My sisters BF claims that his ball hurt on the inside adjectives the time but more when he cums, what is wrong??

Might wanna get it checked out. If it's not swollen or anything there's a dutiful chance it could be a vericocele. This is close to a vericose vein surrounded by the scrotum. The valves surrounded by the veins are ineffectual and blood backs up cause pain. It's totally common surrounded by younger guys, especially those that lift weights or things resembling that. Any strenuous activity, including ejaculation, could create straining and more pain.
I dont want to travel scaring the fellow, but testicular cancer have these exact symptoms.

However, so does a hernia have this exact syptoms.

The other piece you might suggest is rid of briefs. And he can wear boxers. No tight jeans either ..

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