Congestion pain?


@KevinL I sincerely hope that your issues are resolved and I wish you and your family nothing but good luck from here in.Please keep In touch as I would be more than happy to see you with a full resolution.

On the above PDF I uploaded I actually spoke to this guy who claims he has/had pvp and was pretty sure this is what I was suffering from,a very honest and to the point guy he was a breath of fresh air.

I’m still at an early stage in all this and have made minor progress but still having issues post ejaculation but I do believe that some guys issues are caused from above.

Andrew Dawson states in a video online that highly sexed guys or guys who suffer with blue balls (frankly I taught all guys where sex crazed!)ie the need to ejaculate aren’t suited to being vasecetomized (you can find his explanation on a video he has made online)

I wish you well Kevin and please keep me posted I feel I could be at your point in the future.

Take care,



I never really had a frequent urination problem, many urologists ask that
question. Not sure about the gurgling/grumbling sounds but sometimes felt a
constipated feeling even if I had just moved my bowels. I tried explaining
it to a urologist and he just kept saying i was constipated but I think it
was the congestion ‘discomfort’ I would sometimes get - sometimes not
exactly painful but nauseating or a tightness in the lower abdomen, or
feeling sort of constipated. Sometimes I would feel like I had to take a
leak but my bladder was empty. these types of feelings would come and go
from time to time.

When I consulted with Dr. Marks he said each individual with PVPS has a
unique set of symptoms and the details are less important than the overall
picture. From what I have read the delayed pain/discomfort after
ejaculation can be associated with congestion PVPS. Everyone says to give
it time, at some point you have to decide if it is going away or not, if
you can live with it or not. Best of luck and I hope your symptoms resolve
or you find a solution. If you come to the conclusion that you do have
congestion PVPS and can’t live with it, I think the good news is it can be
cured by reversal potentially, but no guarantees sadly. I’m hoping to post
a success story after I heal from the reversal surgery.


This is the guy who did my reversal. Explained everything before hand and as you mentioned it has / does suffer from pvp himself. As I am 100% better, I cannot rate him highly enough


Can you give the dosage of Oxytocin and cialis you use every day? What was prescribed. You are sure it is oxytocin (a hormone) and Oxycontin (a pain killer)?


@derberlinersmurf I haven’t tried it but I’ve come across a guy on this that has.

Unfortunately Oxytocin isn’t available as a prescribed drug where I’m living,I’m actually starting a dose of cialis this week as it too is meant to help(here’s hoping)

The guy I spoke to said it was 100u Oxytocin with 5mg of cialis.I’m not sure what form the Oxytocin comes in if I be honest.


I got syntocinon and some syringes to inject Oxytocin myself. Taladafil is also available now for 1/3th of what Cialis costed.


Just needed to add something to this post.

So a couple of weeks ago I visited my GP and she told me my symptoms are nerve related and I am of the belief she is right.

I have been on Lyrica 150mg per day for the last 2 weeks I haven’t noticed any great difference,I still do at times get some days where I feel quite good,but I’ll be honest I don’t really know if I’ve improved a lot since day 1.

Yes my daily pain back at the start was horrible but in recent weeks I have had burning pain (probably a couple of days a week)that is quite uncomfortable.I probably have gotten better but very slowly.

Yesterday Christmas Day I didn’t have a good day with the burning (this also tends to lead to frequent urination)and today is only slightly better,I’m hoping this will subside as normally it tends too.This crap has put such a downer on things.My sex life is not great and does tend to make things worse especially frequent sex and I would tend to think that my pain after sex 24-48 hrs is probably worse than it was at the start.

I just kinda miss doing simple things with my family like today they went for a walk in the country I don’t feel up to it due to my pain,same yesterday I’m sitting there trying to put a happy face on Christmas Day of which I always love but the fucking pain was at me and basically ruined my day.

