Left Testicular Pain: Causes and When to Seek Help - Urology

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Left testicular pain?


Hello doctor, I have pain in my left testicle, which indirectly affected my left thigh as well.
However, after some time, the pain in my left thigh has subsided, but the pain in my left testicle persists.
Could this situation indicate epididymitis, or is it simply testicular torsion? Do I need to go to the hospital for further examination? Thank you!

Liu Xiaodi, 20~29 year old female. Ask Date: 2018/11/30

Dr. Du Shixi reply Urology


Hello: Is it orchitis, or is it just testicular torsion? It is important to seek medical examination, but it is mostly caused by nerve or vascular issues.
A medical evaluation is necessary for proper diagnosis.
Wishing you good health.

Reply Date: 2018/11/30

More Info


Left testicular pain can be a concerning symptom, and it’s important to understand the potential causes and when to seek medical help. The testicles are sensitive organs, and pain in this area can arise from various conditions, some of which may require immediate attention.

One common cause of left testicular pain is epididymitis, which is inflammation of the epididymis, the tube that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms often include swelling, redness, and tenderness in the affected testicle, and sometimes fever or discharge from the penis.

Another potential cause is orchitis, which is inflammation of the testicle itself. This can occur due to viral infections, such as mumps, or bacterial infections. Similar to epididymitis, orchitis can present with swelling, pain, and sometimes systemic symptoms like fever.

Testicular torsion is another serious condition that can cause acute testicular pain. It occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition is a medical emergency and requires immediate surgical intervention to prevent permanent damage to the testicle. Symptoms typically include sudden, severe pain in one testicle, swelling, and sometimes nausea or vomiting.

In your case, you mentioned that the pain in your left testicle is affecting your left thigh as well. This could be due to referred pain, where pain is perceived in a different location than its source. The nerves that supply the testicles also supply the groin and inner thigh, which can lead to discomfort in these areas when there is an issue with the testicle.

Given that the pain persists in your left testicle while the thigh pain has subsided, it is advisable to seek medical attention. A healthcare provider will likely perform a physical examination and may order an ultrasound of the scrotum to assess for conditions like epididymitis, orchitis, or torsion. They may also check for signs of infection or other underlying issues.

In summary, left testicular pain can arise from various causes, including infections, inflammation, or torsion. Given the potential seriousness of some of these conditions, especially testicular torsion, it is crucial to seek medical evaluation promptly. Early diagnosis and treatment can prevent complications and ensure the best possible outcome. If you experience sudden severe pain, swelling, or any systemic symptoms like fever, do not hesitate to go to the emergency room.

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