Testicular pain?
I woke up in the middle of the night after falling asleep at midnight because of severe pain in my left testicle.
The pain lasted for about three minutes and then subsided, but I still felt some discomfort and a slight stabbing pain.
I experienced the same discomfort during class the next day.
What could be the cause of this?
Niming, 10~19 year old female. Ask Date: 2016/04/20
Dr. Li Xinyi reply Urology
What is more concerning is testicular torsion.
This requires caution.
If symptoms occur, it is advisable to go to the emergency department promptly and consult a urologist for examination and discussion with the physician.
Reply Date: 2016/04/20
More Info
Sudden testicular pain can be alarming and may arise from various causes, some of which require immediate medical attention. Given your description of waking up with severe pain in your left testicle, followed by a brief period of intense discomfort and then a lingering sensation of discomfort, it is essential to consider several potential causes.
One of the most critical conditions to rule out is testicular torsion, which occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition is considered a medical emergency and requires immediate surgical intervention to prevent permanent damage to the testicle. Symptoms of testicular torsion typically include sudden, severe pain, swelling, and sometimes nausea or vomiting. If you experience any of these symptoms, it is crucial to seek emergency medical care.
Another possible cause of sudden testicular pain is epididymitis, which is the inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms may include pain, swelling, and sometimes fever. If you suspect an infection, it is important to consult a healthcare provider for appropriate evaluation and treatment.
Trauma or injury to the testicles can also result in sudden pain. If you have experienced any recent trauma, even minor, it could lead to discomfort. Additionally, hernia can cause referred pain to the testicular area, especially if there is a bulge in the groin or discomfort when lifting heavy objects.
Other less common causes include varicocele, which is an enlargement of the veins within the scrotum, or testicular cancer, which may present with a lump or swelling in the testicle, although this is less likely to cause sudden pain.
Given that your pain subsided after a few minutes but returned as a lingering discomfort, it is advisable to monitor your symptoms closely. If the pain returns, worsens, or is accompanied by other symptoms such as swelling, redness, or fever, you should seek medical attention promptly.
In summary, while there are several potential causes for sudden testicular pain, some conditions, like testicular torsion, require immediate medical evaluation. It is always better to err on the side of caution when it comes to testicular pain. If you have any concerns or if the pain persists, please consult a healthcare professional for a thorough examination and appropriate management.
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