Left testicular pain, lower back pain, left lower abdominal pain?
Hello, Doctor: On Sunday, March 14th, I went out to exercise in the evening and everything was normal.
The next morning, I started experiencing lower abdominal pain, pain when touching my testicles, and a dull pain in my penis while urinating.
Recently, my semen has been light yellow during masturbation, and I have not had sexual intercourse in the past three months.
I would like to inquire about this, thank you!
Nìmíng, 20~29 year old female. Ask Date: 2021/03/16
Dr. Du Shixi reply Urology
Hello: If you are experiencing persistent pain, please seek medical evaluation, as differential diagnosis may be necessary.
Wishing you good health.
Reply Date: 2021/03/16
More Info
Left testicular pain and lower abdominal discomfort can be concerning symptoms that may indicate a variety of underlying conditions. Given your description, it’s essential to consider several potential causes and the appropriate steps for diagnosis and treatment.
Firstly, the pain you are experiencing in the left testicle and lower abdomen could be related to several conditions, including but not limited to:
1. Epididymitis: This is an inflammation of the epididymis, which is the tube that carries sperm from the testicle. It can cause pain in the testicle and may be associated with urinary symptoms. Epididymitis can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs).
2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. It typically presents with sudden, severe pain in the testicle and requires immediate surgical intervention.
3. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort in the lower abdomen and may also lead to testicular pain.
4. Varicocele: This is an enlargement of the veins within the scrotum and can cause a dull ache or discomfort in the testicle, particularly after physical activity.
5. Urinary Tract Infection (UTI): Symptoms of a UTI can include pain during urination, a feeling of pressure in the lower abdomen, and discomfort in the genital area.
6. Prostatitis: Inflammation of the prostate gland can cause pelvic pain, discomfort during urination, and pain in the testicles.
Given that you mentioned the presence of a yellowish discharge during masturbation, this could indicate an infection, such as epididymitis or a sexually transmitted infection. It’s crucial to seek medical attention promptly for a thorough evaluation, which may include:
- Physical Examination: A healthcare provider will perform a physical exam to assess the testicles and abdomen for tenderness, swelling, or abnormalities.
- Ultrasound: A scrotal ultrasound can help visualize the testicles and surrounding structures to check for conditions like torsion, epididymitis, or varicocele.
- Urinalysis: Testing your urine can help identify signs of infection or other abnormalities.
- Sexually Transmitted Infection Testing: If an STI is suspected, appropriate tests can be conducted.
In terms of treatment, it will depend on the underlying cause. If an infection is diagnosed, antibiotics may be prescribed. In cases of torsion, immediate surgical intervention is necessary. Pain management may also be part of your treatment plan.
It’s important to avoid self-diagnosing and to seek medical attention as soon as possible, especially since testicular pain can sometimes indicate a serious condition. Early diagnosis and treatment are key to preventing complications and ensuring the best possible outcome. If you have any additional symptoms, such as fever, swelling, or changes in urination, be sure to inform your healthcare provider, as these can provide important clues to your diagnosis.
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Related FAQ
(Urology)
Lower Abdominal Pain(Gastroenterology and Hepatology)
Low Back Pain(Urology)
Lower Abdominal Pain(Family Medicine)
Testicles(Urology)
Lower Abdominal Pain(Obstetrics and Gynecology)
Abdominal Pain(Surgery)
Orchitis(Urology)
Stomach Discomfort(Gastroenterology and Hepatology)
Inguinal Hernia(Urology)