Right Testicular Pain: Causes and When to Seek Help - Urology

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Right testicular pain can be concerning and may arise from various causes. Understanding the potential reasons for this discomfort is crucial in determining whether you should seek medical attention.

Common Causes of Right Testicular Pain
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, redness, and tenderness in the affected area.

2. Orchitis: This is inflammation of one or both testicles, often due to viral or bacterial infections. Mumps is a well-known viral cause. Symptoms may include swelling, pain, and sometimes fever.

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, swelling, and sometimes nausea. This condition requires immediate medical intervention to prevent loss of the testicle.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause pain in the groin or testicular area, especially when sitting or standing.

5. Trauma or Injury: Any recent injury to the groin area can lead to pain in the testicles. This could be from sports, accidents, or even vigorous sexual activity.

6. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, particularly when sitting for extended periods.

7. Testicular Cancer: Although less common, persistent pain or a lump in the testicle should be evaluated to rule out cancer.


When to Seek Medical Help
You should seek medical attention if you experience any of the following:
- Severe Pain: If the pain is intense and sudden, especially if accompanied by swelling or nausea.

- Swelling or Redness: Any noticeable swelling, redness, or warmth in the testicle or scrotum.

- Fever: If you develop a fever along with the pain, this could indicate an infection.

- Changes in Urination: Painful urination, blood in urine, or changes in urinary habits.

- Persistent Symptoms: If the pain does not improve or worsens over time.


Conclusion
Given that your pain is noticeable when sitting but less so when standing, it could be related to pressure on the affected area or a positional issue. However, due to the potential seriousness of some causes of testicular pain, it is advisable to consult a healthcare professional for a thorough evaluation. They may perform a physical examination, ultrasound, or other diagnostic tests to determine the underlying cause of your symptoms. Early diagnosis and treatment are essential for the best outcomes, especially in cases like testicular torsion or infections.
In summary, while some causes of right testicular pain may be benign, others can be serious and require prompt medical attention. Don't hesitate to reach out to a healthcare provider for guidance and peace of mind.