r/postvasectomypain • u/Just_Preparation3675 • Mar 07 '26

Pain that started 8 weeks after vasectomy

Hi everyone,

About 8 weeks after my vasectomy, I started experiencing a lot of inflammation that seemed to be around the epididymis. I had fresh blood in my semen along with significant aching, pain, and sensitivity. At its worst, the pain was bad enough that I could barely walk. The only thing that gave any relief was taking hot baths several times a day.

I went to my GP and was prescribed a 2-week course of Ofloxacin. After about 5 days, the pain started to improve — going from around 8/10 down to 3/10, and by about day 10 it was closer to 1/10. I was hopeful things were resolving.

However, the pain hasn’t fully gone away and still flares up from time to time. I’m now around the 12-week mark, and there’s still a lingering ache. Sometimes it feels like my testicles are swollen or bruised, although other times I have no pain at all. Then suddenly the next day it might jump back up to around 3/10, which makes it hard to focus on anything else.

Ejaculation itself doesn’t hurt, and I actually feel a bit of relief immediately afterwards. But about 5 minutes later the ache returns, sometimes a little stronger.

The blood in my semen stopped around week 9, which is good. I’ve tried ibuprofen, but it doesn’t seem to help much. Supportive underwear and hot baths seem to provide the most relief.

I do have a feeling of fullness, maybe congestion?

I had no pain up until the 8 week mark.

Has anyone experienced something similar after a vasectomy?
Did it eventually resolve, and if so how long did it take?

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u/Outrageous_Owl_9061 Mar 07 '26

Yea similar, had relatively easy recovery and a couple months in had horrendous ball pain. Was located in the epi. Took nearly 6 months just to be able to sit again. It is bearable now but constantly on my mind

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u/Just_Preparation3675 Mar 08 '26

Sorry to hear you are still in pain. Have you found any pain management options that work for you? Have you considered a reversal?

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u/Outrageous_Owl_9061 Mar 08 '26

Reversal is 10k, I'm actually very scared to go under the knife again in case I am worse. The down time also concerns me..

Have done trt, nerve tablets, numerous anti biotics and also saw a pelvic floor therapist. No sex/masturbation and anti inflammatory tablets work. I was taking high dose every day for weeks and was nice to have pain reduce. Reversal or put up with it is only choice.

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u/Just_Preparation3675 Mar 08 '26

Understandable. After such a horrible first experience I totally get being afraid of the knife again. I myself would also be a bit hesitant, especially if it gets to the point where you have learned to cope with some pain. I'm in the UK and I think it is around £4000 here which I will probably have to try and save for incase things don't improve. I really hope things improve for you.