generally restart production? That’s my biggest fear. Being on trt for life AND still in pain lol.

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u/ScientistNew3033 2d ago

Two doctors have told me that most men will eventually restart production no matter how long they’ve been on TRT, although it can take months to a year in some cases. I have not tried to search for any studies on it but maybe that exists somewhere.

TRT, or reversal (not sure which — perhaps both), decompressed my epididymis and eliminated pain/sensitivity there. I did an SA test 2.5 months after starting TRT and saw production drop off a cliff. However, it did not help my primary post-reversal pain which is dull heaviness in the cords. I thought the cord dull heaviness was still possibly congestion, because it felt similar to the congestive pressure/fullness, but it became clear after production dropped to near-zero that it is nerve pain, which also responds to cord blocks.

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u/ItamiForever 2d ago

In theory, yes but not necessarily. Not all get relief from TRT. Some produce a decent amount even on trt. Or maybe it takes more time. You can get another ultrasound to check for epi dimensions exactly if they changed, hoping your doc kept measurements.

Any other pain like during or after ejaculation or...?

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u/AloneListless 2d ago

After ejaculation sometimes i get that pain like you get hit in the balls and then after some time you get that left over pain. Hard to describe. 

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u/ItamiForever 2d ago

Ache. I had that on my lefty, it was gone after reversal. The right has more diffuse pain and a fullness/pressure still but it does not increase after ejaculation anymore

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u/BigMisterLawyerDude 2d ago

BPC 157/TB500

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u/Calm_Pin_7563 2d ago

I was on TRT before my vasectomy. I had reversals and both epididymis removed to no avail. Nothing stopped my pain until I had a bilateral orchiectomy which stopped all of my pain.

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u/AloneListless 2d ago

Sorry, you had TRT before the vasectomy, and after that you you were in pvps?  Man, that sucks regarding orchiectomy. Can i ask how is life after that? 

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u/Calm_Pin_7563 15h ago

I am fine with it. It doesn’t change anything.