Testicular Pain: Causes and When to Seek Help - Urology

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Testicular pain can be a concerning symptom, and it’s important to understand the potential causes and when to seek medical help. Based on your description, it seems you experienced pain in your right testicle after masturbation, followed by some swelling in the area. While it’s good to hear that the pain has decreased, it’s essential to consider several factors regarding testicular pain.

Common Causes of Testicular Pain:
1. Epididymitis: This is an inflammation of the epididymis, often caused by infections, including sexually transmitted infections (STIs). Symptoms can include swelling, pain, and sometimes fever.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include sudden, severe pain, swelling, and sometimes nausea. If you suspect torsion, it’s crucial to seek immediate medical attention, as it can lead to loss of the testicle if not treated promptly.

3. Inguinal Hernia: This occurs when tissue protrudes through a weak spot in the abdominal muscles. It can cause discomfort and pain in the groin or testicular area, especially when lifting or straining.

4. Trauma or Injury: Any direct injury to the testicles can cause pain and swelling. This could be from sports, accidents, or even vigorous sexual activity.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, often described as a "heavy" feeling.

6. Testicular Cancer: While less common, persistent pain or swelling in the testicle can be a sign of testicular cancer. It’s important to monitor for any lumps or changes in size.

When to Seek Help:
Given your symptoms, it’s advisable to consult a healthcare professional, especially if you notice any of the following:
- Persistent or worsening pain
- Swelling that does not subside
- Changes in the size or shape of the testicle
- Accompanying symptoms like fever, nausea, or vomiting
- Any discharge or unusual symptoms in the genital area
What to Expect During a Medical Evaluation:
When you visit a healthcare provider, they will likely perform a physical examination and may order tests such as:
- Ultrasound: This imaging test can help visualize the blood flow to the testicle and identify any abnormalities, such as torsion or masses.

- Urinalysis: This can help identify any infections or other issues related to the urinary tract.

- Blood tests: These may be conducted to check for signs of infection or other underlying conditions.

Conclusion:
While it’s possible that your symptoms may resolve on their own, it’s crucial to err on the side of caution when it comes to testicular pain. Given the potential seriousness of conditions like testicular torsion, it’s best to seek medical attention to rule out any serious issues. Early diagnosis and treatment can make a significant difference in outcomes, especially in cases of torsion or infection. Remember, your health is paramount, and it’s always better to be safe and get checked by a professional.