Testicular Pain: Causes and When to Seek Help - Urology

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Testicular issues


Recently, after being intimate with my girlfriend, I've experienced pain in my left testicle for two consecutive days, and there's a lump at the back (could it possibly be a blood clot?).
Previously, I would feel pain when the prostate was touched.

Xie, 20~29 year old female. Ask Date: 2016/12/31

Dr. Du Shixi reply Urology


Hello: Start with a light diet and drink plenty of water (urine should be light in color).
Avoid alcohol and spicy foods.
Take a daily walk for half an hour, but avoid intense exercise.
Additionally, you should visit a doctor for a medical examination.

Reply Date: 2016/12/31

More Info


Testicular pain can be a concerning symptom, especially when accompanied by swelling or lumps. It is essential to understand the potential causes and when to seek medical attention.
There are several possible causes of testicular pain, including:
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 (STIs) or urinary tract infections (UTIs). Symptoms may include swelling, redness, and pain in the affected testicle.

2. Orchitis: This is an inflammation of one or both testicles, often caused by viral infections (such as mumps) or bacterial infections. Symptoms can include swelling, tenderness, and pain.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms typically include sudden, severe pain, swelling, and nausea. Immediate medical attention is crucial to save the testicle.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause pain in the groin or testicular area, especially when lifting or straining.

5. Trauma or Injury: Any direct injury to the testicles can cause pain and swelling. This could be from sports, accidents, or other physical activities.

6. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, particularly after prolonged standing or physical activity.

7. Tumors: While less common, testicular tumors can present as a lump or swelling in the testicle, often accompanied by pain.
Given your symptoms of pain in the left testicle and the presence of a lump, it is crucial to seek medical attention promptly. While it is possible that the lump could be a blood clot or a result of trauma, it could also indicate a more serious condition that requires immediate evaluation.
When you visit a healthcare provider, they will likely perform a physical examination and may order imaging tests, such as an ultrasound, to assess the condition of the testicles and surrounding structures. They may also conduct laboratory tests to check for infections or other underlying issues.

In summary, testicular pain should not be ignored, especially when accompanied by swelling or lumps. It is essential to seek medical help to determine the underlying cause and receive appropriate treatment. Early intervention can prevent complications and ensure better outcomes. If you experience severe pain, swelling, nausea, or any other concerning symptoms, do not hesitate to go to the emergency room. Your health and well-being are paramount, and timely medical care is crucial in addressing potential issues related to testicular pain.

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