Right Testicular Pain: Causes and When to Seek Help

Q: Right Testicular Pain: Causes and When to Seek Help

Hello： It is better for you to seek medical examination, as there is more intense pain during the blood draw. <br>Wishing you good health.

Right testicular pain?

Hello Doctor: Yesterday, after spending the whole day out, I noticed that my right testicle started to have intermittent sharp pains while I was on the bus.
Initially, the pain was more intense and seemed to coincide with the bumps of the vehicle, appearing and disappearing.
This situation has continued into today, with occasional sharp pains that last only a moment.
During these episodes, I also feel pain in my right abdomen, but it only lasts for that brief moment.
I have done some research on my own and wonder if it could be due to dehydration or possibly a stone causing this pain, but my urination has been normal.
Alternatively, I have been masturbating more frequently over the past few days, almost daily, and even twice a day a couple of days ago.
Should I wait a few days to see if it resolves, or would it be better to seek medical attention promptly?

Tin, 20~29 year old female. Ask Date: 2017/08/12

Dr. Du Shixi reply Urology

Hello: It is better for you to seek medical examination, as there is more intense pain during the blood draw.
Wishing you good health.

Reply Date: 2017/08/12

More Info

Understanding right testicular pain can be quite complex, as it can stem from various causes, some of which may require immediate medical attention. Based on your description, it seems that you experienced sudden, intermittent pain in your right testicle, which can be concerning.
First and foremost, it's important to recognize that testicular pain can arise from several potential sources, including but not limited to:
1. Epididymitis: This is an inflammation of the epididymis, often caused by infections, including sexually transmitted infections. Symptoms typically include swelling, redness, and pain in the affected testicle.

2. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. This condition requires immediate surgical intervention.

3. Inguinal hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort or pain in the groin or testicle, especially when lifting or straining.

4. Kidney stones: While you mentioned that urination is normal, kidney stones can still cause referred pain to the testicles, particularly if they are located in the ureter. The pain can be sharp and come in waves.

5. Trauma or strain: Physical activity, especially if it involves heavy lifting or straining, can lead to pain in the testicular area.

6. Nerve-related pain: Sometimes, nerve irritation or compression in the lower back can manifest as testicular pain.

Given that your pain is intermittent and associated with movement (like the bumps from the bus), it could potentially be related to a less serious issue, such as a muscular strain or minor nerve irritation. However, the fact that the pain radiates to your right abdomen is noteworthy and could indicate a more significant underlying issue.

Regarding your concerns about dehydration and frequent masturbation, while dehydration can contribute to kidney stones, it is less likely to be the sole cause of your symptoms, especially if you are urinating normally. Frequent masturbation is generally not harmful, but if it leads to discomfort or pain, it might be worth moderating your frequency.

In terms of seeking medical attention, it is advisable to err on the side of caution. If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or changes in urination, you should see a healthcare provider promptly. A thorough examination, including a physical exam and possibly an ultrasound, can help determine the cause of your pain and guide appropriate treatment.

In summary, while your symptoms may not immediately suggest a severe condition, it is crucial to monitor them closely. If you experience any worsening of symptoms or new symptoms arise, do not hesitate to seek medical attention. Early intervention can be key in addressing potential issues effectively.

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