Most days I’m able to most things and haven’t missed any time from work,I’m self employed in construction and my wife works in a low paid job in the hotel industry so missing work is not an option.But I know that if this shit continues I’m gonna have to think about changing jobs as I reckon the constant moving,pulling,lifting etc can’t be good.

today was the first day I stayed in bed as I find when I have the burning the less movement the better.

My pain I would still say changes month to month.

I’m visiting a Urologist next week,I feel I have been somewhat in denial that this is happening to me,and have I left it too late I only visited my GP a few weeks ago,this was my first second opinion probably should have went earlier?My vas guy was very helpful and I taught he was on top of things he prescribed me drugs ie steriods which I taught where helping,I put a lot of trust in him and in hindsight I probably shouldn’t have,I also feel lost at times in this forum as you guys seem to know so much more about the anatomy,nerves etc of which I feel quite clueless.

I’m thinking to myself of late CAN I HAVE HOPE that I will get somewhat better in time ??it’s also disheartening where I’m living as there is literally no specialists here (this seems more common in the USA to have specialists)

Sorry for the long post I just needed to vent


I have days like yours often too. I think I’m feeling pretty good and then the pain flares up and I start questioning everything. Recently though, i’ve been able to realize that things eventually recede and I get back to lower pain levels. It’s still scary as hell, but like you I can do most things. A common theme when it comes to pain management is to try and not give up the things you enjoy doing. Often the pain will stay in the background if you’re engaged in something. I thought Christmas was going to be hard because of the stress that it brings, but I ended up focusing on my kids and the conversations and ended up having a pretty good day. A glass or 2 of wine definitely helped too. Ha.

Whatever you do though, try to keep the hope. Even if it is a nerve injury, that too can heal. It can just take a ridiculously long time to heal. Years even. Sorry things haven’t progressed for you. Good luck


Update:(I’m using this as a kinda notes page for my own records just in case people think I’m updating a bit much)

I visited a Urologist (I’d say this guy was around 60 so I presume he has some experience but idk) this morning and to be honest I’m still not any wiser.

He did admit that pvp is very real he actually stated that 15% to 20% of guys have problems up to 3 months but didn’t go any further with longer term problems.

He didn’t say an awful lot basically listened to my story so far,of which I want to add to just so other guys know I had an open ended vas and developed epydidymitis within the first few weeks basically had a very tender testicle when pressed around my epidimas all left side problems.

He examined me and reckoned I have a small granuloma on my left side when he pressed on the area it didn’t seem overly sore??but he mentioned it felt very tender

I told him about my issues with pain after sex and also PE.

He has put me on

Augmentin 375mg daily
Buscopan 60mg daily

I’m also on 200mg of Lyrica daily.

I have to take the above for the next month and revisit the Urologist.

I have my doubts on above but idk.

I would also note I’m feeling a bit sore in the area he thinks I have the granuloma in this is 5 hours later.

I would just like to add to that in my country,health insurance isn’t as common this consultation has cost me €200 & another €50 for medication.

If I go through the public system I’d be an old man before I’d get to seee anyone.Health Insurance would be financially out of reach for me and wouldn’t cover the full cost anyways of most procedures/consultations.

I don’t want to be just throwing money at this and getting nowhere but at the same time want to obviously make some ground.Ultimately I’d throw thousands at whatever if it gets me the right outcome


This is a mixture of positive and negative and to be honest I’m extremely confused and worried as to what is going on.

I just wanted to add to this,so my baseline pain has improved a lot and I have recently had weeks where I’m at a 1 which is a positive.

But my pain is always worse after sex/ejaculation.(nothing new on that one)

I did go through period where it wasn’t as bad mainly when I was on high dose of Augmentin (this may be just a coincidence)but I’m thinking this was helping with my granuloma situation but idk.

On the above after visiting my Urologist and doing a follow up call over the last few months.He basically said that I have shown an improvement which he feels is a good sign and that I should continue on the same path.(sometimes I wonder if he’s just pawning me off)

He did say to avoid sex as long as is possible in the hope that the granuloma will resolve,I have found this difficult (coming from having it 3 times a week before all this)even though I’m in a much better place pain wise of late when I do.

