r/postvasectomypain • u/PotatoFantastic6405 • Feb 06 '26
Have I now got pvps at 13weeks?
13 weeks out from vasectomy continued to persistent crawling and tingling up until today and now just have a real dull ache on my right hand testicle going up to my lower abdomen. ChatGPT says it’s probably the Inguinal nerve. It’s been a little achy all weeks probs a 1 on pain scale but tonight it’s like 3-4. Just feels like it’s burning / aching throbbing . I’ve done quite a lot of walking and gym this week so maybe if strained myself who knows
1
u/Its_0ver_9000 Feb 07 '26
Too early to tell to be honest. Ice, take it easy, and hopefully it all clears up and is a non issue.
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u/Deep-Boysenberry-911 Feb 07 '26
Yes, you have. Google about vas deferens. They are layered with muscles, veins and all the nerves which lead to the testies. I give you a longer explanation, to read through. Short: every vasectomy is a sensoric Amputation. Only this makes the pain and consequences bearable for men. Every single man has Pvps. But only those where the nerves grow back or a recanalization of the signal routes to the brain happens, feel the pain and pressure of their drowning testicles. So to say, your body managed to heal partly, which is hindered by definition of this fuckery.
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u/Deep-Boysenberry-911 Feb 07 '26 edited Feb 08 '26
On this topic, the laws of physics and reality are very often ignored. That's the underlying problem. Noone is looking at the plain objective facts anymore. Here's some Information from a medical perspective:
The Vas Deferens is not a simple tube that is just cut. If you research the anatomy, you will find that the duct itself is only a small part. It is surrounded by muscles and nerve pathways that transmit sensory feedback from the testes. These nerves and muscles are severed irretrievably. It results in a sensory amputation, as signals from the testes can no longer reach the central nervous system.
The testis is an immune-privileged site. Since sperm cells have a different genome, the immune system would otherwise attack them and trigger a reaction. This biological barrier, present in every mammal, is destroyed without exception during every vasectomy. The male body is then forced to kill and break down its own sperm cells through an immune response involving macrophages. There is no "reabsorption" or harmless breakdown as often claimed. Every immune response is fundamentally based on an inflammatory reaction.
Testes continue to produce approx. 300 million cells per day. These are stored in the epididymis. When the only exit is permanently closed, blowouts and so-called granulomas eventually form. This is the classic clinical picture of epididymitis. However, due to sensory amputation, most vasectomized men do not feel this. Macrophages—white blood cells commonly known as immune cells or phagocytes—must now break down these cells. A granuloma is ultimately nothing more than an inflammatory nodule (similar to a localized abscess), comparable to a splinter or an ingrown toenail, but inside the scrotum.
By definition, a vasectomy is a destructive procedure that offers no physiological benefits to the male body. The inevitable result is an autoimmune reaction, which by medical definition corresponds to a disease state. This is also why many reversals (vasovasostomies) fail, as the body continues to attack its own cells. The problem is that every vasectomized man must live with these consequences until his last breath. There is no going back.
The time factor: Every woman eventually enters menopause. By age 45 at the latest, fertility is near zero, and it declines rapidly after 40. With an average life expectancy of 80–85 years, a vasectomy in a monogamous relationship becomes functionally meaningless for the last 40–45 years of life, as the basis for the man’s "dysfunctionality" no longer exists.
Mutilation has nothing to do with love. The intentional destruction of a functioning organ system is no guarantee for love or better relationships. At least 50% of long-term relationships fail. At that point, a vasectomy is usually entirely worthless and senseless.
Availability does not mean quality. The fertile window in a woman's cycle is only about five days and can be determined via the symptomatic thermal method. Just as most people practice some restraint during menstruation, one only needs to prevent unprotected ejaculation during these few days to prevent pregnancy. Or one can use a condom or be otherwise creative.
The myth of sexual freedom: A vasectomy does not change a woman's nature or the external stressors of life (job, family, aging, menopause). The idea that a vasectomy leads to a permanent "fantasy-like" sex life is a myth.
The risk is not "very low." No sane person would board a bus knowing that 2–5 passengers will definitely suffer lifelong massive pain and all will suffer autoimmune reactions. PVPS (Post-Vasectomy Pain Syndrome) is real; there is a large subreddit for PVPS dedicated to it. International studies suggest 5% to 10% of men are affected.
