Right Testicular Discomfort: Possible Causes and Insights

Discomfort in the right testicle?

Hello, I started experiencing a slight pressure sensation (without pain) in my right testicle from last Friday night until this Monday.
From Tuesday to Thursday, I felt pressure along with occasional mild sharp pains, and sometimes it felt like my testicle was moving.
By Thursday night until now, the intermittent mild sharp pains have almost disappeared, but it still feels like my testicle is constantly moving.
Although there is no pain, it feels a bit uncomfortable and restless.
When I palpate the inner skin and perform the cremasteric reflex, there is a more pronounced response on the right side only.
Additionally, my semen has semi-transparent particles or short strands (which turn milky white and sticky after washing) and some of it does not liquefy even after half an hour [this has been happening for about a year, although sometimes it is normal].
I have researched online, but it seems that my symptoms do not match (the testicle does not feel hard, there are no varicocele bulges, any discomfort or pain is only mild, there is no sensation when supporting the testicle, and there are no feelings of nausea or vomiting, nor any abnormalities in urination).
Therefore, I would like to ask the doctor what the possible issues could be.

Niming, 20~29 year old female. Ask Date: 2020/03/06

Dr. Li Xinyi reply Urology

Discomfort in the pelvis among young men is quite common and can be difficult to diagnose.
For instance, varicocele may not be visible, but it is sometimes detected through ultrasound.
Male pelvic circulation is generally not very good, so it is recommended to avoid prolonged sitting or standing, drink plenty of water, and take breaks to walk to the restroom.
Additionally, you can search on YouTube for pelvic floor exercises, such as Kegel exercises or squats.
Most importantly, if there are any issues, it is essential to consult a urologist for evaluation and discussion with a physician.

Reply Date: 2020/03/06

More Info

Understanding discomfort in the right testicle can be concerning, and it's important to consider various potential causes. Based on your description, you are experiencing a range of sensations, including pressure, occasional mild pain, and a feeling of movement in the testicle. Additionally, you mentioned some changes in your semen consistency, which can also be relevant to your symptoms.

Firstly, it’s essential to note that testicular discomfort can arise from various conditions, some of which may require medical attention. Here are some possible causes for your symptoms:
1. Epididymitis: This is an inflammation of the epididymis, which is the tube that stores and carries sperm. It can cause discomfort, swelling, and changes in sensation in the testicle. Epididymitis can be caused by infections, including sexually transmitted infections, or non-infectious factors.

2. Testicular Torsion: Although you mentioned that you do not have severe pain, testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, which can cut off blood supply to the testicle. It usually presents with sudden, severe pain, but in some cases, it can start with mild discomfort.

3. Varicocele: This condition involves the enlargement of veins within the scrotum and can lead to a feeling of heaviness or discomfort in the affected testicle. It is often described as a "bag of worms" upon examination.

4. Hydrocele: This is a fluid-filled sac surrounding the testicle that can cause swelling and discomfort. It is usually painless but can lead to a feeling of heaviness.

5. Inguinal Hernia: Sometimes, a hernia can cause discomfort in the groin or testicular area. It occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles.

6. Testicular Cancer: While less common, testicular cancer can present with discomfort or changes in the testicle. It is crucial to monitor any changes in size, shape, or consistency.

7. Semen Quality Issues: The changes you noted in your semen, such as the presence of translucent particles and delayed liquefaction, could indicate an underlying issue with sperm production or a possible infection.
Given your symptoms, it is advisable to seek a consultation with a healthcare provider, preferably a urologist. They can perform a physical examination, possibly including an ultrasound of the scrotum, to assess for any abnormalities. Additionally, they may recommend tests such as a urinalysis or semen analysis to evaluate for infections or other issues.

In the meantime, it is essential to monitor your symptoms closely. If you experience any sudden changes, such as severe pain, swelling, or systemic symptoms like fever, you should seek immediate medical attention.
In conclusion, while your symptoms may not currently indicate a severe condition, it is crucial to have a professional evaluation to rule out any significant issues and to provide peace of mind. Early diagnosis and treatment can help address any underlying problems effectively.

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