Intermittent Left Testicular Pain: Causes and Concerns - Urology

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Intermittent left testicular pain can be concerning, and it’s important to consider various potential causes. Based on your description, the pain is not constant but rather intermittent, resembling a pulling sensation that radiates from the left groin to the inner thigh, particularly noticeable when sitting. The absence of swelling or changes in the size of the testicle is also a significant detail.

One of the primary concerns with testicular pain is testicular torsion, which is a medical emergency. Testicular torsion occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition typically presents with sudden, severe pain and often swelling. However, torsion usually does not present as intermittent pain and is often accompanied by other symptoms such as nausea or vomiting. Given that your pain is intermittent and not accompanied by swelling, torsion may be less likely, but it cannot be completely ruled out without a clinical examination.

Another possibility is epididymitis, which is inflammation of the epididymis, often caused by infection. You mentioned having experienced epididymitis two years ago, and it’s possible for this condition to recur. Symptoms of epididymitis can include pain, swelling, and tenderness in the affected testicle, and it may also cause discomfort in the groin area. If the pain is similar to what you experienced previously, it could indeed be a recurrence of epididymitis.
Inguinal hernias can also cause intermittent pain in the groin and testicular area. A hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can lead to discomfort, especially when sitting or straining. If you notice a bulge in the groin area or if the pain worsens with physical activity, this could be a potential cause.

Muscle strain or nerve irritation can also lead to referred pain in the testicular area. If you have been sitting for prolonged periods, it’s possible that muscle tension or nerve compression in the lower back or pelvis could be contributing to your symptoms.
Given your history of epididymitis and the nature of your symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation. A physical examination, possibly including an ultrasound of the scrotum, can help determine the cause of your pain. This imaging can help identify conditions such as torsion, epididymitis, or hernias.

In summary, while testicular torsion is a serious concern, your symptoms may be more consistent with epididymitis, an inguinal hernia, or musculoskeletal issues. It is essential to seek medical attention to ensure a proper diagnosis and appropriate treatment. Early intervention can prevent complications and provide relief from your symptoms.