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It is not possible to 'really know' without a physical exam by a doctor. However, the most likely reason is 'testicular torsion'. When the tubes that semen travels through get twisted around, usually due to injury of some kind, there will sharp pains. Another cause of testicular torsion is a congenital condition called 'Bell Clapper syndrome'. This condition can be detected by an ultrasound test.

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Q: Please don't randomly answer this unless you really know whats wrong. What does it mean if you testicles hurt after ejaculating. The pain is practically the same as them getting kicked.?
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