Discomfort in the Lower Abdomen and Testicular Area

Discomfort in the lower abdomen and testicular discomfort?

Hello, doctor.
A few days ago, while sitting in the office, I experienced some discomfort in my scrotum, which I believe was due to my sitting posture.
I later noticed that if I pressed a certain area or positioned my left scrotum in a specific way, it would trigger some pain and discomfort.
Whether sitting or walking, certain positions would elicit this sensation.
At first, I didn't think much of it, but the next day, while the situation improved somewhat, the pain did not completely go away.
I found that I needed to squeeze the left side to feel discomfort, which then radiated to my lower abdomen (around the area between the bladder and the navel).
Pressing on this area made the discomfort more pronounced, and I also experienced some nausea.
After researching, I became quite anxious about the possibility of a varicocele.
I hope you can provide some answers or advice.
Additionally, I am unsure if the following situations are related: 1.
Since I can remember, my left testicle has been larger than the right, and I can clearly feel the size difference when I palpate them.
2.
I have been masturbating more than 5 to 6 times a week for an extended period.

Lin, 20~29 year old female. Ask Date: 2018/12/06

Dr. Du Mingyi reply Urology

Yes, typically it is varicocele.
If that is the case, surgical treatment is required.
Having one testicle larger than the other is normal and does not affect fertility.

Reply Date: 2018/12/06

More Info

Understanding discomfort in the lower abdomen and testicular area can be concerning, especially when accompanied by specific symptoms. Based on your description, it seems that you are experiencing discomfort localized to the left side of your scrotum, which radiates to the lower abdomen, particularly around the area between your bladder and navel. This discomfort appears to be position-dependent and is exacerbated by pressure on the left side of the scrotum.

There are several potential causes for the symptoms you are experiencing. One possibility is varicocele, which is a condition characterized by the enlargement of veins within the scrotum. This condition is often described as similar to varicose veins in the legs and can lead to discomfort, especially when sitting or standing for prolonged periods. The fact that you have noted a size difference between your testicles (left larger than right) could be indicative of a varicocele, as this condition is more commonly found on the left side due to anatomical differences in venous drainage.

Another potential cause could be epididymitis, which is inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can cause pain and discomfort in the scrotal area and may also lead to referred pain in the lower abdomen. Epididymitis can be caused by infections, including sexually transmitted infections, or can occur due to non-infectious causes such as trauma or prolonged sitting.

Your symptoms of nausea and increased discomfort with pressure may also suggest the possibility of inguinal hernia, where tissue protrudes through a weak spot in the abdominal muscles. This can lead to discomfort in the lower abdomen and scrotum, especially when straining or lifting.

Given that you mentioned a history of frequent masturbation (5-6 times a week), it is worth noting that excessive sexual activity can sometimes lead to temporary discomfort or soreness in the genital area, but it is less likely to be the primary cause of your symptoms.

In terms of immediate steps, it is advisable to avoid any activities that exacerbate your discomfort and to monitor your symptoms closely. If the pain worsens, becomes persistent, or is accompanied by other symptoms such as fever, swelling, or changes in urination, it is crucial to seek medical attention promptly. A healthcare provider may perform a physical examination and possibly order imaging studies, such as an ultrasound, to assess the scrotum and surrounding structures for any abnormalities.

In summary, while your symptoms could be related to several conditions, including varicocele, epididymitis, or an inguinal hernia, a definitive diagnosis can only be made through a clinical evaluation. It is essential to consult with a healthcare professional who can provide a thorough assessment and appropriate management based on your specific situation.

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