Testicular Pain: Causes and When to Seek Help - Urology

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Testicular issues


Recently, I've been doing a lot of DIY projects, and I noticed something on my left testicle that causes pain when I gently squeeze it.

Niming, 10~19 year old female. Ask Date: 2021/04/10

Dr. Du Shixi reply Urology


Hello: If you can consistently feel it, you should seek medical examination.
If it comes and goes, you can observe it first and pay attention to when you can feel it.
Wishing you good health.

Reply Date: 2021/04/10

More Info


Testicular pain can be a concerning symptom and may arise from various causes. It is essential to understand the potential reasons behind this discomfort and when to seek medical attention.

One of the most common causes of testicular pain is trauma or injury. If you have been engaging in frequent DIY activities, it is possible that you may have inadvertently injured the area. Trauma can lead to swelling, bruising, or even a hematoma, which can cause pain and discomfort.
Another potential cause of testicular pain is an infection. Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can lead to pain, swelling, and tenderness in the affected testicle. These infections can be caused by sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms may include redness, warmth, and sometimes fever.

Testicular torsion is another serious condition that requires immediate medical attention. This occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea or vomiting. Testicular torsion is a medical emergency, and prompt treatment is crucial to save the testicle.

Hernias can also cause testicular pain. An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles, which can lead to discomfort in the groin and testicular area.
In some cases, testicular pain may be related to referred pain from other areas, such as the lower back or abdomen. Conditions like kidney stones or gastrointestinal issues can sometimes manifest as pain in the testicular region.

Given your description of feeling a lump on the left testicle that causes pain when squeezed, it is essential to have this evaluated by a healthcare professional. While it may be a benign condition, such as a cyst or a varicocele (enlarged veins within the scrotum), it is crucial to rule out more serious conditions, including tumors.

When to seek help:
1. If the pain is severe or sudden.

2. If you notice swelling or a lump in the testicle.

3. If you experience additional symptoms such as fever, nausea, or vomiting.

4. If the pain persists or worsens over time.

In conclusion, while testicular pain can arise from various causes, it is vital to take it seriously, especially if accompanied by other concerning symptoms. A thorough examination by a healthcare provider, including a physical examination and possibly imaging studies, can help determine the underlying cause and appropriate treatment. Do not hesitate to seek medical attention to ensure your health and peace of mind.

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