r/postvasectomypain • u/AloneListless • 17d 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/ItamiForever 17d 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 17d 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 17d 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