Right Testicular Discomfort: Causes and Concerns

Right testicular issue?

I apologize, but today from the time I woke up until I went to bed, my right testicle has been experiencing slight swelling and pain.
It's not severe pain, but I can definitely feel it.
I researched various testicular conditions online, and it doesn't seem to match the severe pain associated with testicular torsion.
Additionally, it has been more than a day, and there is no visible swelling.
When I touch it, I don't find any particularly painful spots; I only experience intermittent very mild swelling or aching sensations.
Could this be due to frequent masturbation, or is it related to prolonged sitting or standing? However, lying down does not provide any relief, and I still feel the discomfort.

Xiansheng, 20~29 year old female. Ask Date: 2020/02/16

Dr. Li Xinyi reply Urology

It should not be related to excessive masturbation, but it may be associated with prolonged sitting or standing, as the circulation in our pelvis is sometimes not optimal.
This can even lead to conditions such as varicocele, which can cause discomfort in the testicles.
It is advisable to avoid prolonged sitting or standing, stay well-hydrated, and at least get up to urinate and walk around.
The most concerning issue could be testicular torsion, which can lead to compromised arterial blood flow.
It is important to undergo an examination at a major hospital and discuss the findings with a physician.

Reply Date: 2020/02/16

More Info

Experiencing discomfort in the right testicle can be concerning, and it's important to understand the potential causes and when to seek medical attention. Based on your description, it seems you are experiencing mild, intermittent discomfort rather than severe pain, which is a good sign. However, it is still essential to consider various factors that could contribute to this sensation.

Possible Causes of Right Testicular Discomfort
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can cause pain and swelling in the affected testicle. Epididymitis can be caused by infections, including sexually transmitted infections (STIs), or non-infectious causes such as trauma or prolonged sitting.

2. Orchitis: This is inflammation of the testicle itself, which can occur due to viral or bacterial infections. Like epididymitis, it can cause discomfort and swelling.

3. Testicular Torsion: Although you mentioned that the pain is not severe, testicular torsion is a condition that requires immediate medical attention. It occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include sudden, severe pain, swelling, and sometimes nausea. Since you do not have these symptoms, torsion may be less likely, but it’s important to remain vigilant.

4. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort in the groin and testicular area, especially when standing or lifting heavy objects.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can lead to a feeling of heaviness or discomfort in the testicle. It is often described as a "bag of worms" sensation.

6. Trauma or Overuse: Frequent activities such as vigorous exercise, prolonged sitting, or even frequent masturbation can lead to discomfort due to muscle strain or irritation.

Recommendations
- Monitor Symptoms: Keep track of any changes in the discomfort, such as increased pain, swelling, or changes in the appearance of the testicle. If the discomfort persists or worsens, it is advisable to seek medical attention.

- Avoid Strain: If you suspect that prolonged sitting or standing may be contributing to your discomfort, try to take breaks and change positions frequently.

- Consult a Healthcare Provider: If the discomfort continues for more than a few days, or if you experience additional symptoms such as fever, nausea, or changes in urination, it is crucial to consult a healthcare provider. They may perform a physical examination and possibly order imaging studies or lab tests to determine the underlying cause.

- Self-Care: While waiting for an appointment, consider wearing supportive underwear to reduce discomfort and avoid activities that may exacerbate the pain.

Conclusion
While mild testicular discomfort can often be benign, it is essential to remain vigilant and consult a healthcare provider if symptoms persist or worsen. Early diagnosis and treatment can prevent potential complications and provide peace of mind. Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to symptoms related to the reproductive system.

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