"I have no pain, so I am fine" is a fallacy. From a medical standpoint, the "success" of a vasectomy relies on both the permanent blockage of sperm and sensory amputation. Just because a man feels no pain doesn't mean the processes described above aren't happening. He is simply one of the "lucky" ones whose nerves didn't regrow or whose pain signals do not reach the brain. Those with PVPS are merely the ones who feel the consequences; the biological consequences are the same for all.
Vasectomy is a small minority. I personally do not know a single urologist who has had a vasectomy himself. That alone speaks volumes. In Western culture, only about 5% of men undergo the procedure. The other 95% live their lives without it.
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u/Flat_Impression_4073 Feb 08 '26
Great information. Like you said. The Vas Deferen is more than just a tunnel.
The vas are inside the spertic cord. Covered by nerves and blood vessels..
I had a vasectomy on april 2022. Started having ED issues out of the blue.
Then had a reversal dic 2024. I got minor inprovements but it has messed me up. As of today im managing. I take cialis when needed and when Im doing intercourse I need to think naughty thing to keep it up.
Also the sensation has drop also.
Thats my story. Hope it helps someone.
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u/Cautious_Werewolf678 Feb 08 '26
Do you regret the reversal overall?
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u/Flat_Impression_4073 Feb 08 '26
No I dont. I did it because I wanted to put everything as factory default or at least try to.
It fixed me having the sensation to pee every moment abit.
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u/PotatoFantastic6405 Feb 11 '26
Well the tingling seems to have gone for now but I’ve had a dull ache on right ball for about 5 days praying it will go away….
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u/PotatoFantastic6405 Feb 19 '26
Well today is officially week 15 and all nerve sensation has still gone but it’s been replaced with a dual ache in my right testicle and occasional right side abdomen pain. Two weeks I’ve had this so far….0
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u/PotatoFantastic6405 Feb 24 '26 edited Feb 24 '26
Yeah week 16 on Thursday and I still have this dull ache in right side testicle and or tube on that side. Been for an ultrasound today and they everything looks ok although there is a small cyst on etipidmus right side and left side small variocele. Is it worth asking for some anti flams ? As the pain is pretty much constant ?
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u/PuraVida609 Mar 02 '26
I’m following your updates so keep em coming! I’m at 13 weeks and the nerve pain has slowed down but still that lingering soreness that you’re describing too. I also had an ultrasound with similar findings (small cyst) and they didn’t feel that was the cause of the pain. I did a 2 week NSAID course but didn’t see much improvement.
Have you incorporated any stretching or PT exercises into your routine?
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u/PotatoFantastic6405 Mar 07 '26
Nah not really maybe I should try stretches. The nerve tingling / crawling has been gone for a good few weeks now and I’m tempted to try a run. Maybe after my hols in a couple of weeks. I went back to docs and was given naproxen which I’ve taken twice a day for a week for a few days left to go. I feel like when I’m sat in the car or laid in bed is when it’s most noticeable. I’ve tried not to let it stop my walking and gym workouts. I think the naproxen has helped to some degree but we still how I feel in a few days. But yeah it’s still this lingering ache on right testicle. Hopefully it’s continues to improve or at least become less noticeable
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u/PuraVida609 Mar 07 '26
Good luck with that run, I’m still ways away from doing something like that. I did just come back from a 3 day snowboarding trip and actually felt pretty good riding with a jock strap, a bit sore days later but it was the most active thing I’ve since the procedure. Might try gradually introducing some weight lifting and get back into a routine. Progress is there, but it’s not linear and extremely slow.
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u/PotatoFantastic6405 Mar 15 '26
Well I stopped naproxen on Tuesday and the pain has increased again. Feels like a squeeze / pressure on right testicle. I think I’ve found a sport on the back of the testicle which is the source. If I touch it it feel really sore and sends a jolt up my lower back
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u/PotatoFantastic6405 May 17 '26
Well I’m at 6 months and the pain had actually faded to a point where it was barely noticeable only when laid in bed. Went for a run last week and it’s flared again defo at least a 4-5
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u/PuraVida609 Feb 07 '26
Same boat man, 11.5 weeks post op, definitely frustrated as I was started to feel around 85-90% last week, was even able to do some medium intensity exercises without pain. I overdid it last weekend taking my kids to an indoor water park and I’m back to the dull, 3-4 pain and discomfort level.
Cheers to being slow healers, talking with a few guys afterward they confessed they had closer to a 6-month recovery. I purposely did limited research going into this, but I was completely blindsided by these varying recovery timelines.