I am a 63 year old male; I have had a quadruple bi-pass ten years ago. I am still very active physically and I am very sexually active, i.e. average 5 times a week or more. Three months ago I had test done, urine, full blood work up and ultrasound to investigate a sharp, short duration reoccurring pain in my lower left abdominal quadrant. All test indicated no abnormalities. Two weeks ago I began to get the same pain, but induced by foreplay when my girl friend would gently massage my penis and testicles. When she stops the pain subsides, once I am fully stimulated and we have intercourse the pain is not present. The pain feels like a knife jab, and will also occur during the day for no apparent reason. The pain will at times occur with pressure to the area but rarely. At first the pain was not associated with sexual stimuli, but now there is a direct correlation. Oh one other thing, I have been having unprotected sex with my girl friend for over four years and have not impregnated her, she is 24 so I assume I am the one that cannot have a child, I don’t know if it is related to the pain or not, but I already have 4 children and one was after the bi-pass surgery. I live in the Philippines where the medical system is archaic and totally profit motivated. I hope I can find an answer, the frequency is increasing and I am concerned about a more serious cause, but I don’t want to slip into the do every test to make money system here, I need to know a direction to have them check. Anyone with an idea would be appreciated.