Testicular Pain: When to Seek Medical Advice - Urology

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Testicular re-examination?


(1) Doctor, I have a question.
Sometimes my testicles hurt, but it's mild and doesn't happen often; it only lasts for a moment.
A previous doctor said he didn't think it was a big deal and advised me to just monitor it.
Recently, it has occurred occasionally, and when my testicles are in contact for a while, my abdomen also feels uncomfortable.
Is this normal?
(2) Due to a previous injury and some calcification on the surface of my testicles (as mentioned in the previous article 111821), is it sufficient for me to just check the firmness and size? (I feel nauseous after touching them for a while.)

Niming, 10~19 year old female. Ask Date: 2016/09/20

Dr. Sun Hongshun reply Urology


Hello: It is advised not to touch your genitals too frequently.
If you experience pain or have other concerns, it is recommended to consult a urologist directly.

Reply Date: 2016/09/20

More Info


Testicular pain can be a concerning symptom for many individuals, and understanding when to seek medical advice is crucial for proper diagnosis and treatment. Based on your description, it seems you are experiencing intermittent, mild testicular pain, which has been evaluated by a physician previously. Here’s a comprehensive response to your questions and additional insights into the condition.


Understanding Testicular Pain
1. Nature of the Pain: Mild, intermittent testicular pain can be caused by various factors, including minor trauma, inflammation, or even referred pain from other areas such as the abdomen or lower back. The fact that your pain is not persistent and is described as mild is somewhat reassuring. However, it’s essential to monitor any changes in the frequency or intensity of the pain.

2. When to Seek Medical Attention: While mild testicular pain may not always indicate a serious condition, there are specific circumstances under which you should seek medical advice:
- Persistent Pain: If the pain becomes more frequent or severe, it’s essential to consult a healthcare provider.

- Accompanying Symptoms: If you experience any additional symptoms such as swelling, redness, fever, nausea, or changes in urination, you should seek medical attention promptly.

- Trauma: If you have experienced any trauma to the area, even if the pain is mild, it’s wise to have it evaluated to rule out any underlying injuries.

- Changes in Testicular Size or Shape: Any noticeable changes in the testicles, such as lumps or significant changes in size, warrant immediate medical evaluation.

3. Previous Medical Evaluation: Since you mentioned that a doctor previously evaluated your condition and deemed it not concerning, it’s likely that they assessed for common issues such as epididymitis, testicular torsion, or hernias. However, if you have a history of injury and calcification, it’s essential to keep your healthcare provider informed about any new symptoms or changes.


Additional Considerations
- Calcification: The presence of calcification in the testicular area can sometimes be benign, but it should be monitored. If you notice any changes or if the calcification seems to be associated with pain, further imaging studies, such as an ultrasound, may be warranted to ensure there are no complications.


- Self-Examination: Regular self-examination of the testicles is a good practice. You should be familiar with the normal size, shape, and consistency of your testicles. If you notice any lumps, changes in texture, or persistent discomfort, it’s crucial to consult a healthcare professional.

- Psychological Factors: Sometimes, anxiety about testicular pain can exacerbate the perception of discomfort. If you find that your symptoms are causing significant distress, discussing this with a healthcare provider may help alleviate some concerns.


Conclusion
In summary, while mild, intermittent testicular pain may not always indicate a serious issue, it’s essential to remain vigilant and seek medical advice if the pain persists, worsens, or is accompanied by other concerning symptoms. Regular check-ups and open communication with your healthcare provider about any changes in your condition are key to maintaining reproductive health. If you have any doubts or if your symptoms change, don’t hesitate to reach out to a healthcare professional for further evaluation and peace of mind.

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