Testicular Pain: When to Seek Urology Care

Q: Testicular Pain: When to Seek Urology Care

Hello： Checking fertility may require a semen analysis, depending on the physician's perspective. <br>If I bring this up with the doctor, will they think I'm just looking for trouble? No, most doctors have empathy and will understand.

Please confirm if it is normal?

I was hit by a careless classmate, and the pain started in my testicles, then radiated to my abdomen, creating a dull, aching sensation.
I understand that even if there is an issue, it may be too late to address it now, but I still want to know if a doctor would use an ultrasound to check my fertility.
Additionally, if I explain this situation to the doctor, would they think I'm just looking for trouble out of boredom?

Wang, 20~29 year old female. Ask Date: 2017/03/19

Dr. Du Shixi reply Urology

Hello: Checking fertility may require a semen analysis, depending on the physician's perspective.
If I bring this up with the doctor, will they think I'm just looking for trouble? No, most doctors have empathy and will understand.

Reply Date: 2017/03/19

More Info

Testicular pain can be a concerning symptom, and it’s important to understand when to seek medical care, particularly from a urologist. Based on your description, it seems that you experienced acute pain in the testicles following a physical impact. This type of pain can be caused by various factors, including trauma, inflammation, or even issues related to the reproductive system.

When you experience testicular pain, especially after an injury, it’s crucial to monitor the symptoms closely. If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, or fever, you should seek medical attention promptly. In some cases, testicular torsion, which is a surgical emergency, can present with severe pain and requires immediate intervention.
Regarding your question about fertility assessments, urologists often use ultrasound as a diagnostic tool to evaluate the testicles and surrounding structures. An ultrasound can help identify issues such as varicoceles (enlarged veins in the scrotum), cysts, or tumors. Additionally, a urologist may recommend semen analysis to assess sperm count, motility, and morphology, which are essential factors in evaluating male fertility.

It’s understandable to feel apprehensive about discussing your symptoms with a doctor, especially if you worry about being perceived as a nuisance. However, medical professionals are trained to take all patient concerns seriously, regardless of the perceived severity of the issue. It’s important to communicate openly about your symptoms and any concerns you have regarding fertility. A good physician will appreciate your proactive approach to your health and will conduct a thorough evaluation based on your symptoms.

In summary, if you experience testicular pain, especially after trauma, it’s advisable to consult a urologist. They can perform the necessary examinations, including ultrasound and semen analysis, to determine if there are any underlying issues affecting your reproductive health. Remember, your health concerns are valid, and seeking medical advice is a responsible action. Don’t hesitate to reach out to a healthcare provider for guidance and support.

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