Mild Pain in the Right Testicle: Causes and Concerns - Urology

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Occasional mild pain in the right testicle?


Hello, I need your help.
A couple of days ago, I suddenly felt a slight cramping pain in my right testicle, which radiated to my lower abdomen.
However, no matter how I touch it, neither the testicle nor the epididymis feels abnormal or painful.
Recently, I've been engaging in sexual activity once or twice a day.
The discomfort in the testicle started after I accidentally pressed on it a few days ago, but there were no immediate issues; the cramping only began the next day.
As of today, it has improved somewhat, but I still feel a slight discomfort when walking or preparing to sit, described as a "catching" sensation.
I checked the historical questions on the forum and found similar issues related to urinary retention and frequent ejaculation.
I would like to ask the doctor if this mild discomfort could indicate a significant injury to the testicle.
What could be the possible causes of this condition? Thank you very much.

J, 10~19 year old female. Ask Date: 2016/06/18

Dr. Chen Jiansheng reply Urology


Hello, if there is a rupture and bleeding in the testicle, it typically results in swelling, pain, and bruising.
The symptoms you described may indicate issues such as varicocele, prostatitis, epididymitis, vasitis, lymphangitis, hernia, or stones, among others.
Further examination is necessary to determine the exact problem.
Best regards, Dr.
Chen Chien-Sheng, Urology Department, Hsin Ying Hospital.

Reply Date: 2016/06/18

More Info


Mild pain in the right testicle can be concerning, especially when it arises suddenly and is accompanied by discomfort in the lower abdomen. While it’s understandable to worry about potential serious conditions, it’s important to consider various factors that could contribute to this type of pain.

First, let’s explore some common causes of mild testicular pain. One possibility is epididymitis, which is inflammation of the epididymis, the tube that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections (STIs), or even non-infectious causes such as trauma. Given your recent sexual activity, it’s worth considering if an infection could be a factor, especially if you notice any additional symptoms like swelling, redness, or discharge.

Another potential cause is testicular torsion, which is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. However, this typically presents with severe, sudden pain and swelling, rather than mild discomfort. Since you mentioned that the pain is mild and that you do not feel any abnormalities upon examination, torsion is less likely.

Trauma to the testicle, such as the incident you described where you accidentally pressed on it, can also lead to pain. Sometimes, the pain may not manifest immediately but can develop hours later as inflammation occurs. If the pain has improved since the initial incident, this could suggest that the trauma was minor and is resolving.

Additionally, musculoskeletal issues can sometimes mimic testicular pain. For instance, referred pain from the lower back or abdomen can manifest as discomfort in the testicular area. This is particularly relevant if you have been engaging in activities that strain your back or abdominal muscles.

Given that you are experiencing mild pain that is improving, it is likely that the issue is not serious. However, it is essential to monitor your symptoms. If the pain worsens, becomes severe, or is accompanied by other symptoms such as fever, swelling, or changes in urination, you should seek medical attention promptly.
In the meantime, here are some recommendations to help manage your discomfort:
1. Rest: Avoid activities that may exacerbate the pain, including heavy lifting or strenuous exercise.

2. Ice: Applying a cold pack to the affected area can help reduce inflammation and numb the pain.

3. Over-the-counter pain relief: Medications such as ibuprofen or acetaminophen can help alleviate discomfort.

4. Hydration: Ensure you are well-hydrated, as dehydration can sometimes contribute to discomfort.

Lastly, if the pain persists or if you have any concerns about your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly imaging studies to rule out any underlying conditions. Remember, it’s always better to err on the side of caution when it comes to health concerns, especially those involving the reproductive system.

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