Testicular Pain: Causes and When to See a Doctor

Testicular issues

Hello Doctor: Recently, I have been experiencing occasional pain at the bottom of my right testicle.
The first noticeable discomfort occurred while I was walking, especially when my right foot hit the ground, which made it more uncomfortable.
I'm not sure if this is due to switching to looser underwear for exercise or if it's caused by daily masturbation.
The pain improves after resting, but I'm unsure if I need to see a doctor.

Niming, 10~19 year old female. Ask Date: 2021/01/10

Dr. Li Xinyi reply Urology

It seems that the reasons you mentioned may not be very relevant.
The greatest concern is the possibility of testicular torsion.
If the symptoms persist, it is advisable to promptly visit a urology department at a major hospital for an examination.

Reply Date: 2021/01/10

More Info

Testicular pain can be concerning, and it’s important to understand the potential causes and when to seek medical attention. Based on your description of pain in the bottom of your right testicle, especially when walking or putting pressure on that side, there are several possibilities to consider.

Possible Causes of Testicular Pain
1. Injury or Trauma: If you have recently engaged in physical activity or experienced any trauma to the area, this could lead to pain. Even minor injuries can cause discomfort.

2. 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 non-infectious causes. Symptoms often include swelling, redness, and pain in the affected testicle.

3. Testicular Torsion: This is a serious condition where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain and requires immediate medical attention.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause discomfort in the groin or testicular area, especially when straining or lifting.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, particularly after prolonged standing or physical activity.

6. Hydrocele: This is a fluid-filled sac around a testicle that can cause swelling and discomfort. It is usually painless but can cause a feeling of heaviness.

7. Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the lower back or abdomen.

When to See a Doctor
Given that you are experiencing pain, it is advisable to consult a healthcare professional, especially if:
- The pain is severe or worsening.

- You notice swelling or redness in the scrotum.

- There are accompanying symptoms such as fever, nausea, or vomiting.

- You experience changes in urination or any unusual discharge.

Self-Care and Management
In the meantime, there are some self-care measures you can take:
- Rest: Avoid activities that exacerbate the pain, such as heavy lifting or vigorous exercise.

- Ice: Applying a cold pack to the area can help reduce swelling and discomfort.

- Support: Wearing supportive underwear can alleviate discomfort during physical activities.

- Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain.

Conclusion
While some cases of testicular pain may resolve on their own, it’s crucial to err on the side of caution. Given the potential for serious conditions like testicular torsion or epididymitis, seeking medical evaluation is recommended to rule out any serious issues and receive appropriate treatment. Your health is important, and a healthcare provider can offer guidance tailored to your specific situation.

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