Testicular Pain: Causes and Solutions for Busy Professionals - Urology

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I would like to inquire about issues related to testicular pain?


Hello doctor, I work an average of 12 hours a day, 5 to 6 days a week, and I am mostly standing.
Sometimes I get so busy that I don't have time to eat or go to the bathroom.
Could this situation be causing my testicles to hurt from the time I start work until I finish? Is it related to holding in urine, friction, or something else? I've experienced similar situations before, so my testicles have definitely expressed their discomfort!

yang, 10~19 year old female. Ask Date: 2021/03/22

Dr. Du Shixi reply Urology


Hello: Sometimes when we move less and just stand, poor circulation can lead to a feeling of heaviness or discomfort.
If possible, walking around or sitting for a while can help improve circulation, which should feel better.
However, if urination is painful, medical attention is necessary.
Additionally, if there are lumps or hardness in the testicles, it is important to seek medical care.
Wishing you good health.

Reply Date: 2021/03/22

More Info


Testicular pain can be a concerning symptom, especially for busy professionals who may not prioritize their health due to demanding work schedules. Based on your description, it seems that your long hours of standing and infrequent breaks for basic needs like eating and using the restroom could indeed contribute to your discomfort.
There are several potential causes of testicular pain, and understanding them can help you identify whether your symptoms are related to your work habits or if they may indicate a more serious condition.

1. Physical Strain: Prolonged standing can lead to physical strain in various parts of the body, including the pelvic region. When you stand for long periods, the muscles and ligaments that support the testicles may become strained, leading to discomfort or pain. Additionally, if you are not using proper posture, this can exacerbate the issue.

2. Inguinal Hernia: This condition occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause pain in the groin or testicular area, especially when standing for long periods or lifting heavy objects. If you notice a bulge in the groin area along with pain, it is essential to seek medical attention.

3. Testicular Torsion: Although this is a medical emergency, it is worth mentioning. 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 swelling. If you experience acute pain, it is crucial to seek immediate medical help.

4. Epididymitis: This is an inflammation of the epididymis, often caused by infection. Symptoms may include swelling, redness, and pain in the testicular area. If you have any accompanying symptoms such as fever or discharge, it is important to consult a healthcare provider.

5. Urinary Retention: If you are holding your urine for extended periods, this can lead to discomfort in the pelvic region, including the testicles. The bladder and the testicles share nerve pathways, so any irritation in the bladder can manifest as testicular pain.
6. Nerve Compression: Long hours of standing or poor posture can lead to nerve compression in the lower back, which may radiate pain to the testicular area. If you experience back pain alongside your testicular discomfort, this could be a contributing factor.

To address your symptoms, consider the following recommendations:
- Take Regular Breaks: Try to schedule short breaks throughout your workday to sit down, stretch, and relieve any pressure on your pelvic region. This can help reduce strain on your muscles and nerves.

- Stay Hydrated and Nourished: Make sure to eat regular meals and stay hydrated. This can help prevent urinary retention and other gastrointestinal issues that may contribute to discomfort.

- Posture Awareness: Pay attention to your posture while standing. Ensure that you are distributing your weight evenly and using supportive footwear to minimize strain.

- Consult a Healthcare Provider: If your testicular pain persists or worsens, it is essential to consult a healthcare provider. They can perform a thorough examination and may recommend imaging studies or other diagnostic tests to determine the underlying cause of your pain.

In conclusion, while your busy work schedule and habits may contribute to your testicular pain, it is crucial to rule out any serious conditions. Taking proactive steps to manage your health and seeking medical advice when necessary can help you maintain your well-being while managing a demanding professional life.

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