Testicular Pain: Causes and When to Seek Help

Testicular pain

Hello! I would like to ask about something.
Occasionally, after walking for a while, I feel some pain in my testicles.
What could be the reason for this? Is it because my underwear is too loose, or am I walking too fast? I remember during my military physical examination, the doctor mentioned some signs of venous dilation.
Could this be the cause? Which specialist should I see for this issue? Thank you!

james, 30~39 year old female. Ask Date: 2000/12/07

Dr. Lin Zhemin reply Surgery

Based on your description, it seems more like a varicocele, which is unrelated to underwear or walking too fast.
Surgical intervention can resolve this issue, and you can consult either a urologist or a general surgeon.

Reply Date: 2000/12/07

More Info

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, there are several factors that could contribute to the discomfort you experience after walking for a while.

Firstly, the pain could be related to physical activity. If you are walking briskly or for an extended period, it may lead to temporary discomfort in the testicles. This can be due to increased blood flow and pressure in the area, especially if you have tight or ill-fitting clothing. Loose-fitting underwear or pants can sometimes help alleviate this discomfort by reducing friction and allowing for better airflow.

Another possible cause of testicular pain is a condition known as varicocele, which is the enlargement of veins within the scrotum. This condition is similar to varicose veins that can occur in the legs. Varicoceles can cause a dull ache or discomfort, particularly after prolonged standing or physical activity. If you were informed about having signs of venous dilation during your military examination, this could indeed be related to your current symptoms.

In some cases, testicular pain can also be associated with other medical issues, such as epididymitis (inflammation of the epididymis), testicular torsion (a medical emergency where the spermatic cord becomes twisted), or hernias. Epididymitis often presents with swelling and tenderness in the testicle, while torsion typically causes severe, sudden pain and requires immediate medical attention.

Given your symptoms and the history of venous dilation, it would be advisable to consult a healthcare professional. The appropriate specialist to see for testicular pain is a urologist. Urologists specialize in the male reproductive system and urinary tract, and they can perform a thorough evaluation, which may include a physical examination and possibly an ultrasound to assess the blood flow and structure of the testicles.

When you visit the urologist, be prepared to discuss your symptoms in detail, including when the pain occurs, its intensity, any associated symptoms (such as swelling or changes in urination), and your medical history. This information will help the doctor determine the underlying cause of your discomfort and recommend appropriate treatment options.

In summary, while occasional testicular pain after physical activity can be benign, it’s essential to monitor the symptoms. If the pain persists, worsens, or is accompanied by other concerning symptoms, seeking medical advice is crucial. Early intervention can help address any underlying issues and provide peace of mind.

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