Testicular Pain After a Date: Causes and Solutions - Urology

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Testicular pain can be a concerning symptom, especially when it arises suddenly and is accompanied by other sensations, such as the presence of a lump or swelling. Based on your description, it seems that you experienced discomfort in your left testicle after a date, which was exacerbated by physical activity and possibly sexual arousal. You also noted the presence of a small round mass above the testicle that caused pain upon touch but disappeared after ejaculation.

There are several potential causes for testicular pain and the sensation of a lump, and it's essential to consider these possibilities:
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). Symptoms often include swelling, pain, and sometimes fever.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain and swelling. If you experience this, it requires immediate medical attention.

3. Hernia: An inguinal hernia can cause pain in the groin and testicular area, especially during physical activity. It occurs when tissue protrudes through a weak spot in the abdominal muscles.

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

5. Hydrocele: This is a fluid-filled sac around a testicle that can cause swelling and discomfort.

6. Testicular Tumors: Although less common, any new lump in the testicle should be evaluated to rule out tumors, which can be benign or malignant.

Given that you experienced a lump that resolved after ejaculation, it could be related to temporary swelling or congestion in the area, possibly due to increased blood flow during arousal. However, the fact that you felt pain and had a noticeable mass warrants further investigation.


Recommendations:
1. Seek Medical Attention: It is advisable to consult a healthcare professional, preferably a urologist, to evaluate your symptoms. They may perform a physical examination and possibly an ultrasound to assess the testicle and surrounding structures.

2. Avoid Self-Diagnosis: While some conditions may resolve on their own, others can lead to complications if left untreated. A healthcare provider can help determine the exact cause of your symptoms.

3. Monitor Symptoms: Keep track of any changes in your symptoms, such as the size of the lump, the intensity of the pain, or any new symptoms like fever or changes in urination.

4. Avoid Strain: Until you can see a doctor, try to avoid activities that may exacerbate the pain, such as heavy lifting or vigorous exercise.

5. Educate Yourself: Understanding your body and recognizing changes is crucial. If you notice any persistent lumps, pain, or changes in your testicles, do not hesitate to seek medical advice.

In summary, while your symptoms may resolve, it is essential to have them evaluated by a medical professional to rule out any serious conditions. Early diagnosis and treatment can prevent complications and ensure your overall health.