Pressing on the testicles can cause sharp pain in the lower abdomen?
Hello doctor, I suddenly noticed that when I gently press on my left testicle, I experience a sharp pain in my lower left abdomen.
What could be the cause of this?
Niming, 20~29 year old female. Ask Date: 2020/04/03
Dr. Du Shixi reply Urology
Hello: Regarding the pain situation, if it is mild, it may improve quickly and could be related to minor neurovascular issues.
However, if the pain is severe, persists even with pressure relief, or if there is redness of the skin, medical attention should be sought.
Wishing you good health.
Reply Date: 2020/04/03
More Info
Experiencing sharp pain in the lower abdomen when pressing on the testicle can be concerning, and it's essential to understand the potential causes and implications of such symptoms. The relationship between the testicles and the lower abdomen is significant, as they share nerve pathways and anatomical connections. Here are some possible explanations for the pain you are experiencing:
1. Referred Pain: The testicles and the lower abdomen are innervated by the same nerve roots, specifically the ilioinguinal nerve and the genitofemoral nerve. This means that pain originating from the testicles can sometimes be felt in the lower abdomen. Conditions affecting the testicles, such as inflammation or infection, can lead to referred pain in the lower abdominal region.
2. Epididymitis: This is an inflammation of the epididymis, the tube that stores and carries sperm. It can cause pain in the testicle and may also lead to lower abdominal discomfort. Epididymitis is often caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs).
3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain in the testicle and may also cause referred pain to the lower abdomen. If you experience severe pain, swelling, or nausea, seek immediate medical attention.
4. 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 discomfort or pain in the lower abdomen and may be exacerbated by pressure on the testicles.
5. Varicocele: This is an enlargement of the veins within the scrotum, which can lead to a dull ache or discomfort in the testicles and lower abdomen. While it may not cause sharp pain, it can contribute to a feeling of heaviness or discomfort.
6. Testicular Tumors: Although less common, tumors in the testicle can cause pain and discomfort. If you notice any lumps, changes in size, or persistent pain, it is crucial to consult a healthcare professional for evaluation.
7. Nerve Irritation: Sometimes, nerve irritation or compression in the lower back or pelvis can lead to pain that radiates to the testicles and lower abdomen. Conditions such as a herniated disc or sciatica may contribute to this type of pain.
Given your symptoms, it is essential to monitor the pain closely. If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or nausea, it is crucial to seek medical attention promptly. A healthcare provider may perform a physical examination, imaging studies, or laboratory tests to determine the underlying cause of your pain and recommend appropriate treatment.
In the meantime, avoid any activities that exacerbate the pain, and consider using supportive underwear to help alleviate discomfort. Stress and anxiety can also contribute to physical symptoms, so practicing relaxation techniques, such as deep breathing or mindfulness, may help manage any associated anxiety.
In summary, while there are several potential causes for sharp pain in the lower abdomen when pressing on the testicle, it is essential to consult a healthcare professional for a thorough evaluation and appropriate management. Early diagnosis and treatment can help prevent complications and ensure your overall health and well-being.
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