My level of scepticism I have had increased a lot since this all began which can add to my anxiety levels this is probably not a good thing but it’s hard.

The negatives to this are he dismissed my sciatica like pain that I have developed in my left leg (I reckon this started roughly 4 months after vas it has been mild for the most part but got worse of late) as back pain which is after what has happened in the last 2 weeks unlikely.

Unfortunately in the last 2 weeks my pain after sex has been bad and it also seems to make my sciatica like pain worse which tends to be more focused on my foot ie burning,tingling increases.This does all subside after 3-4 days.

I’m avoiding sex for the time being as the above pain is not worth it.

This is a major worry and I’m wondering where to go next.

I’m visiting my GP on Monday and I’m thinking a second opinion Urologist etc.

This sciatica like pain increaseing after sex is a worry on top of the crap I have already ugh!


For sciatica try stretching your piriformis muscle and work on lateral exercises.
Ease into this as this may initially make your sciatica worse.

A lot of people on this site report relief or improvement with papaya seed and hot baths.
Others have said to take ALA alpha lipoic acid for at least 1 month. Ringo above told you this and more.

and it sounds like sex activity is making pain worse so maybe document your sex activity/abstaining and pain. For me it would sometimes take a month of abstaining to see pain improvements, and when I sex binged the pain would be worse for a month, but I didn’t document it so I’m not completely sure on this.

I recall one ejaculation a week I’d have no added pain, but if I did more than this I began to feel that congestive like pressure/pain during ejaculation.

best of luck


@crotalus97 I’m currently taking Lyrica and I’m also on Papaya for the last month.

As mentioned I was actually doing ok and even today my pain is pretty mild and manageable.

What has thrown me is the sciatica like pain flaring after ejaculation,(which I’ll add is only in the last 2 weeks) but is this a new thing I’ve to endure.?idk

You talk about pressure pain and having sex once per week.

Sadly this is not me my pain feels like nerve pain I think and even when I have sex once a week most of the time it brings on pretty bad pain for 2-4 days.

It’s what to do next I’m truly sick of this at this stage but know there’s no easy solution.

But I soldier on …

Thanks for the advice


Sorry man,

I didn’t know what nerve pain felt like until after my reversal. My nerve pain would come and go on one side and then the other. Early on I felt it radiate to the abdomen and at 8 and 9 months the pain started radiating down my leg. Fortunately, at one year now the nerve pain seems to have gone away, but it can always come back.

I pulled this off the Pur Clinic website:

“What causes chronic testicular pain and groin pain?
The reasons are not quite clear. One theory is that the sensory pain fibers running along the spermatic cord may for some reason have a very low stimulation threshold due to previous scrotal surgery (vasectomy), hernia surgery, kidney removal, scrotal or pelvic trauma and recurrent epididymal / testicular infections. This could be due to local irritation or inflammation along these nerve fibers. For this reason, we try conservative therapies initially since a number of patients have spontaneous resolution of the pain after a period of observation. This period may range from a few months to a few years.”

The Pur Clinc mentions irritation or inflammation. Perhaps maybe you just have inflammation along the nerve fibers and not nerve damage. What are you doing to reduce inflammation?

Once I learned that my nerve pains could be from inflammation I took the following to reduce inflammation

Mobic, St.John’s Wart, Ginger, AHA, and Turmeric. I also created my own topical formulations with DMSO, lidocaine, benzocaine, predinsolone, and diclofenac.

Honestly I don’t know if any of these things helped eliminate my nerve pains by reducing inflammation or if I just improved with time.


@Cannon83, I wouldn’t get all wrapped up in what’s going on again, and again with your symptoms vs what’s the problem now, and/or what’s at the root of all your problems for months now.

Sperm granuloma is likely at the root of your current issues if you ask me. Sperm granuloma is a common risk of vasectomy, it fits perfectly into your timeline, and you’ve already been diagnosed with at least one.

