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

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Mild discomfort in the right testicle?


I have actually disliked masturbation for a long time, so I have never had a problem with excessive masturbation.
However, when I was about 15 years old, I was playing a handheld game in bed when suddenly I experienced severe pain in my testicle.
I can't remember which side it was, and I didn't know the cause.
I endured the pain for a long time until it finally subsided, thinking it was nothing serious.

This year, while sitting at my computer with good posture, I suddenly felt a sharp pain in my testicle again, and it lasted for a long time.
I could barely move and had difficulty speaking.
I immediately searched for the cause online and read that it might be due to not ejaculating for a long time.
I have never engaged in DIY methods; I usually rely on nocturnal emissions.
So, I decided to try DIY.
After some time, I was able to ejaculate, and I released a large volume three times, all of which were thick and yellow.
The pain disappeared afterward, and I developed a habit of DIY, doing it almost daily.
If I don't do it daily, I feel uncomfortable all over.
Now, I have been doing it almost every day without any issues.
Although the semen I ejaculate now is more watery and less thick, something strange happened today.
While watching TV and elevating my legs, I suddenly felt a sharp, mild pain in my right testicle.
It wasn't very painful, just a slight sting, and after a few hours, there was no further issue.
I also did DIY once, but only once.
After that, I noticed a mild soreness in my right testicle.
This sensation is very strange; I've never experienced it before.
There is no pain when I touch it, just a mild soreness.

I am concerned about how this might affect my future fertility, so I would like to ask a doctor what this issue might be.
If I feel the same way tomorrow, I will go for an examination.

Hui, 10~19 year old female. Ask Date: 2016/08/03

Dr. Sun Hongshun reply Urology


Hello: Proper hygiene of the genital organs and appropriate release are considerations, as you have been experiencing pain for 4 years.
It is recommended to consult a urologist for evaluation.

Reply Date: 2016/08/03

More Info


Understanding mild pain in the right testicle can be concerning, especially when it occurs suddenly and without an obvious cause. Based on your description, there are several potential explanations for the discomfort you are experiencing.
Firstly, it is important to note that testicular pain can arise from various sources, including issues related to the testicles themselves, the surrounding structures, or even referred pain from other areas of the body. Given your history of sudden pain episodes, it may be worth considering a few common 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, or by non-infectious factors such as trauma or prolonged sitting. Symptoms often include swelling, tenderness, and pain in the affected testicle.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain and swelling. While you mentioned that your pain is not severe enough to warrant immediate concern, it is crucial to be aware of this condition, as it requires prompt treatment.

3. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause discomfort in the groin or testicular area, especially when sitting for long periods or engaging in physical activity.

4. Muscle Strain: Sometimes, pain in the testicular area can be related to muscle strain in the groin or lower abdomen. This could explain the discomfort you feel when sitting for extended periods or during certain activities.

5. Nerve Irritation: Conditions such as sciatica or other nerve-related issues can cause referred pain to the testicular area. This might explain the sudden, sharp sensations you experience.

6. Psychogenic Factors: Anxiety and stress can manifest as physical symptoms, including pain in various body parts. If you find that your pain correlates with periods of stress or anxiety, this could be a contributing factor.

Regarding your concern about fertility and the changes in your semen, it is important to understand that variations in semen consistency and volume can occur for many reasons, including frequency of ejaculation, hydration levels, and overall health. However, if you notice significant changes or have concerns about fertility, it would be wise to consult a healthcare professional for a thorough evaluation.

Given that you have experienced these symptoms intermittently over a period of time, it is advisable to seek medical attention if the pain persists or worsens. A healthcare provider can perform a physical examination and may recommend an ultrasound or other diagnostic tests to determine the underlying cause of your symptoms. Early intervention can help address any potential issues and provide peace of mind regarding your health and fertility.

In summary, while mild testicular pain can be caused by various factors, it is essential to monitor your symptoms closely. If the discomfort continues or you experience any additional symptoms, such as swelling, redness, or fever, do not hesitate to seek medical advice. Your health is paramount, and a professional evaluation can help ensure that any underlying conditions are appropriately addressed.

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