Left Testicular Pain: Causes and Management Tips - Urology

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Left testicular pain?


This morning, about 30 minutes after taking a shower, I started experiencing pain in my left testicle.
There is a painful sensation when I touch the area below the left testicle, and the pain also radiates to my left lower abdomen.
Pushing from below upwards is very painful, but pushing from above downwards doesn't hurt as much.
I would like to inquire about possible causes and management options.
Thank you.

Niming, 30~39 year old female. Ask Date: 2020/02/29

Dr. Du Shixi reply Urology


Hello: If the testicles are not swollen, not hard, and the skin is not red, it is mostly fine.
However, if any of these conditions are present, it is essential to seek medical attention.
Treatment is often necessary.
Wishing you good health.

Reply Date: 2020/02/29

More Info


Left testicular pain can be concerning and may arise from various causes, ranging from benign to more serious conditions. Understanding the potential reasons for this pain and how to manage it is crucial, especially when access to medical care is limited.


Possible Causes of Left Testicular Pain
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms typically include swelling, redness, and pain in the affected testicle.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. This condition requires immediate medical attention to prevent loss of the testicle.

3. Inguinal Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause pain in the groin and may extend to the testicle, especially when lifting or straining.

4. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins. It can cause a dull ache or discomfort in the testicle, often worsening with prolonged standing or physical activity.

5. Testicular Cancer: Although less common, testicular cancer can present as a lump or swelling in the testicle, accompanied by pain. It is essential to monitor any changes in the testicle's size or shape.

6. Trauma or Injury: Any recent injury to the groin or testicular area can lead to pain. This could be from sports, accidents, or other physical activities.


Management Tips
1. Rest and Ice: If the pain is mild and not associated with severe symptoms, resting and applying ice to the affected area can help reduce swelling and discomfort.

2. Over-the-Counter Pain Relief: Medications such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. However, be cautious with dosage and frequency.

3. Avoid Strenuous Activity: Until you have a clearer understanding of the cause of your pain, it’s wise to avoid heavy lifting or strenuous exercise that could exacerbate the condition.

4. Monitor Symptoms: Keep track of any changes in your symptoms. If the pain worsens, or if you experience additional symptoms such as swelling, fever, nausea, or vomiting, it is crucial to seek medical attention as soon as possible.

5. Self-Examination: Regular self-examinations of the testicles can help you become familiar with their normal size and shape, making it easier to notice any changes or abnormalities.


When to Seek Medical Attention
- Severe Pain: If the pain is sudden and severe, especially if accompanied by nausea or vomiting, seek emergency care immediately.

- Swelling or Redness: Any noticeable swelling, redness, or warmth in the testicle or surrounding area should be evaluated by a healthcare professional.

- Persistent Symptoms: If the pain persists for more than a few days or worsens, it is essential to consult a doctor, even if you are currently abroad.

In conclusion, while left testicular pain can stem from various causes, understanding the symptoms and management strategies is vital. If you find yourself in a situation where medical care is not readily available, take proactive steps to monitor your condition and seek help if necessary. Your health and well-being should always be a priority.

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