Left Scrotal Pain: When to Seek Medical Attention - Urology

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Left scrotal pain?


Hello, Doctor.
I would like to ask about something that happened about an hour ago.
While I was lying in bed resting, I suddenly felt a sharp pain in the left side of my scrotum or testicle.
It seemed like it was just a pain from my pubic hair being pulled, but I'm not entirely sure.
After adjusting my underwear, it might have been caused by the underwear pulling on the pubic hair, but I can no longer pinpoint the source of the pain, and I currently feel no pain at all.
Do you think I need to see a doctor, or is this an overreaction? Additionally, is there a need to trim pubic hair if it grows on the scrotum? Lastly, I would like to know what kind of pain typically warrants a doctor's visit.
Thank you, Doctor!

Niming, 20~29 year old female. Ask Date: 2017/08/22

Dr. Du Shixi reply Urology


Hello: If there is no pain, it is recommended to observe first and avoid trimming pubic hair.
If the pain persists (occurring several times a week), you should see a doctor.
Wishing you good health.

Reply Date: 2017/08/22

More Info


When it comes to left scrotal pain, it's essential to approach the situation with caution, even if the pain seems to have resolved itself. Scrotal pain can arise from various causes, ranging from benign issues to more serious conditions that may require immediate medical attention.
In your case, you experienced a sudden, sharp pain in the left scrotum or testicle while resting, which then subsided after adjusting your underwear. This type of pain could potentially be attributed to a few common causes:
1. Muscle Strain or Pull: Sometimes, a sudden movement or awkward position can lead to a strain in the muscles or ligaments around the groin area, which may cause temporary discomfort.

2. Nerve Irritation: The sensation of pain could also be due to irritation of the nerves that supply the scrotal area. This can happen if there is pressure on the nerves from tight clothing or an awkward position.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include severe, sudden pain, swelling, and sometimes nausea. If you had persistent pain, especially if it worsened, this would warrant immediate medical attention.

4. Epididymitis or Orchitis: Inflammation of the epididymis (epididymitis) or testicle (orchitis) can cause pain and swelling. These conditions often present with additional symptoms such as fever or discharge.

5. Hernia: An inguinal hernia can also cause pain in the scrotal area, especially if there is a bulge or discomfort when lifting or straining.

Given that your pain has resolved and you currently have no discomfort, it may not be necessary to seek immediate medical attention. However, it is crucial to monitor your symptoms. If you experience any of the following, you should seek medical care promptly:
- Persistent or worsening pain
- Swelling or redness in the scrotal area
- Nausea or vomiting
- Fever
- Changes in urination or discharge
Regarding your question about grooming, if you find that the hair in the scrotal area is causing discomfort or irritation, trimming may be beneficial. However, be cautious when grooming to avoid cuts or irritation, as the skin in that area is sensitive.

In summary, while your current lack of pain may suggest that there is no immediate concern, it is essential to remain vigilant for any changes. If you experience any alarming symptoms, do not hesitate to seek medical attention. It’s always better to err on the side of caution when it comes to health matters, especially in sensitive areas like the scrotum.

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