Testicular Discomfort After Exercise: What You Need to Know - Urology

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Testicular issues


After playing basketball today, I felt a slight pain in my testicles due to obesity, especially when walking.
However, there is no pain when sitting, lying down, or standing upright.
Should I be concerned about any serious issues, doctor?

Angus, 10~19 year old female. Ask Date: 2016/08/06

Dr. Chen Jiansheng reply Urology


Hello, sir: Pain is usually a warning signal from the body that there may be an issue with the testicles.
Please seek medical attention promptly at the Urology Department of Xinying Hospital, Dr.
Chen Jian-sheng.

Reply Date: 2016/08/06

More Info


Experiencing testicular discomfort after exercise can be concerning, especially if it is accompanied by pain or discomfort while walking. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into potential causes and considerations regarding your symptoms.

First, it’s important to understand that testicular discomfort can arise from various factors, especially after physical activity. Given that you mentioned playing basketball and experiencing discomfort primarily while walking, this could be related to a few common issues:
1. Muscle Strain: Engaging in physical activities like basketball can lead to muscle strains in the groin or pelvic area. If the muscles surrounding the testicles are strained, it can cause discomfort that may be felt during movement.

2. Testicular Torsion: Although this is a more serious condition, it typically presents with severe, sudden pain and requires immediate medical attention. Since you mentioned that the pain is mild and only occurs when walking, this is less likely but should not be completely ruled out.

3. Inguinal 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 area and may be exacerbated by physical activity.

4. Hydrocele or Varicocele: These conditions involve fluid accumulation around the testicle or enlarged veins in the scrotum, respectively. They can cause discomfort but are usually not associated with acute pain.

5. Referred Pain: Sometimes, discomfort in the testicular area can be referred pain from other regions, such as the lower back or abdomen, especially after physical exertion.

Given that you are experiencing discomfort primarily while walking and not in other positions, it may suggest a less severe issue, such as muscle strain or mild irritation. However, it is crucial to monitor your symptoms. If the discomfort persists, worsens, or is accompanied by other symptoms such as swelling, redness, or fever, it is advisable to seek medical attention promptly.


Recommendations:
- Rest: Allow your body to recover by taking a break from strenuous activities that may exacerbate the discomfort.

- Ice Application: Applying ice packs to the affected area can help reduce swelling and alleviate pain.

- Supportive Underwear: Wearing supportive underwear can help minimize movement and provide comfort during recovery.

- Gradual Return to Activity: When you feel ready to return to physical activity, do so gradually. Start with low-impact exercises and increase intensity as tolerated.


When to Seek Medical Attention:
- If the pain becomes severe or persistent.

- If you notice swelling or changes in the appearance of the testicles.

- If you experience nausea, vomiting, or fever.

In conclusion, while mild testicular discomfort after exercise can often be attributed to benign causes, it is essential to remain vigilant about your symptoms. If you have any concerns or if the discomfort does not resolve, consulting a healthcare professional is the best course of action to ensure your health and well-being.

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