Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Hello： There are many possible causes for testicular issues, most of which are of neuromuscular origin. <br>However, the testicles should not feel hard; it is advisable to seek medical attention for a proper examination by a physician. <br>Wishing you good health.

Testicular pain

If one testicle feels hard, it could be due to several potential causes, including testicular torsion, epididymitis, or a testicular tumor.
It is important to consult a healthcare professional for a proper evaluation and diagnosis.
Thank you.

Ding Ding, 10~19 year old female. Ask Date: 2018/08/29

Dr. Du Shixi reply Urology

Hello: There are many possible causes for testicular issues, most of which are of neuromuscular origin.
However, the testicles should not feel hard; it is advisable to seek medical attention for a proper examination by a physician.
Wishing you good health.

Reply Date: 2018/08/29

More Info

Testicular pain can be a concerning symptom, and it is important to understand the potential causes and when to seek medical help. The testicles are sensitive organs, and any discomfort or abnormality, such as hardness in one testicle, should be evaluated by a healthcare professional.

There are several potential causes of testicular pain and hardness, including:
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can be caused by infections, often sexually transmitted infections (STIs) like chlamydia or gonorrhea, or by non-infectious causes such as trauma.

2. Orchitis: This is an inflammation of the testicle itself, which can occur due to viral infections (like mumps) or bacterial infections. Orchitis can cause swelling, pain, and tenderness in the affected testicle.

3. 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. Testicular torsion requires immediate surgical intervention to save the testicle.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause discomfort in the groin and may extend to the testicles.

5. Varicocele: This is a condition characterized by enlarged veins within the scrotum, similar to varicose veins. It can cause a dull ache or discomfort and may lead to fertility issues.

6. Tumors: Testicular cancer is less common but can present as a hard lump or swelling in the testicle. Other symptoms may include a feeling of heaviness in the scrotum or changes in the size or shape of the testicle.

7. Trauma: Any injury to the testicles can cause pain and swelling. This can happen during sports or accidents.

When to Seek Help:
It is crucial to seek medical attention if you experience any of the following symptoms:
- Sudden and severe testicular pain
- Swelling or a noticeable lump in the testicle
- Pain accompanied by nausea or vomiting
- Changes in the size or shape of the testicle
- Fever or chills, which may indicate an infection
In conclusion, if you notice that one of your testicles feels hard or if you experience any pain, it is essential to consult a healthcare provider. They will perform a physical examination and may order imaging tests, such as an ultrasound, to determine the underlying cause of your symptoms. Early diagnosis and treatment are vital to prevent complications and ensure the best possible outcome. Remember, it is always better to err on the side of caution when it comes to your health.

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