I’m new to the forum, hoping to find answers to issues I’ve had since my vasectomy in 2016. Within a month after my vasectomy I noticed reduced volume in my right testicle, that my ejaculation volume was much lower than usual, and that the right testicle did not feel situated in its normal position. I started having pain issues in 2018, especially in the perineum and above the right testicle. Around that time I started seeing urologists, all of whom said it’s not possible that vasectomy would cause reduced semen volume and that my advancing age (43 now) would be responsible for the reduced size of the testicle.
When I ejaculate it feels as if about a third of it comes out and I pee the rest out later. My testicle is smaller than it used to be. Sex drive is way down as is ability to achieve a strong erection. I’ve had lots of imagery done and all has come back normal besides small varicoceles for which I had a varicolectomy a few months ago, which didn’t help any of my major complaints. The latest diagnosis is pelvic floor dysfunction. I’m on week 2 of therapy but not convinced PFD is the root cause of the issue. I have discomfort roughly where the right side incision was made in the upper part of the scrotum close to the base of the penis. I experience great discomfort when checked for hernia on that side but not hernia is found.
I’m going to continue to give physical therapy a fair shot but I cannot stop wondering what else may be going on. Has anyone here had similar experiences?