I won’t get into a bunch of stuff I cannot prove, but I think sperm granuloma can cause far more issues for some, than others. I tend to believe that some bad stuff can take place as the body tries to heal these sperm granuloma over time as well.

There’s a chance I’m completely wrong, but my educated guess is congestion first, and then sperm granuloma. I think these things are likely at the root of your issues including the sciatica stuff.


The million dollar question is am I just going through something temporary or long lasting?

Again I wouldn’t say I’m in terrible pain more uncomfortable than anything but still not nice I have also noticed what I think is my epi tail from testicle kinda spasms throughout the day,could this be something else?idk

I visited my Gp (who is oblivious to pvps by no fault of his own,vasectomy has only become more prevalent in the last 10 years here,I live in a small town no more than 8k people so I’m more than likely the first case in my GP practice)and have been referred for an MRI,so I go next week,from what I’ve read here it tends to show up nothing,also mentioned pain management clinic which I’ll be going to in the near future as well.

Starting to feel like a lab rat being passed around for people to prod at!


Hard to say ^^^

Even the part regarding how many men in your area may have pvp, pvps, aches and pains, pain after ejaculating, twinges, etc post vasectomy, it’s hard to say how many there are. Statistically, there should be others suffering from all sorts of short term, and long term post vasectomy complications in your area.

I really believe a lot of men just don’t talk about this stuff. Statistically, there should be guys all over the internet posting if talking about this openly wasn’t so taboo. I have a good idea how many pvp/s guys some of the pvps docs that get mentioned on this site regularly see, and only a small fraction of them post online.

I really believe that the majority of vasectomists aren’t completely honest regarding how many cases of complications they have personally seen. In some cases, they may not even know because many drop their vasectomists for various reasons afterward, and move onto another after the fact. Do you think your vasectomist tells others about you during their pre vas consultations?

My vasectomist told me I was his first case of pvp/pvps, but considering everything I learned after the fact, I feel confident saying he’s full of it. I live in a smaller community myself, and a highly skilled ultrasound tech in my area told me she sees men with post vasectomy pain all the time. Last time I seen my GP, he said he was treating someone as well.

Hard to say what to do brother, or how long this may continue. I skipped a lot of the four play with all the urologist visits in my early days, and for better or worse, I did things my way.


Spot on. I think that’s what I had going on. Reversal doc even offered to take out my granulomas on the ends of my vas tips, but when I asked what if they returned, he said that’s why he’d recommend reversal…one bite at the apple.

Your point might explain my other symptoms, besides pain, that disappeared post-reversal. Bottom line is these guys play men’s lives every day without really understanding what happens to a man after vasectomy. Could be the ultimate hubris in all of medicine.


Not trying to hijack this thread and it’s been a while since I’ve posted about my husband. He has had issues with his groin but not testicular and in the last week or so, he is now having a dull ache in his left testicle. I asked him if his actual testicle is sore and he said it’s an ache coming from inside. Is this congestion? I’ve been hyper focused on his groin issues and these aches are throwing me off and now my anxiety is through the roof again. Just reminds me of pushing him to do the worst thing that can be done to a man. I’m worried it won’t go away and it’s another thing we have to worry about. :frowning:


Just to add, it’s almost been 6 months since his vas.


Your certainly not hijacking this thread, seems I’m responsible for most of that. I just may delete my previous post because it veers off topic considerably.

Sorry to hear your husband is having seemingly new issues. I cannot explain, and/or have no answer for why some get serious congestion more in the suggested 2-12 week post vas timeframe, and some don’t. For some it takes much longer. I can’t explain why some develop a sperm granuloma way earlier in their recovery’s like I did, and some dont, with the exception of open ended, vs closed ended, etc. I was closed ended.

Hopefully what he’s experiencing will pass in time. You already know all the conservative treatments for congestion so your already ahead of the game far as knowledge.

You haven’t posted an update on your husband in a while. Progress report?