Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Prostatis with Orhitis with Funiculitis from Chlamydia / gonorrheal infections in the past. Cause of pain in sex dream,is the unsatisfied arousal with raised testosterone levels,causing severe muscle spasm of lower abdominal and seminal vesicular spasms with pelvic spasms ,causing referred pain of testicular squeezing from cremasteric spastic-pull up of testes and congestion of testes from raised testosterone. Failed treatment even after repeated attempts from your doctors-needs to be tackled by Consults from Urologist and Surgeon. USG/CT pelvis /Contrast CT with Urethrogram, prostatogram,seminal vesiculogram would give the exact assessment of the damaged tissues in all the uro-genitial tract of yours,caused from old Chlamydial / Gonorrheal infection. Hope this would help you to come out of this complex attack. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS