Testicular Pain: Causes and When to Seek Help - Urology

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Testicular pain can be a concerning symptom, and it's important to understand the potential causes and when to seek medical attention. Based on your description of experiencing heat and intermittent pain in the testicles for over a week, there are several possible explanations for your symptoms.

One common cause of testicular pain is epididymitis, which is an inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can result from infections, often sexually transmitted infections (STIs) like chlamydia or gonorrhea, or from urinary tract infections. Symptoms typically include swelling, redness, and tenderness in the affected area, along with pain that may radiate to the lower abdomen or groin.

Another potential cause is testicular torsion, a serious condition where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition usually presents with sudden, severe pain and swelling, and it requires immediate medical attention to prevent permanent damage to the testicle.

Inguinal hernias can also lead to testicular pain. This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. Symptoms may include a bulge in the groin or scrotum, along with discomfort or pain, especially when lifting or straining.

Trauma or injury to the testicles can also cause pain and discomfort. If you have experienced any recent injury, this could be a contributing factor.
Less commonly, testicular cancer can present with pain or discomfort, although it often presents with a lump or swelling rather than pain alone.
Given that your symptoms have persisted for over a week, it is crucial to seek medical attention. A healthcare provider will likely perform a physical examination, and may order imaging tests such as an ultrasound to assess the blood flow to the testicles and check for any abnormalities. They may also conduct laboratory tests to identify any infections.

It is important not to ignore these symptoms, as some conditions, like testicular torsion, require immediate intervention to prevent serious complications. If you experience any additional symptoms such as fever, nausea, vomiting, or if the pain worsens, you should seek emergency medical care.

In summary, testicular pain can arise from various causes, including infections, torsion, hernias, trauma, or even cancer. Given the duration and nature of your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation and appropriate management. Early diagnosis and treatment can significantly improve outcomes and alleviate discomfort.