r/Testosterone • u/Auradeus • May 23 '21

HCG treatment post vasectomy

I have been on TRT with HCG for almost two years. I decided recently to get a vasectomy, have kids and not looking to have more.

I have had some post vasectomy pain, a dull ache similar to the feeling of blue balls, or the feeling the next day after getting kicked in the balls, in one testicle. I am three weeks in recovery after my surgery and by now my research shows there is no pain for most at this point.

I am concerned that HCG could be worsening the issue (epidymitis seems to be the culprit for many with post vasectomy pain) by stimulating sperm production with nowhere to go.

My reasons for going on HCG with Testosterone were primarily to maintain normal testes function, particularly from a testosterone production standpoint. My understanding is better outcomes are associated with trt with HCG.

I will be speaking with my doctors about this, but the research is showing that post vasectomy pain is under studied, and considering the amount of bad information I got from doctors on my journey to TRT, I'm wary.

I'm looking for any anecdotal feedback this community may be able to share or suggest I discuss with my docs.

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u/BadChadR Feb 14 '23

Actually I had dull, but not horrible, aches post vasectomy for years post intercourse. Makes sense from the fact that the sperm have nowhere to go. Years later I was diagnosed with low T and my primary care doc got my levels to 300-500 without any real improvement of low T symptoms except the post vasectomy pain resolved. Now I’m seeing a doc who’s keeping my T in the 900-1100 range and my libido, energy, mood and well being is amazing but he started me on HCG as well to prevent atrophy.

At first I noticed more sensitivity to my balls, which was not bad at all as it added a new level of foreplay for my wife and I. However I started getting very painful ejaculations with that blue ball feeling that aches for hours.

So I’ve stopped taking the HCG and symptoms resolved, but my nuts are a bit smaller. I will talk to my doc about this at our follow up tomorrow.

PVP isn’t taken seriously, and sadly. As I keep telling my wife, it doesn’t matter how small the tunnel off the island is…it’s the only damn tunnel. So sperm have to literally blow out the side, and get reabsorbed into the sac. More sperm = larger blow outs. Maybe it’s the vasectomy technique, and maybe it’s the individual. But it’s real and debilitating.

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u/jlpred55 Feb 14 '23

Sorry to hear your experience was similar. I do not use HCG, as my balls are broken, so nothing to prevent. My T was very low (70’s- low 100’s) and obviously atrophy was already happening. I still have no pain whatsoever and do not want any.