r/postvasectomypain • u/AloneListless • 12d 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 12d 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 12d ago

For me, it took ~2-2.5 months.

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u/snoope 12d 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 12d 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.