Testicular Swelling and Pain: Causes and Solutions

The testicles are slightly swollen and painful?

I haven't masturbated for five days, but on the fifth day, I did.
The semen seemed fine, and the volume was considerable.
However, the next day, my right testicle felt swollen and a bit painful when I squeezed it, with some discomfort radiating upwards.
Although the pain is minimal, it still makes me uneasy.
I also feel occasional slight pain in the vas deferens when I move.
How should I handle this? Thank you!

Jiu Tao, 10~19 year old female. Ask Date: 2016/04/03

Dr. Li Xinyi reply Urology

When masturbating, it's important to pay attention to lubrication (to avoid injuries) and cleanliness (to prevent wound infections or urinary tract infections).
If you have any concerns, it is advisable to see a urologist for an examination.

Reply Date: 2016/04/03

More Info

Testicular swelling and pain can be concerning symptoms, and it's important to understand the potential causes and appropriate responses. Based on your description, it seems you are experiencing discomfort and swelling in your right testicle after a period of sexual inactivity. While I cannot provide a diagnosis, I can outline some common causes of testicular swelling and pain, as well as potential solutions.

Possible Causes
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms often include swelling, pain, and sometimes fever.

2. Orchitis: Similar to epididymitis, orchitis is an inflammation of the testicle itself, which can also be due to infections. Mumps is a viral cause of orchitis, especially in individuals who have not been vaccinated.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain and swelling. If you experience intense pain, nausea, or vomiting, seek immediate medical attention.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause swelling and discomfort in the groin or testicular area.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a feeling of heaviness or discomfort in the testicle.

6. Trauma or Injury: Any recent injury to the groin area can lead to swelling and pain.

7. Hydrocele: This is a fluid-filled sac around a testicle that can cause swelling but is usually painless.

Recommended Actions
1. Seek Medical Attention: Given that you are experiencing pain and swelling, it is advisable to consult a healthcare professional. A urologist can perform a physical examination and may recommend an ultrasound to assess the condition of your testicles and surrounding structures.

2. Rest and Ice: Until you can see a doctor, resting and applying ice to the affected area may help reduce swelling and alleviate discomfort.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage mild pain. However, consult with a healthcare provider before taking any medication.

4. Avoid Strenuous Activity: Refrain from activities that may exacerbate the pain, such as heavy lifting or vigorous exercise.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased swelling, severe pain, fever, or any discharge. This information will be helpful for your healthcare provider.

6. Hydration and Diet: Staying hydrated and maintaining a balanced diet can support overall health and recovery.

Conclusion
While mild testicular discomfort can sometimes resolve on its own, persistent or worsening symptoms warrant professional evaluation. Conditions like epididymitis or orchitis can often be treated effectively with antibiotics if an infection is present. On the other hand, conditions like testicular torsion require immediate intervention to prevent serious complications. Therefore, it is crucial to prioritize your health and seek medical advice as soon as possible.

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