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I had very similar or even the same problems than you.
In my case it was a vericose vein in my left testicle, and when ever the blood flow increases, like after sex or exercise the testicle overheats. You should best check with a urologist and if it is a vericose vein it is usually not neccesary to get it removed, but I will remove mine as it is very irritating pains. The process of removing it is very simple and only requires 1 day in hospital and there wont be any scalpels near him!
hope that helped
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