What is the reason behind testicular pain after wet dreams?

Q: I am a 22 years old male. I get a pain in testes during wet dreams. The pain subsides after three to four hours of emptying bladder. Could you please tell me the exact cause of my problem?

A:Wet dreams occur normally in teenagers due to sexual stimulation during dreams, and rubbing of organ against blanket and clothes. It may also happen with an overdistended bladder. A combination of overdistended bladder with wet dream may cause dull testicular pain like yours, getting relieved after bladder emptying. Other common causes of scrotal pain are hernia, testicular torsion and varicocoele. Bother with most of latter mentioned conditions would not be limited to night, and varicocoele and hernia are most likely to be symptomatic soon after some exercise. Chronic prostatitis or CPPS is another cause of urethral discharge and dull scrotal pain. Since the treatment is dependent on the pathology initiating it, you need to see a urologist for proper examination and advice.