Pain Above the Testicles: What You Need to Know

Q: Pain Above the Testicles: What You Need to Know

Hello： If there is persistent pain or if the skin of the scrotum becomes red or swollen, you should seek medical attention. <br>If none of the above symptoms are present, and there is no pain when pressure is applied, you can avoid prolonged sitting or standing, wear loose-fittin

Pain upon pressure above the testicles?

Hello, doctor.
Recently, I've noticed that the area above my testicles feels like a tube, and it hurts when I press down on it.
It's been like this for a day.
Could there be a problem?

J, 10~19 year old female. Ask Date: 2021/03/26

Dr. Du Shixi reply Urology

Hello: If there is persistent pain or if the skin of the scrotum becomes red or swollen, you should seek medical attention.
If none of the above symptoms are present, and there is no pain when pressure is applied, you can avoid prolonged sitting or standing, wear loose-fitting pants instead of tight ones, and monitor the situation.
Wishing you good health.

Reply Date: 2021/03/26

More Info

Pain above the testicles can be concerning and may indicate a variety of conditions. The area you are describing is likely the spermatic cord, which contains blood vessels, nerves, and the vas deferens (the tube that carries sperm). Pain in this area can arise from several causes, and it’s important to understand the potential issues involved.

One common cause of pain above the testicles is epididymitis, which is inflammation of the epididymis, the structure that stores and matures sperm. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections. Symptoms may include swelling, redness, and tenderness in the affected area, along with possible fever or discharge.

Another possible cause is testicular torsion, a serious condition where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition is usually accompanied by severe, sudden pain and requires immediate medical attention to prevent permanent damage to the testicle.

Inguinal hernias can also cause pain in this area. An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. Symptoms may include a noticeable bulge in the groin area and discomfort, especially when lifting or straining.

Other potential causes of pain above the testicles include varicocele, which is an enlargement of the veins within the scrotum, and hydrocele, which is a fluid-filled sac surrounding a testicle. Both conditions can lead to discomfort and may require treatment if they cause significant pain or complications.

Given that you have experienced this pain for a day, it is advisable to seek medical attention, especially if the pain worsens, is accompanied by swelling, redness, fever, or any other concerning symptoms. A healthcare professional will likely perform a physical examination and may order imaging tests, such as an ultrasound, to determine the underlying cause of your pain.

In the meantime, here are some general recommendations to manage discomfort:
1. Rest: Avoid activities that may exacerbate the pain.

2. Ice: Applying a cold pack to the area can help reduce swelling and numb the pain.

3. Over-the-counter pain relief: Medications like ibuprofen or acetaminophen can help alleviate discomfort.

4. Support: Wearing supportive underwear may provide comfort and reduce strain on the area.

It’s crucial to remember that while some causes of pain above the testicles may be benign, others can be serious and require prompt treatment. Therefore, do not hesitate to consult a healthcare provider for an accurate diagnosis and appropriate management. Your health and well-being are paramount, and addressing any concerns early can lead to better outcomes.

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