Scrotal Pain: Causes and Concerns in Urology

Scrotal pain

Hello Doctor: Last month on the 11th, after having intercourse, I had very few manual activities (probably less than 10 times) within a month.
On March 11th, I visited a certified clinic and was tested for HIV, syphilis, and chlamydia (all results were negative).
2: A few weeks ago, I noticed two red spots on the glans, which sometimes appear and sometimes disappear (it seems to happen when I haven't dried properly after urination?).
3: Aside from the second point, urination is normal and there is no discharge.
4: Additionally, I have been experiencing pain on the left side of the scrotum, which seems to hurt more when my thighs touch while walking, but it doesn't hurt when I walk with my legs apart.

Niming, 20~29 year old female. Ask Date: 2016/03/18

Dr. Li Xinyi reply Urology

It sounds like there are no issues.
However, if you have concerns, it is still advisable to continue seeing a urologist for examination and follow-up.

Reply Date: 2016/03/18

More Info

Scrotal pain can be a concerning symptom for many individuals, and understanding its potential causes is crucial for effective management and treatment. Based on your description, there are several factors to consider regarding your symptoms, particularly the pain in the left side of your scrotum and the redness on the glans.

Firstly, the pain you are experiencing in the scrotum could be attributed to various conditions. One common cause is epididymitis, which is an inflammation of the epididymis, the tube that stores and carries sperm. This condition can result from infections, often sexually transmitted, or from non-infectious causes such as trauma or strenuous physical activity. Given your recent sexual activity, it is essential to consider this possibility, even if you have tested negative for STIs.

Another potential cause of scrotal pain is testicular torsion, which is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include sudden, severe pain and swelling in the scrotum, and it requires immediate medical attention. Although your symptoms do not seem to align perfectly with this condition, it is important to be aware of it.

Hernias can also cause scrotal pain, particularly if there is an inguinal hernia where abdominal contents protrude through the inguinal canal. This can lead to discomfort, especially when walking or straining.
Additionally, the redness on the glans could indicate balanitis, which is inflammation of the glans and can be caused by infections, irritants, or poor hygiene. If you notice that the redness fluctuates, it might be related to irritation from urine or other factors, such as friction from clothing or activities.

Given your symptoms, it is advisable to seek further evaluation from a urologist. They may recommend a physical examination, urine tests, and possibly an ultrasound to assess the structures within the scrotum and rule out any serious conditions.
In the meantime, here are some general recommendations to manage your symptoms:
1. Avoid Irritants: Wear loose-fitting underwear and avoid tight clothing that may cause friction or irritation to the area.

2. Hygiene: Maintain good hygiene to prevent infections. Ensure that the area is clean and dry.

3. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help alleviate discomfort.

4. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, swelling, or the appearance of discharge, and report these to your healthcare provider.

5. Follow Up: If the pain persists or worsens, or if you develop additional symptoms such as fever or nausea, seek medical attention promptly.

In conclusion, while scrotal pain can arise from various conditions, it is essential to approach it with a thorough understanding and seek professional evaluation to ensure appropriate care. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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