Testicular Pain: Causes and When to Seek Help

Testicular issues

Hello Doctor: Recently, I have been experiencing a slight pain and a feeling of heaviness in my right scrotum.
When I press near the testicle (close to the epididymis), I feel a sharp pain that radiates to the groin.
Could you please explain what might be causing this? I had a similar situation a few years ago and consulted a doctor, but I was told there was no issue at that time.
Thank you for your assistance!

Niming, 20~29 year old female. Ask Date: 2016/09/19

Dr. Sun Hongshun reply Urology

Hello, conditions such as hernia, testicular torsion, or prostatitis are all possible.
It is recommended to first visit a urology clinic for a physical examination to make an accurate diagnosis.

Reply Date: 2016/09/19

More Info

Testicular pain can be a concerning symptom and can arise from various causes. Based on your description of experiencing dull, aching pain in the right scrotum, along with sharp pain when pressing near the testicle and radiation of pain to the groin, it is essential to consider several potential causes.

One common cause of testicular pain is epididymitis, which is 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 often include swelling, tenderness, and sometimes fever. Given that you have experienced similar symptoms in the past, it might be worth considering whether this could be a recurring issue.

Another possibility is testicular torsion, which is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition typically presents with sudden, severe pain and swelling in the affected testicle. If you experience acute pain, nausea, or vomiting, you should seek immediate medical attention, as testicular torsion requires prompt surgical intervention to prevent permanent damage.

Hernias can also cause referred pain to the testicles. An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles, often leading to discomfort in the groin and testicular area. If you notice a bulge in the groin or experience increased pain with activities such as lifting or straining, this could be a contributing factor.

Other potential causes of testicular pain include trauma or injury to the area, varicocele (enlargement of veins within the scrotum), or even referred pain from conditions affecting the lower abdomen or pelvis, such as kidney stones or gastrointestinal issues.

Given your history of similar symptoms and the current discomfort, it is advisable to seek medical evaluation. A healthcare provider may perform a physical examination, and possibly order imaging studies such as an ultrasound, to assess the condition of the testicles and surrounding structures. This can help rule out serious conditions and guide appropriate treatment.

In summary, while testicular pain can stem from various benign causes, it is crucial to monitor your symptoms closely. If the pain worsens, if you develop swelling, or if you experience any other concerning symptoms, do not hesitate to seek medical attention. Early diagnosis and treatment can help prevent complications and ensure your health and well-being.

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