I had vas for 7 yrs, just got reversal. I frequently had left epi pain along with pain where the vas was cut and stapled. I was doing fine for about eight weeks prior to surgery, however I was not active due to a foot injury. I almost backed out of reversal last minute, however I know the pain would return as it always has over the last seven years.
Mostly when I work out or do cardio is when pain would set in. Like you, I’ve been in the gym 3-4 days a week all my life. Activity would cause things to bounce around and cause pain, inflammation and possible leaky vas causing granulnoma. Been to several docs over the years who don’t have a solution other than meds and rest. As others have noted, some people have no problems like a lot of my friends at work. If you really think about it, your body isn’t designed to be cut and tied off. Here is an article I wish I had seen before I got it done. http://www.dontfixit.org
I’m only 6 weeks post reversal, so I still have slight discoloration but no pain, just a twitch here and there. I’d give it time to see if your body will adjust. If not, a reversal is a possible solution later on. Whatever you do, don’t get drastic and cut out nerves, or remove epi or a testical. Give your body time to adjust and heal before making any decisions.